Community paramedic hospital reduction and mitigation program: study protocol for a randomized pragmatic clinical trial

Table 3 Flow of study procedures for patient participants

	Study period
	Enrollment	Allocation	Post-allocation
Time point	*− T*₁	0	T₁	T₂	T₃	T₄	T₅
Enrollment
Eligibility screen	X
Informed consent	X
Allocation		X
Interventions
CACP care			X
Assessments^a
Age, sex, race, ethnicity, comorbidities, medications (EHR)	X
Social support information (survey)		X
HRQoL—EQ-5D (survey)		X			X
Treatment burden—PETS (survey)		X			X
ED visits, unplanned hospitalizations, death (EHR)					X	X	X
Falls with injury, medication errors with harm					X
Program experience (survey and interview^b)				X

− T₁ enrollment, 0 allocation, T₁ first CP visit, T₂ after last CP visit (note: T₂ can be before or after T₃, depending on the patient’s clinical need and how long they will be receiving CP services), T₃ 30 days post-allocation, T₄ 6 months post-allocation, T₅ 12 months post-allocation
^aAssessments are interviews, self-report surveys, and EHR (chart abstraction)
^bPatients in the CACP program will complete a T₂ survey. A sample of patients in the CACP program will be recruited to participate in an interview

ISSN: 1745-6215