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My Bridge (Mi Puente), a care transitions intervention for Hispanics/Latinos with multimorbidity and behavioral health concerns: protocol for a randomized controlled trial

Gallo, Linda C ; Fortmann, Addie L ; Bravin, Julia I ; Clark, Taylor L ; Savin, Kimberly L ; Ledesma, Duvia Lara ; Euyoque, Johanna ; Sandoval, Haley ; Roesch, Scott C ; Gilmer, Todd ; Talavera, Gregory A ; Philis-Tsimikas, Athena

Current controlled trials in cardiovascular medicine, 2020-02, Vol.21 (1), p.174-174, Article 174 [Periódico revisado por pares]

England: BioMed Central Ltd

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Título:
My Bridge (Mi Puente), a care transitions intervention for Hispanics/Latinos with multimorbidity and behavioral health concerns: protocol for a randomized controlled trial
Autor: Gallo, Linda C ; Fortmann, Addie L ; Bravin, Julia I ; Clark, Taylor L ; Savin, Kimberly L ; Ledesma, Duvia Lara ; Euyoque, Johanna ; Sandoval, Haley ; Roesch, Scott C ; Gilmer, Todd ; Talavera, Gregory A ; Philis-Tsimikas, Athena
Assuntos: Adolescent ; Adult ; Adults ; Aged ; Aged, 80 and over ; Ambulatory Care ; Anxiety Disorders - therapy ; Behavioral medicine ; Bridges (Structures) ; Chronic diseases ; Chronic illnesses ; Clinical trial ; Clinical trials ; Collaboration ; Comorbidity ; Cost analysis ; Cost control ; Cost-Benefit Analysis ; Culturally Competent Care - methods ; Diabetes ; Diseases ; Electronic records ; Female ; Follow-Up Studies ; Health behavior ; Health Behavior - ethnology ; Health care policy ; Hispanic Americans ; Hospital patients ; Hospitals ; Humans ; Informed consent ; Insurance ; Intervention ; Length of stay ; Low income groups ; Male ; Medical care utilization ; Medical personnel training ; Medical records ; Mental disorders ; Mental health ; Middle Aged ; Minorities ; Minority & ethnic groups ; Mood Disorders - therapy ; Multimorbidity ; Nurses ; Organizations ; Patient Discharge ; Patient readmission ; Patient Reported Outcome Measures ; Patient Transfer - economics ; Patient Transfer - methods ; Quality of Life ; Randomized Controlled Trials as Topic ; Referral and Consultation ; Safety-net Providers ; Study Protocol ; Telephone ; United States ; Young Adult
É parte de: Current controlled trials in cardiovascular medicine, 2020-02, Vol.21 (1), p.174-174, Article 174
Notas: ObjectType-Article-1
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Descrição: Multimorbidity affects four of ten US adults and eight of ten adults ages 65 years and older, and frequently includes both cardiometabolic conditions and behavioral health concerns. Hispanics/Latinos (hereafter, Latinos) and other ethnic minorities are more vulnerable to these conditions, and face structural, social, and cultural barriers to obtaining quality physical and behavioral healthcare. We report the protocol for a randomized controlled trial that will compare Mi Puente (My Bridge), a cost-efficient care transitions intervention conducted by a specially trained Behavioral Health Nurse and Volunteer Community Mentor team, to usual care or best-practice discharge approaches, in reducing hospital utilization and improving patient reported outcomes in Latino adults with multiple cardiometabolic conditions and behavioral health concerns. The study will examine the degree to which Mi Puente produces superior reductions in hospital utilization at 30 and 180 days (primary aim) and better patient-reported outcomes (quality of life/physical health; barriers to healthcare; engagement with outpatient care; patient activation; resources for chronic disease management), and will examine the cost effectiveness of the Mi Puente intervention relative to usual care. Participants are enrolled as inpatients at a South San Diego safety net hospital, using information from electronic medical records and in-person screenings. After providing written informed consent and completing self-report assessments, participants randomized to usual care receive best-practice discharge processes, which include educational materials, assistance with outpatient appointments, referrals to community-based providers, and other assistance (e.g., with billing, insurance) as required. Those randomized to Mi Puente receive usual-care materials and processes, along with inpatient visits and up to 4 weeks of follow-up phone calls from the intervention team to address their integrated physical-behavioral health needs and support the transition to outpatient care. The Mi Puente Behavioral Health Nurse and Volunteer Community Mentor team intervention is proposed as a cost-effective and culturally appropriate care transitions intervention for Latinos with multimorbidity and behavioral health concerns. If shown to be effective, close linkages with outpatient healthcare and community organizations will help maximize uptake, dissemination, and scaling of the Mi Puente intervention. ClinicalTrials.gov: NCT02723019. Registered on 30 March 2016.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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My Bridge (Mi Puente), a care transitions intervention for Hispanics/Latinos with multimorbidity and behavioral health concerns: protocol for a randomized controlled trial

Gallo, Linda C ; Fortmann, Addie L ; Bravin, Julia I ; Clark, Taylor L ; Savin, Kimberly L ; Ledesma, Duvia Lara ; Euyoque, Johanna ; Sandoval, Haley ; Roesch, Scott C ; Gilmer, Todd ; Talavera, Gregory A ; Philis-Tsimikas, Athena

England: BioMed Central Ltd

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