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Cardiovascular DiseasesCHAP-EMSNCT02152891

A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/CP@Clinic)

A study testing CHAP-EMS/CP@clinic in people with Cardiovascular Diseases and Diabetes Mellitus, run by McMaster University at 5 sites in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. Read more about this study

Who is it for?
Ages 55 years and olderHealthy volunteers can take part
Conditions the study is for
Cardiovascular Diseases, Diabetes Mellitus
What is being tested?
CHAP-EMS/CP@clinic
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,200 participants
Where
5 sitesCanada
Study dates
1 Nov 2015to 31 Mar 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 55 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 55 years and older
  • Resides in subsidized apartment building

Who cannot join

  • None

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Canada5 sites

  • City of Greater Sudbury

    Greater Sudbury, Ontario, P3A 5P3

  • Guelph-Wellington Emergency Medical Services and County of Wellington Social Services Department - Housing Services

    Guelph, Ontario, N1H 3A1

  • Hamilton Paramedic Services

    Hamilton, Ontario, L8P 4Y5

  • County of Simcoe

    Simcoe, Ontario, L0L 1X0

  • York Region

    York, Ontario, L3Y 6Z1

Other trials in Canada

About this study

Official title: A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/Renamed to CP@Clinic)

Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. To decrease the costs of treating heart disease and diabetes through emergency and hospitalization, improved screening and health education is needed. Our program will take place in communal areas within housing buildings of older adults and deliver a heart disease, diabetes, and falls risk check-up with health education. This is expected to improve the health of older adults leading to fewer emergency calls and hospital visits.

Being tested
CHAP-EMS/CP@clinic
Keywords
Emergency Medical Services, Elderly
Medical subject headings
Cardiovascular Diseases, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CHAP-EMS/CP@clinicBehavioural

    Community Paramedicine program to assess cardiovascular, diabetes, and fall risk; discuss lifestyle changes and goals; and refer to appropriate resources.

Study groups in NCT02152891
Study groupRoleWhat they receive
CHAP-EMS/CP@clinic Program InterventionExperimental12 month implementation of the intervention
Receives: Behavioral: CHAP-EMS/CP@clinic
ControlNo interventionWill complete a survey at baseline and at 1 year, no program or intervention provided

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Canadian Diabetes Risk (CANRISK) Score

    The CANRISK tool provides a 10-year risk of diabetes score and will be administered by the paramedic during the CHAP-EMS session.

    Measured: Baseline and 1 year

  2. Change in Blood Pressure

    Since the participants are invited to attend the intervention weekly, but are not required to attend, the number of assessments and time of assessments will vary. Multilevel analysis will be conducted that accounts for this variance in repeated measures.

    Measured: Baseline and after each assessment (up to one year)

  3. Change in health perceptions, behaviours, and knowledge of resources

    A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge.

    Measured: Baseline and 1 year

  4. Change in Health Care Utilization

    Health Care Utilization will be assessed through administrative databases (e.g. hospital visits). Utilization by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.

    Measured: Baseline and 1 year

  5. Change in rate of EMS Calls

    Rate EMS calls by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.

    Measured: Baseline and 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jun 2014 (estimated)
  2. Study start1 Nov 2015
  3. Primary completion30 Nov 2016
  4. Study completion31 Mar 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02152891
Sponsor's protocol ID
MOP-133563
Acronym
CHAP-EMS
Status last verified
Aug 2019
First submitted
29 May 2014
Last updated
13 Aug 2019
Results posted
No
Data monitoring committee
No

Publications

  • Agarwal G, Pirrie M, Vanama MS, Hu ZJ, Paterson JM, Thabane L, Angeles R, Marzanek F. Effect of the CP@clinic program (Community Paramedicine at Clinic program) on health care utilization from administrative data during and after the intervention: a cluster-randomized controlled trial. Front Health Serv. 2026 Oct 15;6:1939050. doi: 10.3389/frhs.2026.1939050. eCollection 2026.

    PubMed 42959155

  • Brar J, AlShenaiber L, Dzerounian J, Pirrie M, Angeles R, Marzanek F, Agarwal G. Effects of the Community Paramedicine at Clinic (CP@clinic) program on the health behaviours of older adults residing in social housing: secondary outcomes of a cluster-randomized trial. BMC Public Health. 2025 Mar 6;25(1):887. doi: 10.1186/s12889-025-21997-w.

    PubMed 40050836

  • Agarwal G, Pirrie M, Angeles R, Marzanek F, Paterson JM, Nguyen F, Thabane L. Community Paramedicine Program in Social Housing and Health Service Utilization: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2024 Oct 1;7(10):e2441288. doi: 10.1001/jamanetworkopen.2024.41288.

    PubMed 39466243

  • Marzanek F, Nair K, Ziesmann A, Paramalingam A, Pirrie M, Angeles R, Agarwal G. Perceived value and benefits of the Community Paramedicine at Clinic (CP@clinic) programme: a descriptive qualitative study. BMJ Open. 2023 Nov 21;13(11):e076066. doi: 10.1136/bmjopen-2023-076066.

    PubMed 37989376

  • Agarwal G, Pirrie M, Angeles R, Marzanek F, Thabane L, O'Reilly D. Cost-effectiveness analysis of a community paramedicine programme for low-income seniors living in subsidised housing: the community paramedicine at clinic programme (CP@clinic). BMJ Open. 2020 Oct 27;10(10):e037386. doi: 10.1136/bmjopen-2020-037386.

    PubMed 33109643

  • Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Reducing 9-1-1 Emergency Medical Service Calls By Implementing A Community Paramedicine Program For Vulnerable Older Adults In Public Housing In Canada: A Multi-Site Cluster Randomized Controlled Trial. Prehosp Emerg Care. 2019 Sep-Oct;23(5):718-729. doi: 10.1080/10903127.2019.1566421. Epub 2019 Feb 4.

    PubMed 30624150

  • Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Evaluation of a community paramedicine health promotion and lifestyle risk assessment program for older adults who live in social housing: a cluster randomized trial. CMAJ. 2018 May 28;190(21):E638-E647. doi: 10.1503/cmaj.170740.

    PubMed 29807936

  • Agarwal G, McDonough B, Angeles R, Pirrie M, Marzanek F, McLeod B, Dolovich L. Rationale and methods of a multicentre randomised controlled trial of the effectiveness of a Community Health Assessment Programme with Emergency Medical Services (CHAP-EMS) implemented on residents aged 55 years and older in subsidised seniors' housing buildings in Ontario, Canada. BMJ Open. 2015 Jun 11;5(6):e008110. doi: 10.1136/bmjopen-2015-008110.

    PubMed 26068514

Questions about this trial

What is this clinical trial studying?

A study testing CHAP-EMS/CP@clinic in people with Cardiovascular Diseases and Diabetes Mellitus, run by McMaster University at 5 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Canadian Diabetes Risk (CANRISK) Score (time frame: Baseline and 1 year). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02152891, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Aug 2019.

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