Evaluating the Impact of Training for IHSS Workers

Обзор

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.

Вмешательства

• Другое IHSS Basic Training
  The intervention is the Center for Caregiver Advancements 30-hour IHSS Basic training course.

Первичные конечные точки

• Number of emergency department visits (for consumer) [Срок оценки: 1 year after training begins]

Вторичные конечные точки (11)

• Any emergency department visits (for consumer) [Срок оценки: 1 year after training begins]
• Estimated annual health care spending (for consumer) [Срок оценки: 1 year after training begins]
• Share of participants with falls resulting in a health care visit (for consumer) [Срок оценки: 1 year after training begins]
• Share of participants with urinary tract infections resulting in a health care visit (for consumer) [Срок оценки: 1 year after training begins]
• Share of participants with pressure ulcers resulting in a health care visit (for consumer) [Срок оценки: 1 year after training begins]
• Share of participants with nursing facility utilization (for consumer) [Срок оценки: 1 year after training begins]
• Share of participants still employed in IHSS (for provider) [Срок оценки: 1 year after training begins]
• Caregiving knowledge (for provider) [Срок оценки: 0-3 months after completion of training]
• Total length of stay in nursing facilities (for consumer) [Срок оценки: 1 year after training begins]
• IHSS earnings (for provider) [Срок оценки: 1 year after training begins]
• IHSS hours worked (for provider) [Срок оценки: 1 year after training begins]

Критерии участия

Критерии включения

• Current IHSS provider
• Live in San Bernardino County
• IHSS consumer lives in San Bernardino County

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

США · 1 центр

• San Bernardino County — San Bernardino

Идентификаторы

NCT: NCT06205433 · 2308001081

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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