Clinic-Based vs. Home-Based Support to Improve Care and Outcomes for Older Asthmatics
Patient-Centered Outcomes Research Institute (PCORI)
The objective of this study is to compare the effectiveness of home-based vs. clinic-based care coordination and self-management support to improve asthma treatment and outcomes for older adult asthmatics from Latino and African-American communities.
Specific Aims: 1) To compare the effectiveness of clinic and home-based asthma care coordination and self-management support to improve care and asthma-related outcomes; 2) To identify subsets of individuals who will have greater benefit from home-based care coordination and self-management support compared to clinic-based support.
Home-based Primary Care for Homebound Seniors: a Randomized Controlled Trial
R01AG052557 (Federman) 6/15/16-5/31/21
The objective of this pragmatic randomized controlled trial (RCT) is to compare the impact of physician directed home-based primary care (HBPC) with office-based primary care on hospitalizations, symptom control, caregiver burden, healthcare costs and other outcomes for older homebound adults and to conduct a dissemination and implementation evaluation to support future HBPC adoption.
Specific Aims: 1) To compare symptom control and hospitalization and ED use between patients in each treatment arm; 2) To compare caregiver burden and satisfaction with care between informal caregivers of homebound older patients in each treatment arm; 3) To compare the healthcare costs incurred by homebound older adults in HBPC programs and OBPC.