Evaluating the Impact of Training for IHSS Workers

Conditions

• Home Care for Elderly or Disabled Individuals

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Accepted

Interventions

• IHSS Basic Training — OTHER
  The intervention is the Center for Caregiver Advancements 30-hour IHSS Basic training course.

Study Details

This trial investigates whether high-quality training for consumer-directed home health workers impacts health outcomes for care consumers and employment outcomes for care workers. The investigators are conducting this study in the context of the In-Home Supportive Services (IHSS) program, a consumer-directed, Medicaid-funded home care program in California serving elderly and disabled Medicaid recipients. The investigators will partner with the Center for Caregiver Advancement (CCA), a training provider based in California, to conduct a randomized evaluation of the impact of training for IHSS workers on labor and health care outcomes. The evaluation will enroll IHSS workers in San Bernardino County, where CCA will be expanding its program. Participants will be randomized to either a group that receives CCA's training or a control group that does not receive training. Participants randomized to the training group will complete a 30 hour online course that teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety. Researchers will compare outcomes between IHSS providers in the two groups and between IHSS consumers who receive care from the IHSS providers in the two groups to see if training impacts health, health care, and labor market outcomes.

Key Dates

Start date

Jan 9, 2024

Status verified

Jan 2024

Primary completion

Jun 30, 2027

Completion

Jun 30, 2029

Study Design

Enrollment

2,500 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Experimental: IHSS Basic Training
  Individuals in the treatment group will be invited to participate in CCA's IHSS Basic training program. The program is a 30 hour online course for IHSS providers, which teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety.
• No Intervention: Control
  No intervention is delivered to the control group. The control group will be unable to access CCA's training programs for two years following random assignment.

Primary Outcome Measure

Number of emergency department visits (for consumer) [ Time Frame: 1 year after training begins ]

Central Contacts

• Jesse Gubb, Research Manager, PhD
  617-324-6995
  [email protected]

Locations (1)

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