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Information about ongoing health services research and public health projects


Community health workers and mobile health for emerging adults transitioning sickle cell disease care (COMETS Trial)
Investigator (PI): Rubin, David M
Performing Organization (PO): (Current): Children's Hospital of Philadelphia, Division of General Pediatrics / (215) 590-2164
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2018
Final Year: 2024
Record Source/Award ID: PCORI/AD-1609-36631
Funding: Total Award Amount: $8,456,632
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Young adults (16-25 years) with sickle cell disease (SCD) experience increased rates of death during the time of transition from pediatric to adult care, and they use more health care services (i.e., visit the doctor, go to the emergency department) than all other age groups. While community health worker (CHW) programs and mobile health (mHealth) applications have shown great potential for this vulnerable population, it is currently unknown if these interventions really improve the lives of the people that use them. The overall goal of the COMETS Trial is to compare the effectiveness of two self-management interventions--community health worker and mHealth--to improve quality of life and decrease the unnecessary use of health care services. Through a randomized clinical trial design, this study will compare the effectiveness of two self-management support interventions (CHW and mHealth) versus enhanced usual care to improve health-related quality of life and acute care use for transitioning youth with SCD, and identify and quantify mediators and moderators of intervention treatment effects. All research design and protocol planning, implementation, data collection, data analysis, and dissemination strategizing will be performed with our multi stakeholder team, which includes young adult patients with SCD, parents, pediatric and adult clinicians, payers, policymakers, and community and advocacy groups.
MeSH Terms:
  • Adolescent
  • Adult
  • Anemia, Sickle Cell /*therapy
  • Clinical Trials as Topic
  • * Community Health Workers
  • Comparative Effectiveness Research
  • Delivery of Health Care
  • Health Policy
  • Health Services Research
  • Humans
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Self Care
  • Telemedicine
  • Transition to Adult Care
  • Vulnerable Populations
  • Young Adult
Country: United States
State: Pennsylvania
Zip Code: 19104
UI: 20181372
Project Status: Ongoing
Record History: ('2018: Project initial year changed to 2018 and final year extended to 2024.',)