CommunityRx: A Real-World Controlled Clinical Trial of a Scalable, Low-Intensity Community Resource Referral Intervention

American Journal of Public Health
Stacy Tessler LindauElizabeth L Tung

Abstract

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. 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. 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. CommunityRx did not increase HRQOL, but its positive effect on confidenc...Continue Reading

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Citations

Jun 11, 2019·Journal of the American Medical Informatics Association : JAMIA·Gillian FeldmethStacy Tessler Lindau
Apr 7, 2020·Health Affairs·Caroline FichtenbergLaura M Gottlieb
Nov 26, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Jennifer A MakelarskiStacy T Lindau
Sep 15, 2020·Population Health Management·Deepak PalakshappaDavid P Miller
Nov 10, 2020·Journal of the American Medical Informatics Association : JAMIA·James R RogersChunhua Weng
Nov 9, 2020·Annals of Emergency Medicine·Margaret E Samuels-KalowCarlos A Camargo
Apr 3, 2021·The American Journal of Emergency Medicine·Paige KulieMelissa L McCarthy
Jun 30, 2021·Nursing Outlook·Dena Schulman-GreenMargaret Grey
Jul 6, 2021·International Journal of Integrated Care·Louíse Viecili HoffmeisterSónia Dias
Sep 2, 2021·JAMA : the Journal of the American Medical Association·Michelle EderJennifer S Lin
Apr 10, 2021·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Emily M AbramsohnStacy Tessler Lindau

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