A Pragmatic Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System

Sponsor

The University of Texas Health Science Center, Houston (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05823220

Collaborator

National Institute on Minority Health and Health Disparities (NIMHD) (NIH)

1,000

Enrollment

Location

Arms

Anticipated Duration (Months)

35.7

Patients Per Site Per Month

Study Details

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.

Condition or Disease	Intervention/Treatment	Phase
Homelessness	Behavioral: Homeless diversion (HD) Behavioral: Treatment-as-usual (TAU)	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

1000 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Investigator)

Primary Purpose:

Treatment

Official Title:

A Pragmatic Randomized Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System

Anticipated Study Start Date :

May 1, 2023

Anticipated Primary Completion Date :

Mar 1, 2025

Anticipated Study Completion Date :

Aug 31, 2025

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Homeless diversion (HD) group	Behavioral: Homeless diversion (HD) 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
Active Comparator: Treatment-as-usual (TAU) group	Behavioral: Treatment-as-usual (TAU) 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

Arm

Intervention/Treatment

Experimental: Homeless diversion (HD) group

Behavioral: Homeless diversion (HD)

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

Active Comparator: Treatment-as-usual (TAU) group

Behavioral: Treatment-as-usual (TAU)

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

Outcome Measures

Primary Outcome Measures

Number of ED visits [end of study (6 months after start of study)]

Secondary Outcome Measures

Number of participants who experience homelessness [end of study (6 months after start of study)]
Change in health related quality of life as assessed by the Short Form-12 version 2.0 (SF12v2) health Survey [baseline, month 1, month 2, month 3, month 4, month 5 and month 6]
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.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	The University of Texas Health Science Center at Houston	Houston	Texas	United States	77030

Sponsors and Collaborators

The University of Texas Health Science Center, Houston
National Institute on Minority Health and Health Disparities (NIMHD)

Investigators

Principal Investigator: Jack Tsai, PhD, The University of Texas Health Science Center, Houston

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Jack Tsai, Professor, The University of Texas Health Science Center, Houston

ClinicalTrials.gov Identifier:

NCT05823220

Other Study ID Numbers:

HSC-SPH-22-0762
R01MD018213

First Posted:

Apr 21, 2023

Last Update Posted:

Apr 21, 2023

Last Verified:

Apr 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Emergencies

Study Results

No Results Posted as of Apr 21, 2023