IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i7p936-d1437852.html
   My bibliography  Save this article

A Randomized Controlled Trial Testing the Effects of a Social Needs Navigation Intervention on Health Outcomes and Healthcare Utilization among Medicaid Members with Type 2 Diabetes

Author

Listed:
  • Amy McQueen

    (School of Medicine, Washington University in St. Louis, 660 S. Euclid Ave., St. Louis, MO 63110, USA
    Health Communication Research Lab, Brown School, Washington University in St. Louis, 1 Brookings Hall, St. Louis, MO 63130, USA)

  • David von Nordheim

    (Health Communication Research Lab, Brown School, Washington University in St. Louis, 1 Brookings Hall, St. Louis, MO 63130, USA)

  • Charlene Caburnay

    (Health Communication Research Lab, Brown School, Washington University in St. Louis, 1 Brookings Hall, St. Louis, MO 63130, USA)

  • Linda Li

    (Health Communication Research Lab, Brown School, Washington University in St. Louis, 1 Brookings Hall, St. Louis, MO 63130, USA)

  • Cynthia Herrick

    (School of Medicine, Washington University in St. Louis, 660 S. Euclid Ave., St. Louis, MO 63110, USA)

  • Lauren Grimes

    (Health Communication Research Lab, Brown School, Washington University in St. Louis, 1 Brookings Hall, St. Louis, MO 63130, USA)

  • Darrell Broussard

    (Louisiana Healthcare Connections, 4171 Essen Ln, 2nd floor, Baton Rouge, LA 70809, USA
    CGI Federal, 538 Cajundome Boulevard, Lafayette, LA 70506, USA)

  • Rachel E. Smith

    (Louisiana Healthcare Connections, 4171 Essen Ln, 2nd floor, Baton Rouge, LA 70809, USA)

  • Dana Lawson

    (Louisiana Healthcare Connections, 4171 Essen Ln, 2nd floor, Baton Rouge, LA 70809, USA)

  • Yan Yan

    (School of Medicine, Washington University in St. Louis, 660 S. Euclid Ave., St. Louis, MO 63110, USA)

  • Matthew Kreuter

    (Health Communication Research Lab, Brown School, Washington University in St. Louis, 1 Brookings Hall, St. Louis, MO 63130, USA)

Abstract

Health systems are increasingly assessing and addressing social needs with referrals to community resources. The objective of this randomized controlled trial was to randomize adult Medicaid members with type 2 diabetes to receive usual care ( n = 239) or social needs navigation ( n = 234) for 6 months and compare HbA1c (primary outcome), quality of life (secondary outcome), and other exploratory outcomes with t -tests and mixed-effects regression. Eligible participants had an HbA1c test in claims in the past 120 days and reported 1+ social needs. Data were collected from November 2019 to July 2023. Surveys were completed at baseline and at 3-, 6-, and 12-month follow-up. Health plan data included care management records and medical and pharmacy claims. The sample was from Louisiana, USA, M = 51.6 (SD = 9.5) years old, 76.1% female, 66.5% Black, 29.4% White, and 3.0% Hispanic. By design, more navigation (91.5%) vs. usual care (6.7%) participants had a care plan. Social needs persisted for both groups. No group differences in HbA1c tests and values were observed, though the large amount of missing HbA1c lab values reduced statistical power. No group differences were observed for other outcomes. Proactively eliciting and attempting to provide referrals and resources for social needs did not demonstrate significant health benefits or decrease healthcare utilization in this sample.

Suggested Citation

  • Amy McQueen & David von Nordheim & Charlene Caburnay & Linda Li & Cynthia Herrick & Lauren Grimes & Darrell Broussard & Rachel E. Smith & Dana Lawson & Yan Yan & Matthew Kreuter, 2024. "A Randomized Controlled Trial Testing the Effects of a Social Needs Navigation Intervention on Health Outcomes and Healthcare Utilization among Medicaid Members with Type 2 Diabetes," IJERPH, MDPI, vol. 21(7), pages 1-17, July.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:7:p:936-:d:1437852
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/7/936/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/7/936/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. M. Lelinneth B. Novilla & Michael C. Goates & Tyler Leffler & Nathan Kenneth B. Novilla & Chung-Yuan Wu & Alexa Dall & Cole Hansen, 2023. "Integrating Social Care into Healthcare: A Review on Applying the Social Determinants of Health in Clinical Settings," IJERPH, MDPI, vol. 20(19), pages 1-27, October.
    2. Lauren A Taylor & Annabel Xulin Tan & Caitlin E Coyle & Chima Ndumele & Erika Rogan & Maureen Canavan & Leslie A Curry & Elizabeth H Bradley, 2016. "Leveraging the Social Determinants of Health: What Works?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-20, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sharon Anderson & Jasneet Parmar & Tanya L’Heureux & Bonnie Dobbs & Lesley Charles & Peter George J. Tian, 2022. "Family Caregiving during the COVID-19 Pandemic in Canada: A Mediation Analysis," IJERPH, MDPI, vol. 19(14), pages 1-15, July.
    2. Piroddi, Roberta & Downing, Jennifer & Duckworth, Helen & Barr, Benjamin, 2022. "The impact of an integrated care intervention on mortality and unplanned hospital admissions in a disadvantaged community in England: A difference-in-differences study," Health Policy, Elsevier, vol. 126(6), pages 549-557.
    3. Julia M. Goodman & Janne Boone-Heinonen & Dawn M. Richardson & Sarah B. Andrea & Lynne C. Messer, 2018. "Analyzing Policies Through a DOHaD Lens: What Can We Learn?," IJERPH, MDPI, vol. 15(12), pages 1-10, December.
    4. Nicolás E. Barceló & Enrico G. Castillo & Roya Ijadi-Maghsoodi & Nichole Goodsmith & Lingqi Tang & David Okikawa & Felica Jones & Pluscedia Williams & Christopher Benitez & Bowen Chung & Kenneth B. We, 2022. "Multi-Sector Assessment and Client-Perception of Social Need at Long-Term Follow-Up of a Group-Randomized Trial of Community-Engaged Collaborative Care for Adults with Depression," IJERPH, MDPI, vol. 19(16), pages 1-18, August.
    5. Cory Bolkan & Raven H. Weaver & Eunsaem Kim & Bidisha Mandal, 2022. "Regional Planning for Aging in Place: Older Adults' Perceptions of Needs and Awareness of Aging Services in Washington State," Journal of Elder Policy, John Wiley & Sons, vol. 2(1), pages 161-192, March.
    6. Eugene Seo & Sanghee Lee, 2023. "Implications of Aging in Place in the Context of the Residential Environment: Bibliometric Analysis and Literature Review," IJERPH, MDPI, vol. 20(20), pages 1-30, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:7:p:936-:d:1437852. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.