Study of the Conditions of the Effects of Health Mediation on Underserved Population (ECEMSo)

University Hospital of Bordeaux

Status: Not yet enrolling

Conditions: Mediation

Treatments: Behavioral: Knowledge mobilization to facilitate the structuring of health mediation

Study type: Interventional

Funder types: Other

Identifiers

NCT06180746

CHUBX 2020/70

Details and patient eligibility

About

The investigators are conducting a longitudinal mixed-method intervention study with a multi-center, multi-case explanatory sequential design. The ECEMSo study aims to identify the impact of health mediation on fostering healthcare utilization, in particular organized cancer screening uptake, by underserved populations living in informal housing in France.

Full description

Health mediation may foster underserved populations' healthcare utilization. No study to date has demonstrated its effectiveness in an experimental context. The ECEMSo case study aims to identify the impact of health mediation on fostering healthcare utilization - in particular organized cancer screening uptake - by underserved populations living in informal housing in France.

Grounded in a theory-based framework, the ECEMSo case study is a longitudinal mixed-method intervention study with a multi-center, multi-case explanatory sequential design. The study population comprises various participant profiles including health mediators, health workers, social workers, people living in informal housing whom these professionals support, and other stakeholders concerned with underserved populations' health issues. Participants will be recruited in several French regions and divided into three mixed participant profile groups. In group 1, health mediation and the ECEMSo intervention will be implemented. This intervention comprises knowledge mobilization to facilitate the structuring of health mediation throughout France, and the development of an action plan to facilitate cancer screening uptake by people living in informal housing. In group 2, only health mediation will be implemented (i.e., no ECEMSo intervention). In group 3, neither health mediation nor the ECEMSo intervention will be implemented, but health and social workers will implement other health system navigation interventions.

Quantitative and qualitative data will be collected by interviewers through face-to-face questionnaires, interviews, observations, focus groups, and tracking tables of health mediation activities over six months. Data collection will be based on the health mediation conceptual framework.

Enrollment: 1,041 estimated patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

People living in informal housing

Inclusion criteria:

• Living on the streets, in a shanty house, squat or caravan
• Living in an area covered by one of care structures participating in the ECEMSo study
• Being over 18 years old
• Being able to understand the detailed information provided about the ECEMso study

Exclusion criteria:

• Suffering from cognitive and/or psychiatric disorders
• Being under guardianship or curatorship

Health mediators, heal workers, socials workers

Inclusion criteria:

• Being a health mediator, a health worker or a social worker belonging to one of the study's participation care structures
• Providing support to people living in informal housing

Exclusion criteria: No

Stakeholder:

Inclusion criteria: Being an actor concerned or involved with the issues and needs of people living in informal housing

Exclusion criteria: No

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,041 participants in 3 patient groups

ECEMSo intervention

Experimental group

Description:

This group is composed of health mediators, the people living in informal housing they support and stakeholders. The ECEMSo intervention will be implemented in this group

Treatment:

Behavioral: Knowledge mobilization to facilitate the structuring of health mediation

Group 2 : No intervention

No Intervention group

Description:

This group is composed of health mediators, the people living in informal housing they support and stakeholders. The ECEMSo intervention will not be implemented in this group.

Group 3 : No intervention

No Intervention group

Description:

This group is composed of health workers, social workers, the people living in informal housing they support and stakeholders. The ECEMSo intervention will be implemented in this group.