Evidence map›Paper›PMID 24960435›Full record

Trial reportSubstance abuse2015

A patient navigation intervention for drug-involved former prison inmates.

Ingrid A Binswanger, Elizabeth Whitley, Paul-Ryan Haffey, Shane R Mueller, Sung-Joon Min

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Substance abuse, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Ingrid A Binswangera Division of General Internal Medicine , University of Colorado School of Medicine , Aurora , Colorado , USA.
Elizabeth Whitley
Paul-Ryan Haffey
Shane R Mueller
Sung-Joon Min
University of Colorado Denver · USColorado Department of Public Health and Environment · USDenver Health Medical Center · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
Colorado CER and Safety Scholars Program: Mental Health, CVD, and MethodsK12HS019464 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI LIBBY, ANNE M · 2010 to 2010
$1.5M
AHRQ HHS K12 HS019464AHRQ HHS K12HS019464NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR001082
6 · The paper itself

Abstract

backgroundFormer prison inmates experience high rates of hospitalizations and death during the transition from prison to the community, particularly from drug-related causes and early after release. The authors designed a randomized controlled trial (RCT) of patient navigation to reduce barriers to health care and hospitalizations for former prison inmates.

methodsForty former prison inmates with a history of drug involvement were recruited and randomized within 15 days after prison release. Participants were randomized to receive 3 months of patient navigation (PN) with facilitated enrollment into an indigent care discount program (intervention) or facilitated enrollment into an indigent care discount program alone (control). Structured interviews were conducted at baseline, 3 months, and 6 months. Outcomes were measured as a change in self-reported barriers to care and as the rate of health service use per 100 person-days.

resultsThe mean number of reported barriers to care was reduced at 3 and 6 months in both groups. At 6 months, the rate of emergency department/urgent care visits per 100 person-days since baseline was 1.1 among intervention participants and 0.5 among control participants (P = .04), whereas the rate of hospitalizations per 100 person-days was 0.2 in intervention participants and 0.6 in control participants (P = .04).

conclusionsRecruitment of former inmates into an RCT of patient navigation was highly feasible, but follow-up was limited by rearrests. Results suggest a significantly lower rate of hospitalizations among navigation participants, although the rate of emergency department/urgent care visits was not improved. Patient navigation is a promising, pragmatic intervention that may be effective at reducing high-cost health care utilization in former prison inmates.

Indexed as

Health Services AccessibilityIndependent LivingPrisonersAdultColoradoEmergency Service, HospitalFemaleHospitalizationHumansMaleMiddle AgedPatient NavigationSubstance-Related DisordersUncompensated CareVulnerable PopulationsHealth care utilizationpatient navigationprisonersrandomized controlled trialssubstance abusevulnerable populations

Identifiers

PMID24960435
PMCPMC4276554
OpenAlexW2084287194

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.