A Pragmatic Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System
Primary Purpose
Homelessness
Status
Not yet recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Homeless diversion (HD)
Treatment-as-usual (TAU)
Sponsored by
About this trial
This is an interventional treatment trial for Homelessness
Eligibility Criteria
Inclusion Criteria: English or Spanish speaking discharged from a Harris Health Hospital ED (Ben Taub or LBJ) at imminent risk of homelessness patients with Medicaid, Medicare or who are uninsured Exclusion Criteria: having a conservator (legal guardian) plans to move away from Texas in 6 months
Sites / Locations
- The University of Texas Health Science Center at Houston
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Homeless diversion (HD) group
Treatment-as-usual (TAU) group
Arm Description
Outcomes
Primary Outcome Measures
Number of ED visits
Secondary Outcome Measures
Number of participants who experience homelessness
Change in health related quality of life as assessed by the Short Form-12 version 2.0 (SF12v2) health Survey
This is a 12 item questionnaire and scores range from 0 to 100, where a zero score indicates the lowest level of health and 100 indicates the highest level of health.
Full Information
NCT ID
NCT05823220
First Posted
April 8, 2023
Last Updated
April 8, 2023
Sponsor
The University of Texas Health Science Center, Houston
Collaborators
National Institute on Minority Health and Health Disparities (NIMHD)
1. Study Identification
Unique Protocol Identification Number
NCT05823220
Brief Title
A Pragmatic Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System
Official Title
A Pragmatic Randomized Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
May 1, 2023 (Anticipated)
Primary Completion Date
March 1, 2025 (Anticipated)
Study Completion Date
August 31, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The University of Texas Health Science Center, Houston
Collaborators
National Institute on Minority Health and Health Disparities (NIMHD)
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine whether a homelessness diversion program integrated into a hospital emergency department (ED) will lower ED use, to identify characteristics of individuals most likely to benefit from homelessness diversion and to discover opportunities to tailor Homelessness Diversion (HD) services to better meet the needs of diverse communities.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Homelessness
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
1000 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Homeless diversion (HD) group
Arm Type
Experimental
Arm Title
Treatment-as-usual (TAU) group
Arm Type
Active Comparator
Intervention Type
Behavioral
Intervention Name(s)
Homeless diversion (HD)
Intervention Description
Participants will receive services from specialty-trained community health workers and will be invited to complete monthly assessments via text and phone to assess their health and housing for 6 months and to share feedback on their experience with the intervention after completion by a text message to a link for the survey
Intervention Type
Behavioral
Intervention Name(s)
Treatment-as-usual (TAU)
Intervention Description
Participants will receive a list of community resources they can contact to receive services and will be invited to complete monthly assessments via text and phone to assess their health and housing for 6 months and to share feedback on their experience with the intervention after completion by a text message to a link for the survey
Primary Outcome Measure Information:
Title
Number of ED visits
Time Frame
end of study (6 months after start of study)
Secondary Outcome Measure Information:
Title
Number of participants who experience homelessness
Time Frame
end of study (6 months after start of study)
Title
Change in health related quality of life as assessed by the Short Form-12 version 2.0 (SF12v2) health Survey
Description
This is a 12 item questionnaire and scores range from 0 to 100, where a zero score indicates the lowest level of health and 100 indicates the highest level of health.
Time Frame
baseline, month 1, month 2, month 3, month 4, month 5 and month 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
English or Spanish speaking
discharged from a Harris Health Hospital ED (Ben Taub or LBJ)
at imminent risk of homelessness
patients with Medicaid, Medicare or who are uninsured
Exclusion Criteria:
having a conservator (legal guardian)
plans to move away from Texas in 6 months
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jack Tsai, PhD
Phone
210-276-9022
Email
Jack.Tsai@uth.tmc.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Vanessa Schick
Phone
713-500-9398
Email
Vanessa.Schick@uth.tmc.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jack Tsai, PhD
Organizational Affiliation
The University of Texas Health Science Center, Houston
Official's Role
Principal Investigator
Facility Information:
Facility Name
The University of Texas Health Science Center at Houston
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jack Tsai, PhD
Phone
210-276-9022
Email
Jack.Tsai@uth.tmc.edu
First Name & Middle Initial & Last Name & Degree
Vanessa Schick
Phone
713-500-9398
Email
Vanessa.Schick@uth.tmc.edu
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Pragmatic Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System
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