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Trial registered on ANZCTR
Registration number
ACTRN12609000562279
Ethics application status
Approved
Date submitted
9/07/2009
Date registered
9/07/2009
Date last updated
9/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of Blacktown Australian Better Health Initiative Integration Project in Improving Continuity of Care in Chronic Cardiac, Respiratory and Aged Care Patients
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Scientific title
Evaluation of Blacktown Australian Better Health Initiative (ABHI) Integration Project in Improving Continuity of Care in Chronic Cardiac, Respiratory and Aged Care Patients
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
The study aims to achieve continuity of care for chronic cardiac, chronic respiratory and aged patients in the areas of Blacktown, by integrating the services of the hospital, general practitioners and community health services.
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Condition category
Condition code
Public Health
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0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational study. We will compare patient presentations and admissions to the emergency department at Blacktown hospital 12 months prior to enrollment into the ABHI Integration project and 6 months following. In particular we will evaluate the date of admission, duration of admission (i.e., bed-days) and discharge diagnoses. We will also investigate the impact on health care in the community. The date of death of any patient participant who dies during the six months following enrollment will be recorded. At recruitment into the evaluation, and again one and six months later, each patient participant will be asked to complete the EQ-5D health status measure1. This is a generic measure of health status that is applicable to a wide range of chronic diseases.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
n/a
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To measure the rates of emergency department presentation and hospital admission amongst patients enrolled in the Blacktown ABHI Integration Project, prior to and following enrollment
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Assessment method [1]
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Timepoint [1]
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12 months prior to enrollment into the ABHI Integration project and 6 months following.
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Secondary outcome [1]
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To explore patients', carers' and health professionals' accounts of how the Blacktown ABHI Integration project has influenced the care of enrolled patients, and develop a detailed, quantified account of the effect of the Blacktown ABHI Integration Project on the processes of care of enrolled patients, and in consequence on their rates of emergency department presentation and hospital admission.
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Assessment method [1]
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Timepoint [1]
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We will conduct qualitative interviews once at approximately 6 months following enrollment
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Eligibility
Key inclusion criteria
Patients who present to Blacktown hospital with chronic cardiac, chronic respiratory or aged care and are classed high-risk of re-presentation to hospital and have had some form of care co-ordination from a care navigator in the emergency department or ward during their admission. Patients must also reside in the greater Blacktown area.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients under 18 years of age that are not chronically ill or not requiring aged care.
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Study design
Purpose
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
28/07/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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WentWest Ltd
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Address [1]
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20 Wentworth Street
Parramatta NSW 2150
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
WentWest Ltd
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Address
20 Wentworth Street
Parramatta NSW 2150
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney West Area Health Service Human Research Ethics Committee, Westmead Campus
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Ethics committee address [1]
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Research Office Westmead Hospital Rm 2020, Clinical Sciences, 2nd Floor WESTMEAD NSW 2145
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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17/06/2009
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Approval date [1]
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Ethics approval number [1]
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HREC/09/WMEAD/157
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Summary
Brief summary
The aim of the outcome evaluation will be to describe changes in the rates of emergency department presentations and hospital admissions associated with the Blacktown ABHI Integration Project, and to explore changes in the processes of patient care in the community that may explain these. The specific objectives will be: 1. To measure the rates of emergency department presentation and hospital admission amongst patients enrolled in the Blacktown ABHI Integration Project, prior to and following enrollment; also to measure contacts with SWAHS Community Health Services durign this time; 2. To explore patients’, carers’ and health professionals’ accounts of how the Blacktown ABHI Integration Project has influenced the care of enrolled patients; and, 3. To develop a detailed, quantified account of the effect of the Blacktown ABHI Integration Project on the processes of care of enrolled patients, and in consequence on their rates of emergency department presentation and hospital admission.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Joy Tripovich
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Address
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Joy Tripovich PhD
Research Evaluation Officer
Australian Better Health Initiative
WentWest Ltd
Department of General Practice
University of Sydney
PO Box 154
Westmead NSW 2145
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Country
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Australia
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Phone
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+612 9845 9215
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Fax
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+612 9845 8166
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Email
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[email protected]
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Contact person for scientific queries
Name
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Joy Tripovich
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Address
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Joy Tripovich PhD
Research Evaluation Officer
Australian Better Health Initiative
WentWest Ltd
Department of General Practice
University of Sydney
PO Box 154
Westmead NSW 2145
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Country
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Australia
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Phone
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+612 9845 9215
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Fax
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+612 9845 8166
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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