Home Care for Elderly or Disabled IndividualsNCT06205433
Evaluating the Impact of Training for IHSS Workers
A study testing IHSS Basic Training in people with Home Care for Elderly or Disabled Individuals, run by Abdul Latif Jameel Poverty Action Lab at 1 site in United States.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Home Care for Elderly or Disabled Individuals
- What is being tested?
- IHSS Basic Training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,500 participants
- Where
- 1 siteUnited States
- Study dates
- 9 Jan 2024to 30 Jun 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Current IHSS provider
- Live in San Bernardino County
- IHSS consumer lives in San Bernardino County
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
San Bernardino County
San Bernardino, California, 92401
Research Manager, ihss.study@povertyactionlab.org
About this study
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.
Read more
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.
- Being tested
- IHSS Basic Training
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IHSS Basic TrainingOther
The intervention is the Center for Caregiver Advancements 30-hour IHSS Basic training course.
| Study group | Role | What they receive |
|---|---|---|
| IHSS Basic Training | Experimental | Individuals in the treatment group will be invited to participate in CCA's IHSS Basic training program. The program is a 30 hour online course for IHSS providers, which teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety. Receives: Other: IHSS Basic Training |
| Control | No intervention | No intervention is delivered to the control group. The control group will be unable to access CCA's training programs for two years following random assignment. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of emergency department visits (for consumer)
Measured: 1 year after training begins
Secondary outcomes (11)
Any emergency department visits (for consumer)
Measured: 1 year after training begins
Estimated annual health care spending (for consumer)
Estimated annual health care spending will be calculated by multiplying the number of inpatient admissions, emergency department visits, outpatient office visits, long term care stays, and prescription drugs by estimated average costs for those services among low income publicly insured adults.
Measured: 1 year after training begins
Share of participants with falls resulting in a health care visit (for consumer)
The share of consumers with falls will be measured using diagnosis codes from medical claims
Measured: 1 year after training begins
Share of participants with urinary tract infections resulting in a health care visit (for consumer)
The share of consumers with urinary tract infections will be measured using diagnosis codes from medical claims
Measured: 1 year after training begins
Share of participants with pressure ulcers resulting in a health care visit (for consumer)
The share of consumers with pressure ulcers will be measured using diagnosis codes from medical claims
Measured: 1 year after training begins
Share of participants with nursing facility utilization (for consumer)
The share of consumers who have a stay in a skilled nursing facility, rehab, or long term care facility during the year after training begins.
Measured: 1 year after training begins
Share of participants still employed in IHSS (for provider)
The share of IHSS provider participants who remain as workers in the IHSS program 1 year after the start of training.
Measured: 1 year after training begins
Caregiving knowledge (for provider)
Proportion of correct answers out of 18 true false knowledge questions
Measured: 0-3 months after completion of training
Total length of stay in nursing facilities (for consumer)
The number of days spent per consumer in a skilled nursing facility, rehab, or long term care facility during the year after training begins.
Measured: 1 year after training begins
IHSS earnings (for provider)
IHSS earnings for providers, measured weekly, quarterly, and annually, drawn from IHSS payroll data
Measured: 1 year after training begins
IHSS hours worked (for provider)
IHSS hours worked for providers, measured weekly, quarterly, and annually, drawn from IHSS payroll data
Measured: 1 year after training begins
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jan 2024
- Study start9 Jan 2024
- Primary completion30 Jun 2027 (estimated)
- Study completion30 Jun 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Home Care for Elderly or Disabled IndividualsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 2,500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Abdul Latif Jameel Poverty Action Lab
- Sponsor type
- University, hospital or other
- Collaborators
- Center for Caregiver Advancement, Massachusetts Institute of Technology, University of Chicago
- Responsible party
- Sponsor
- Investigators
- Matthew Notowidigdo, PhD, Principal investigator, University of ChicagoDavid Autor, Phd, Principal investigator, Massachusetts Institute of TechnologyAmy Finkelstein, PhD, Principal investigator, Massachusetts Institute of TechnologyAnna Russo, Principal investigator, Massachusetts Institute of Technology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06205433
- Sponsor's protocol ID
- 2308001081
- Status last verified
- Jan 2024
- First submitted
- 14 Dec 2023
- Last updated
- 30 Jan 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: To the extent allowed by our data use agreements with administrative data providers, we will share de-identified data and analysis code at the conclusion of the project.
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluating the Impact of Training for IHSS Workers
- ClinicalTrials.gov ID
- NCT06205433
- Acronym / sponsor ID
- 2308001081
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 2,500 participants (estimated)
- Lead sponsor
- Abdul Latif Jameel Poverty Action LabUniversity, hospital or other
- Collaborators
- Center for Caregiver Advancement, Massachusetts Institute of Technology, University of Chicago
- Study start
- 9 Jan 2024 (actual)
- Primary completion
- 30 Jun 2027 (estimated)
- Study completion
- 30 Jun 2029 (estimated)
- First posted
- 16 Jan 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| IHSS Basic Training | Experimental | Other: IHSS Basic TrainingIndividuals in the treatment group will be invited to participate in CCA's IHSS Basic training program. The program is a 30 hour online course for IHSS providers, which teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety. |
| Control | No intervention | –No intervention is delivered to the control group. The control group will be unable to access CCA's training programs for two years following random assignment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Current IHSS provider
- Live in San Bernardino County
- IHSS consumer lives in San Bernardino County
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IHSS Basic TrainingThe intervention is the Center for Caregiver Advancements 30-hour IHSS Basic training course. | Other | IHSS Basic Training |
Primary outcome
Number of emergency department visits (for consumer)
Time frame: 1 year after training begins
11 secondary outcomes
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
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2024.
- Individual participant dataSharing planned: Yes. To the extent allowed by our data use agreements with administrative data providers, we will share de-identified data and analysis code at the conclusion of the project.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Matthew Notowidigdo, PhD principal investigator
University of Chicago
David Autor, Phd principal investigator
Massachusetts Institute of Technology
Amy Finkelstein, PhD principal investigator
Massachusetts Institute of Technology
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing IHSS Basic Training in people with Home Care for Elderly or Disabled Individuals, run by Abdul Latif Jameel Poverty Action Lab at 1 site in United States.
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 3 inclusion and 0 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: looking for participants now, as of the sponsor's last update on 30 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Jesse Gubb, Research Manager, PhD (617-324-6995, ihss.study@povertyactionlab.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of emergency department visits (for consumer) (time frame: 1 year after training begins). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 30 Jan 2024.