At-risk and vulNerable Individuals To Infection With COVID-19 and ProActive inTervention With intEgrated Health and Social Care (ANTICIPATE): a Pragmatic Randomized Controlled Trial
Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
This randomized control trial aims to explore a data-driven, proactive approach to identifying patients at greatest risk during the pandemic, and assess the impact of an embedded System Navigator in a primary health care setting. The System Navigator works one-on-one with patients to identify and provide support to their biological, psychological and social needs (e.g. income, housing, food security). Investigators are doing this study to find out whether proactive identification of vulnerable patients and linking to a System Navigator leads to reduction in emotional distress associated with managing complex health conditions and unmet social needs during COVID-19, compared to usual care. Investigators will involve approximately 180 patients from primary care clinics that are a part of the University of Toronto Practice-Based Research Network (UTOPIAN). The information from this study will be used to help us understand how proactive engagement within a primary health setting can help to improve the health of patients during COVID-19, and beyond.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 60
Healthy Volunteers: t
View:
• At-risk and vulnerable patients of primary care organizations who are 60+ AND have one or more of:
‣ chronic condition (diabetes, CHF, CAD, COPD or asthma)
⁃ serious mental illness (schizophrenia or bipolar disorder)
⁃ anticipated to live in poverty and/or be homeless/underhoused
Locations
Other Locations
Canada
St. Michael's Hospital
RECRUITING
Toronto
Contact Information
Primary
Andrew D Pinto, MD, MSc
andrew.pinto@utoronto.ca
416-864-6060
Backup
Rose Wang, MPH
rose.wang@unityhealth.to
416-864-6060
Time Frame
Start Date:2022-02-25
Estimated Completion Date:2024-03
Participants
Target number of participants:180
Treatments
Experimental: Intervention - System Navigator
The intervention group will be connected to a system navigator who is a trained staff member embedded within the primary health clinic team with a focus to address participant's biological, psychological and social needs.~Working with the System Navigator will mean:~* Discussing patients' current health status and concerns~* Receiving support on management of chronic diseases and mental health including connection to local resources e.g. counseling, harm reduction, crisis support services~* Receiving information about benefits that they may be entitled to and learning about free services~* Receiving help from the System Navigator on forms or letters that are required to access resources
Active_comparator: Tailored list of community resources
Control group will be provided a tailored list of community resources.
Collaborators: Markham Family Health Team, Platinum Medical Clinic, Ontario Medical Association, Barrie and Community Family Health Team, Ontario Ministry of Health and Long Term Care, University of Toronto Practice Based Research Network