Clinical trials: Stepped Care
HIV/AIDS, Hypertension
Evaluating the Impact of a Community Health Worker Program in Neno, Malawi
This protocol concerns the implementation and evaluation of an intervention designed to realign the existing cadre of Community Health Workers (CHW) in Neno District, Malawi to better support the care needs of the clients they…
- Conditions
- HIV/AIDS, Hypertension, Asthma, Diabetes
- Trial name
- NCT03106727
- Testing
- Household model
- Where
- Malawi
- Volunteers
- 122,395 people, healthy volunteers welcome
- Sponsor
- Partners in Health
Obsessive-Compulsive Disorder
Internet-delivered CBT for Paediatric OCD
The purpose of this study is to investigate if therapist-guided internet-delivered cognitive behavioral therapy (ICBT) in a stepped-care approach is an effective and cost-effective treatment in reducing OCD symptoms for children…
- Trial name
- NCT03263546
- Testing
- Internet-delivered cognitive behavioral therapy (ICBT), Cognitive behavioral therapy (CBT)
- Where
- 2 sites in Sweden
- Volunteers
- 152 people
- Sponsor
- Karolinska Institutet
Congenital Heart Disease
Online Support 4 CHD Kids & Caregivers
This study will evaluate a virtual mental health parenting stepped-care intervention (I-InTERACT-North) to determine if the program works to improve positive parenting skills and child behaviour among families with children born…
- Trial name
- NCT06075251
- Testing
- I-InTERACT-North
- Where
- Canada
- Volunteers
- 382 people
- Sponsor
- The Hospital for Sick Children
Stress Disorders, Posttraumatic
Stepped Preventive Care to Reduce the Impact of Acute Pediatric Injury
This study will evaluate the impact of a brief psychosocial intervention delivered to children or adolescents who are hospitalized for an unintentional injury.
- Trial name
- NCT00451282
- Testing
- stepped preventive care
- Where
- United States
- Volunteers
- 290 people
- Sponsor
- Children's Hospital of Philadelphia
Dental Fear
A Stepped Care Approach to Treating Dental Fear
The purpose of this study is to compare an intervention for dental fear to the usual approach (i.e., whatever participants' dentist typically does to help participants manage their fear).
- Trial name
- NCT06024395
- Testing
- A stepped-care approach to the treatment of dental fear; Dental Fearless
- Where
- United States
- Volunteers
- 1,000 people, healthy volunteers welcome
- Sponsor
- New York University
IMCI Guidelines, Childhood Illnesses
A Trial of an Integrated E-diagnosis Assessment to Improve the Management of Childhood Illnesses in Burkina Faso
In 2010, one in six children in Burkina Faso died before the age of five, mainly due to lack of access to quality health care services. Most of these deaths could have been avoided through cost-effective interventions.
- Trial name
- IeDA (NCT02341469)
- Testing
- integrated ediagnostic approach (IeDA)
- Where
- Burkina Faso
- Volunteers
- 7,200 people
- Sponsor
- London School of Hygiene and Tropical Medicine
Traumatic Brain Injury, Disruptive Behavior
Parent-Child Interaction Therapy (PCIT) for Children With Traumatic Brain Injury (TBI): A Stepped-Care Model
The purpose of this study is to understand how a stepped-care model of Parent-Child Interaction Therapy (Step-Up PCIT) addresses child behavioral problems among children between the ages of 2 and 7 with a traumatic brain injury…
- Trial name
- NCT06193382
- Testing
- PCIT
- Where
- United States
- Volunteers
- 20 people
- Sponsor
- University of Miami
Infectious Diseases
Prescription Support System for Antimicrobial Use in Belgian Primary Care
Inappropriate antibiotic prescribing in primary care remains an important contributor to antimicrobial resistance. Despite the availability of evidence-based clinical guidelines, antibiotics are still frequently prescribed for…
- Trial name
- PaSSo (NCT07347015)
- Testing
- Prescription Support System (PSS)
- Where
- Belgium
- Volunteers
- 48 people
- Sponsor
- KU Leuven
Maternal and Child Health, Health Service Utilization
Integrated Community Based Health Systems Strengthening in Northern Togo
The general objective of this study is to optimize implementation and assess effectiveness of the integrated facility and community-based health systems strengthening (ICBHSS) model in four Northern Togo districts, using the…
- Trial name
- ICBHSS-Togo (NCT03694366)
- Testing
- ICBHSS model
- Where
- Togo
- Volunteers
- 7,600 people, healthy volunteers welcome
- Sponsor
- Integrate Health
Carcinoma, Pancreatic Ductal
Impact of Nationwide Enhanced Implementation of Best Practices in Pancreatic Cancer Care (PACAP-1)
PACAP-1 will evaluate to what extent an enhanced implementation of best practices in pancreatic cancer care leads to a prolonged survival and improvement of quality of life as compared to current practice.
- Trial name
- PACAP-1 (NCT03513705)
- Testing
- Best practices in pancreatic cancer care
- Where
- 17 sites in Netherlands
- Volunteers
- 4,000 people
- Sponsor
- Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Otitis Media, Conductive Hearing Loss
Hearing for Learning Initiative - a Health Facilitator Model for Otitis Media
The Hearing for Learning Initiative is a stepped-wedge cluster randomised controlled trial. The HfLI will implement and rigorously evaluate an innovative community-based service-enhancement model of ear and hearing health, in…
- Trial name
- HfLI (NCT03916029)
- Testing
- facilitator
- Where
- 20 sites in Australia
- Volunteers
- 18 people, healthy volunteers welcome
- Sponsor
- Menzies School of Health Research
Hospitalism in Children
Benefits and Cost-Effectiveness of a Pediatric Hospitalist Service : a Stepped Wedge Quality Improvement Trial
Background. Hospitalists predominantly engaged in inpatient care constitute a fundamental, poorly assessed change in medical care.
- Trial name
- NCT02690623
- Testing
- Pediatric hospitalist program, General Pediatric Inpatient Services
- Where
- United States
- Sponsor
- The University of Texas Health Science Center, Houston
Smoking Cessation
ISTAPS: A Stepped Primary Care Smoking Cessation Intervention
Primary care centers can play a very important role in helping people to stop smoking. There is a large body of research on the effectiveness of specific interventions especially addressed to people who want to stop smoking.
- Trial name
- NCT00125905
- Testing
- Advice, Motivational Interviewing, Nicotine Gum and Patch
- Where
- Spain
- Volunteers
- 3,012 people
- Sponsor
- Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Anxiety Disorders
Stepped vs Stratified Care for Pediatric Anxiety Disorders
The purpose of this trial is to evaluate the feasibility, acceptability, and safety of two care pathways (including internet-delivered cognitive behavioral therapy [CBT] and/or in-person CBT) for children and adolescents with…
- Trial name
- PMAX (NCT06016907)
- Testing
- Internet-delivered cognitive behavioral therapy (ICBT), In-person cognitive behavioral therapy (CBT)
- Where
- Sweden
- Volunteers
- 51 people
- Sponsor
- Region Skane
Chronic Pain
Power Over Pain Portal: A Stepped-care Virtual Solution to Deliver Early Intervention to Canadian Youth With Chronic Pain
The COVID-19 pandemic is presenting one of the greatest threats to youth mental health seen in generations. Pain is one of the most common symptoms of extreme stress in youth.
- Trial name
- NCT06076889
- Testing
- Power over Pain Portal
- Where
- Canada
- Volunteers
- 100 people
- Sponsor
- The Hospital for Sick Children
Autism Spectrum Disorder, Neurodevelopmental Disorders
Early Detection and Referral for Autism and Neurodevelopmental Disorders at the Maternal and Child Protection Services
This study aims to compare two screening strategies for identifying infants with a potential risk of Autism Spectrum and Neurodevelopmental Disorders to provide early access to care and increase the likelihood of a favorable…
- Trial name
- NCT05815095
- Testing
- PREAUT grid
- Where
- France
- Volunteers
- 10,400 people, healthy volunteers welcome
- Sponsor
- Centre Hospitalier Intercommunal Creteil
Rare Disorders
Channelling Algorithm Proficiency To Understand, Recognise and Elucidate Disease
Rare diseases affect over 3.5 million people in the UK. It can take years of multiple referrals, inconclusive tests or incorrect diagnoses, for patients to get a final diagnosis.
- Trial name
- CAPTURED (NCT07130071)
- Volunteers
- 500 people
- Sponsor
- Research in Real-Life Ltd
Posttraumatic Stress Disorder
Stepped Care for Children After Trauma: Optimizing Treatment
Children who are exposed to traumatic events are at risk for developing PTSD and other mental health problems. Although effective treatments for childhood PTSD exist, service delivery approaches that are more accessible…
- Trial name
- NCT02537678
- Testing
- Stepped Care TF-CBT, Standard TF-CBT
- Where
- 6 sites in United States
- Volunteers
- 183 people, healthy volunteers welcome
- Sponsor
- University of South Florida
Digital Health, Maternal Health Services
The Effect of Digitally Enabled District (DED 2.0) Ecosystem on the Completeness and Timeliness of Maternal and Neonatal Services in Primary Health Care
DED 2.0 is a stepped-wedge cluster-randomized trial testing whether an integrated digital health ecosystem (KuApps, a service-monitoring dashboard, AI-assisted OCR for handwritten records, two-way WhatsApp-based health…
- Conditions
- Digital Health, Maternal Health Services, Prenatal Care, Intensive Care, Neonatal
- Trial name
- DED (NCT07842224)
- Testing
- Digitally Enabled District (DED)
- Where
- Indonesia
- Volunteers
- 10,800 people, healthy volunteers welcome
- Sponsor
- Summit Institute for Development, Indonesia
Vaccines, Vaccines Adverse Reaction
A Multifaceted Intervention on Reducing Immunization Errors
The goal of this trial is to reduce the general error related to vaccines and immunizations (composited on secondary endpoint), after 11 moths of folow-up after cluster randomization and stepped wedge on primary care on brazilian…
- Conditions
- Vaccines, Vaccines Adverse Reaction, Vaccine Practice
- Trial name
- THEIA (NCT06745635)
- Testing
- Usual Care, Multifaceted intervention
- Where
- Brazil
- Volunteers
- 72 people, healthy volunteers welcome
- Sponsor
- Hospital Israelita Albert Einstein