scholarly journals Increasing Community College Completion Rates Among Low‐Income Students: Evidence from a Randomized Controlled Trial Evaluation of a Case‐Management Intervention

2020 ◽  
Vol 39 (4) ◽  
pp. 930-965
Author(s):  
William N. Evans ◽  
Melissa S. Kearney ◽  
Brendan Perry ◽  
James X. Sullivan
2019 ◽  
Vol 109 ◽  
pp. 218-222
Author(s):  
William N. Evans ◽  
Melissa S. Kearney ◽  
Brendan Perry ◽  
James X. Sullivan

Community college completion rates are extremely low, especially among low-income students. One potential explanation is that low-income students have limited capacity to overcome financial shocks, such as large medical, legal, or car repair bills. Some programs offer “emergency financial assistance” (EFA) to prevent these events from curtailing educational progress. We test the efficacy of EFA within the context of a broader randomized controlled trial at a community college in Texas. We find no evidence that access to EFA alone leads to improved outcomes. We speculate that EFA will only be effective if it is paired with additional case management services.


2021 ◽  
pp. 1357633X2110284
Author(s):  
Leonard E Egede ◽  
Aprill Z Dawson ◽  
Rebekah J Walker ◽  
Emma Garraci ◽  
Rebecca G Knapp

Introduction A novel randomized controlled trial tested the efficacy of a technology-assisted case management program in a low income, rural population previously where nurses titrated medication over the phone instead of in a clinic. The primary analysis showed significant improvement in glycemic control at 6 months post-randomization decreasing hemoglobin A1c by 1%. This study aimed to test if the intervention was also effective at decreasing blood pressure without compromising quality of life. Methods A total of 113 adults with poorly controlled diabetes (hemoglobin A1c ≥ 8%) were randomly assigned to the technology-assisted case management intervention or usual care. Participants received a 2-in-1 telehealth system to monitor glycemic and blood pressure control, which was uploaded daily to a central server. A nurse case manager was trained to titrate medication under physician supervision every 2 weeks based on the readings. Outcomes were blood pressure and quality of life (12-item Short-Form Health Survey) at 6 months. Baseline adjusted mixed models using a random intercept were used to evaluate change at 6 months for the technology-assisted case management intervention group compared to usual care. Results There were no statistically significant differences in systolic blood pressure, physical component of quality of life, or mental component of quality of life between the technology-assisted case management and control group. However, there was a significant change in diastolic blood pressure over time, with the technology-assisted case management group decreasing at 6 months ( p = .05), whereas the control group remained stable. Conclusions Technology-assisted case management by a nurse with medication titration under physician supervision was efficacious in improving diastolic blood pressure without compromising quality of life in low-income rural adults with diabetes.


2015 ◽  
Vol 105 (5) ◽  
pp. 514-517 ◽  
Author(s):  
Caroline M. Hoxby ◽  
Sarah Turner

Previous work demonstrates that low-income higher achievers fail to apply to selective colleges despite their being admitted at high rates and receiving financial aid so generous that they pay less than at non-selective schools. The Expanding College Opportunities project, a randomized controlled trial, provides individualized information about colleges' net prices, resources, curricula, students, and outcomes. Our prior study shows that the intervention raises students' applications to, admissions at, enrollment, and progress at selective colleges. Here we use survey data to show that it actually changes students' knowledge and decision-making. We highlight topics on which they are misinformed.


2014 ◽  
Vol 22 (4) ◽  
pp. 457-464 ◽  
Author(s):  
Ulrika Olsson Möller ◽  
Jimmie Kristensson ◽  
Patrik Midlöv ◽  
Charlotte Ekdahl ◽  
Ulf Jakobsson

Objectives:To investigate the effects of a home-based one-year case management intervention in older people with functional dependency and repeated contact with the health care services on self-reported falls and self-reported injurious falls.Methods:The study was a randomized controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to the intervention group (n = 80, mean age = 81.4 [SD 5.9]) or control group (n = 73, mean age = 81.6 [SD 6.8]). The intervention group received a case management intervention which comprised monthly home visits during 12 months by nurses and physiotherapists employing a multifactorial preventive approach.Results:In the intervention group, 96 falls occurred during the intervention period compared with 85 falls in the control group (p = .900). There were 40 and 38 injurious falls (p = .669) in the intervention and control groups, respectively.Conclusions:This home-based case management intervention was not able to prevent falls or injurious falls.


Sign in / Sign up

Export Citation Format

Share Document