Evaluating the Impact of Training for IHSS Workers
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: IHSS Basic Training.
- Who it may be relevant to
- Registry conditions: Home Care for Elderly or Disabled Individuals. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This trial investigates whether high-quality training for consumer-directed home health workers impacts health outcomes for care consumers and employment outcomes for care workers. The investigators are conducting this study in the context of the In-Home Supportive Services (IHSS) program, a consumer-directed, Medicaid-funded home care program in California serving elderly and disabled Medicaid recipients. The investigators will partner with the Center for Caregiver Advancement (CCA), a training provider based in California, to conduct a randomized evaluation of the impact of training for IHSS workers on labor and health care outcomes. The evaluation will enroll IHSS workers in San Bernardino County, where CCA will be expanding its program. Participants will be randomized to either a group that receives CCA's training or a control group that does not receive training. Participants randomized to the training group will complete a 30 hour online course that teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety. Researchers will compare outcomes between IHSS providers in the two groups and between IHSS consumers who receive care from the IHSS providers in the two groups to see if training impacts health, health care, and labor market outcomes.
Interventions
- Other IHSS Basic Training
The intervention is the Center for Caregiver Advancements 30-hour IHSS Basic training course.
Primary outcome measures
- Number of emergency department visits (for consumer) [Time frame: 1 year after training begins]
Secondary outcome measures (11)
- Any emergency department visits (for consumer) [Time frame: 1 year after training begins]
- Estimated annual health care spending (for consumer) [Time frame: 1 year after training begins]
- Share of participants with falls resulting in a health care visit (for consumer) [Time frame: 1 year after training begins]
- Share of participants with urinary tract infections resulting in a health care visit (for consumer) [Time frame: 1 year after training begins]
- Share of participants with pressure ulcers resulting in a health care visit (for consumer) [Time frame: 1 year after training begins]
- Share of participants with nursing facility utilization (for consumer) [Time frame: 1 year after training begins]
- Share of participants still employed in IHSS (for provider) [Time frame: 1 year after training begins]
- Caregiving knowledge (for provider) [Time frame: 0-3 months after completion of training]
- Total length of stay in nursing facilities (for consumer) [Time frame: 1 year after training begins]
- IHSS earnings (for provider) [Time frame: 1 year after training begins]
- IHSS hours worked (for provider) [Time frame: 1 year after training begins]
Eligibility criteria
Inclusion criteria
- Current IHSS provider
- Live in San Bernardino County
- IHSS consumer lives in San Bernardino County
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- San Bernardino County — San Bernardino
Identifiers
NCT: NCT06205433 · 2308001081