Patient-Centered CER of Home-Based Interventions to Prevent CA-MRSA Infection Recurrence Research Summary
Investigator: Jonathan Tobin, Ph.D., Clinical Directors Network
Purpose: This study will work with a research network of primary care doctors’ offices and Rockefeller University to:
- engage clinicians and their patients in identifying and developing English- and Spanish-language health education materials about CA-MRSA;
- improve the delivery of a home visit program, by community health workers (CHWs)/Promotoras from the health centers, that focuses on patients’ greatest concerns (e.g., infections returning, spreading to others); and
- compare the effectiveness, in preventing reinfection and household transmission, of standard care with and without CHW/Promotora home visits plus household decolonization and decontamination.
The projected outcomes and goals include:
- development of the intervention, a study manual, training materials, Internet-based training for clinicians, and ways to make sure the right care is given;
- a protocol for finding patients who need this care and making sure they get the care they need;
- a data system that can be used everywhere via the Internet;
- participation of five community health centers and 278 patients and the completion of 556 home visits; and
- a 50 percent reduction in recurrence of CA-MRSA infection.