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- Title
CommunityRx: A Real-World Controlled Clinical Trial of a Scalable, Low-Intensity Community Resource Referral Intervention.
- Authors
Lindau, Stacy Tessler; Makelarski, Jennifer A.; Abramsohn, Emily M.; Beiser, David G.; Boyd, Kelly; Chou, Chiahung; Giurcanu, Mihai; Huang, Elbert S.; Liao, Chuanhong; Schumm, L. Philip; Tung, Elizabeth L.
- Abstract
Objectives. To test the effect of CommunityRx, a scalable, low-intensity intervention that matches patients to community resources, on mental health-related quality of life (HRQOL) (primary outcome), physical HRQOL, and confidence in finding resources. Methods. A real-world trial assigned publicly insured residents of Chicago, Illinois, aged 45 to 74 years to an intervention (n = 209) or control (n = 202) group by alternating calendar week, December 2015 to August 2016. Intervention group participants received usual care and an electronic medical record–generated, personalized list of community resources. Surveys (baseline, 1-week, 1- and 3-months) measured HRQOL and confidence in finding community resources to manage health. Results. At 3 months, there was no difference between groups in mental (–1.03; 95% confidence interval [CI] = −3.02, 0.96) or physical HRQOL (0.59; 95% CI = −0.98, 2.16). Confidence in finding resources was higher in the intervention group (odds ratio = 2.08; 95% CI = 1.18, 3.63); the effect increased at each successive time point. Among intervention group participants, 65% recalled receiving the intervention; 48% shared community resource information with others. Conclusions. CommunityRx did not increase HRQOL, but its positive effect on confidence in finding resources for self-care suggests that this low-intensity intervention may have a role in population health promotion. Trial Registration. ClinicalTrials.gov Identifier: NCT02435511.
- Subjects
ILLINOIS; COMMUNITY health services; CONFIDENCE; CONFIDENCE intervals; HEALTH promotion; HEALTH services accessibility; LIFE skills; MEDICAL care use; MEDICAL referrals; MENTAL health; SURVEYS; POPULATION health; PATIENTS' attitudes; ODDS ratio
- Publication
American Journal of Public Health, 2019, Vol 109, Issue 4, p600
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2018.304905