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"While non-communicable chronic disease is the leading cause of death in Canada, many patients with chronic illnesses do not receive guideline-recommended therapy for a variety of reasons. " ENCOMPASS is a patient navigation service provided by community health navigators that can enhance patient-centered care and outcomes by: assisting patients in navigating the health system, facilitating patient education, connecting patients with community resources, and assisting patient self-management. compared to usual care, the aim of this research is to determine patient navigation, provided by CHNs, in patients with multiple chronic diseases. Primary care services with 5 full-time physicians, along with small practices of 2-3 physicians, may be combined into a cluster. Half of the clusters will be randomized to begin the program right away Early Phase clusters, while the other half will be required to wait 6 months Late Phase clusters. Patients will be consulted by a research assistant at baseline, 6 to 12, and patient-reported measures. The ENCOMPASS program will be available to clinic patients until the end of the program funding cycle, which may be extended subject to budget decisions and preliminary findings," the ENCOMPASS program was launched.
Source link: https://clinicaltrials.gov/ct2/show/NCT03077386
"Community Health Navigators are defined as health professionals who support patient navigation. " Chronic disease management CHNs are expected to have a positive effect on patient health, medical results, and cost, but contextual evidence is lacking, considering that the bulk of studies to date have been conducted in the United States are still based on existing research to date. Patient navigation services currently exist in just a few settings in Canada, with no navigation services available in chronic disease care. In 2016, the University of Calgary's Interdisciplinary Chronic Disease Collaboration's Interdisciplinary Chronic Disease Collaboration began collaborating with Mosaic Primary Care Network to develop, implement, and evaluate a community health navigation service for patients with multiple chronic illnesses. The ENCOMPASS program of research was launched in 2016, when researchers with the University of Calgary's Interdisciplinary Chronic Disease Collaboration collaborated with Mosaic Primary Care Network to develop, implement, and evaluate a community health navigation service for patients with multiple chronic diseases. Family physicians and other health-care professionals work together to ensure comprehensive patient care to Albertans. To find out if the community health navigation service can be scaled and extended to PCNs in Alberta, we're expanding research to investigate and assess community health navigation service implementation into other geographic regions and populations. This research will use patient-level block randomization with medical workers blinded to block size. "The feasibility and longevity of the community health navigator program in Alberta PCNs will be determined by process analysis results and interviews with program stakeholders. ".
Source link: https://clinicaltrials.gov/ct2/show/NCT04791267
"Community Health Navigators are defined as community health professionals who provide patient navigation. " CHNs for chronic disease control are expected to improve patient experience, medical outcomes, and costs, according to the study, but contextual evidence is lacking, considering that the majority of studies in the United States were conducted in the United States to date. Patient navigation services currently exist in just a few settings in Canada, with no navigation services implemented in chronic disease management. In 2016, researchers with the University of Calgary's Interdisciplinary Chronic Disease Collaboration collaborated with Mosaic Primary Care Network to create, implement, and evaluate a community health navigation service for patients with multiple chronic illnesses. Alberta Primary Care Networks are a group of family physicians and other health care professionals working together to provide comprehensive patient care to Albertans. To find out if the community health navigation service can be scaled and extended to PCNs throughout Alberta, we're expanding our study to investigate and evaluate community health navigation service implementation to other geographic areas and populations. The effectiveness of the community health navigator program will be tested using a two-armed, pragmatic, random waitlist-controlled trial. From patient, service, and CHN perspectives, a continuing qualitative analysis will provide contextual information on the community health navigator program's success. The feasibility and sustainability of the community health navigator initiative in Alberta PCNs will be determined by process evaluation findings and interviews with program stakeholders.
Source link: https://clinicaltrials.gov/ct2/show/NCT04790604
"Compassion Health and Nutrition," "given this context, is being implemented in three governorates of Jordan to improve the nutritional status of pregnant and lactating women and children under the age of two years. The programme would achieve this target by incorporating initiatives to support IYCF's development, increase adoption of best family planning methods, infant, and young child nutrition education, as well as increasing health care provider assistance for appropriate IYCF practices and the use of modern contraceptives techniques. The aim of the comprehensive report is to determine whether USAID-funded Community Health and Nutrition programs's ability to effect change. The evaluation will determine whether CHN has improved influence on health care providers' knowledge, attitudes, beliefs, encouragement, and encouragement of health care professionals, as well as the behavior of pregnant and breastfeeding women of reproductive age and their infant/young children, thus ensuring optimal maternal, infant, and young child nutrition and health. The study will look at a cluster-randomized stratified stepped wedge system with two steps and two strata. The stepped wedge research plan is a staggered rollout scheme in which medications are delivered to clusters at different time points. The investigators will perform four separate cross-sectional studies on women of reproductive age, who are pregnant or breastfeeding, and have a child under the age of 2 years old. They will also conduct three more detailed cross-sectional surveys on service providers who work at these health services and within districts that are part of the CHN initiative.
Source link: https://clinicaltrials.gov/ct2/show/NCT05365698
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