Clinical trials: Access to Primary Care
Mental Disorders
Reducing Stigma Among Healthcare Providers to Improve Mental Health Services
A growing number of trials have demonstrated treatment effectiveness for people with mental illness (PWMI) by non-specialist providers, such as primary care and community health workers, in low-resource settings.
- Trial name
- RESHAPE-mh (NCT02793271)
- Testing
- RESHAPE, PRIME/mhGAP
- Where
- Nepal
- Volunteers
- 88 people, healthy volunteers welcome
- Sponsor
- Brandon A Kohrt, MD, PhD
Depression
Effectiveness and Cost-effectiveness of Telephone-delivered Psychotherapy for Depression in Primary Care
The aim of the study is the examination of effectiveness and cost-effectiveness of a telephone-based psychotherapy (Tel-PT) for depression compared to treatment as usual in primary care.
- Trial name
- NCT02667366
- Testing
- Tel-PT, TAU and text messages
- Where
- Switzerland
- Volunteers
- 56 people
- Sponsor
- University of Zurich
Maternal and Child Health
An Innovative Mobile Technology Intervention for Maternal and Child Health Care in Cambodia
The Innovative Mobile Technology for Maternal and Child Health Care (i-MoMCARE) project is a digital health intervention aiming to increase the coverage of and access to maternal and child health (MCH) services for pregnant women…
- Trial name
- i-MoMCARE (NCT05639595)
- Testing
- Web interface for health center staff and mobile application on smart phones for village health volunteers
- Where
- Cambodia
- Volunteers
- 2,400 people, healthy volunteers welcome
- Sponsor
- National University of Singapore
Mental Disorders, Chronic Disease
Online Access to Clinical Treatment Notes for Outpatients
This study investigates the feasibility and impact of patient access to clinical notes written by their healthcare providers-a concept known as Open Notes.
- Conditions
- Mental Disorders, Chronic Disease, Primary Health Care, Outpatients
- Trial name
- OpenNOTES (NCT07135726)
- Testing
- Patient Portal-Based Access to Clinical Notes
- Volunteers
- 1,092 people
- Sponsor
- Julian Schwarz
Schizophrenia Spectrum & Other Psychotic Disorders
PACT for Individuals With Serious Mental Illness
People with serious mental illness have difficulty making good use of primary care, and die, on average, years earlier than others in the population.
- Trial name
- SMI-PACT (NCT01668355)
- Testing
- Patient Aligned Care Team (PACT)
- Where
- 3 sites in United States
- Volunteers
- 331 people
- Sponsor
- VA Office of Research and Development
Self-Criticism
Self-Criticism Feasibility Study
This uncontrolled pilot seeks to develop a novel intervention based on Compassion Focused Therapy (CFT), that reduces self-criticism and improves psychological wellbeing.
- Trial name
- NCT03215134
- Testing
- Self-criticism intervention
- Where
- United Kingdom
- Volunteers
- 20 people
- Sponsor
- King's College London
Cancer, Primary Health Care
A Feasibility Study of Direct Access to an Abdominal ´Yes-No´ Pathway for Primary Care Patients
Background To optimise cancer outcome in Denmark, cancer diagnostic pathways should, beside cancer patient pathways (CPP) for alarm symptoms, also include a pathway for patients with vague and non-specific symptoms.
- Trial name
- NCT03878940
- Testing
- Abdominal ´yes-no´ pathway
- Where
- Denmark
- Volunteers
- 27 people
- Sponsor
- University of Aarhus
After-hours Care
Differentiated Access to Out-of-hours Primary Care Through Emergency Access
The purpose of this randomized controlled trial is to test the use of an emergency button that allows patients to jump the telephone waiting line at the out-of-hours primary care in two regions in Denmark if they perceive their…
- Trial name
- Akutknappen (NCT02572115)
- Testing
- Akutknappen - used, Akutknappen - not used
- Where
- Denmark
- Volunteers
- 7,385 people, healthy volunteers welcome
- Sponsor
- University of Aarhus
Suicidal Ideation
Virtual Training Role-Plays to Improve Patient Suicide Outcomes in Primary Care Settings
SIMmersion, in collaboration with the Institute for Family Health (IFH) and the Educational Development Center (EDC) propose to develop a web-based training product, Suicide Prevention Role-plays for Interactive Training…
- Trial name
- NCT03207217
- Testing
- Web-based training Product
- Volunteers
- 91 people, healthy volunteers welcome
- Sponsor
- SIMmersion, LLC
Cataract Surgery, Eye Care
Effect of Vision Centers on Access to Eye Care and Eye Health Outcomes
This cluster-randomized trial aims to evaluate the effect of vision centers on access to eye care and eye health outcomes in South Asia. The main questions it aims to answer are: 1.
- Conditions
- Cataract Surgery, Eye Care, Glasses, Primary Eye Care
- Trial name
- NCT07227714
- Testing
- Establishment of a vision center
- Where
- United States
- Volunteers
- 150,000 people, healthy volunteers welcome
- Sponsor
- University of California, San Francisco
Non-scheduled Care
Coordinated Primary Care Team to Access and Regulate Unscheduled Care
Unscheduled care is care "that does not constitute a life-threatening emergency but for which treatment by a healthcare professional is desirable within 48 hours" and 80% of general practitioners organize their schedules to…
- Trial name
- E-CARE SNP (NCT07862699)
- Where
- 2 sites in France
- Volunteers
- 3,000 people
- Sponsor
- Centre Hospitalier Universitaire de Nīmes
Hearing Loss
Text Message Reminders for Hearing Healthcare
Many individuals with hearing loss do not receive adequate hearing healthcare. Given their close and long-term relationships with patients, primary care providers (PCPs) could play a vital role in improving access to hearing…
- Trial name
- NCT05438225
- Testing
- Automated text message reminder
- Where
- United States
- Volunteers
- 41 people
- Sponsor
- Stanford University
Adolescent Alcohol Use, Mental Health Issue
Centralized Virtual SBIRT for Pediatric Primary Care
Adolescent alcohol and other drug (AOD) use is a significant public health problem which contributes to high levels of mortality, morbidity and healthcare costs in young people, and identification and early intervention for these…
- Conditions
- Adolescent Alcohol Use, Mental Health Issue, Alcohol Related Disorders, Adolescents
- Trial name
- NCT06486688
- Testing
- Centralized Virtual SBIRT
- Where
- United States
- Volunteers
- 22,320 people
- Sponsor
- Kaiser Permanente
Access to Primary Care
Evaluating Novel Approaches That Engage and Support Vulnerable Patient Groups to Equitably Access Primary Care
The goal of this initial clinical trial is to gather information for building a future national trial in Canada that can continuously look at different ways of helping people made vulnerable get a primary care provider.
- Trial name
- ENGAGE (NCT07439627)
- Testing
- Primary care connector
- Where
- Canada
- Volunteers
- 200 people
- Sponsor
- Unity Health Toronto
Chronic Low Back Pain
Investigation of a Physiotherapist and Nurse Practitioner Intervention for Chronic Low Back Disorders Delivered Through Telehealth
The purpose of this project is to compare "usual care" for chronic low back disorders in a rural setting (nurse practitioner/NP) to two different means of integrating Physical Therapy (PT) into a rural health care team: 1.
- Trial name
- NCT02225535
- Testing
- NP face to face management of Chronic Low Back Pain, PT face to face management of Chronic Low Back Pain, Interprofessional Videoconferencing for Chronic Low Back Pain
- Where
- Canada
- Volunteers
- 64 people
- Sponsor
- University of Saskatchewan
Health Care Inequity, Patient Navigation
Patient Navigation in Primary Care and Access to Resources in the Community
Some people living with health problems require extra support to properly manage their conditions, as family doctors are only able to spend limited time in the office with these patients.
- Trial name
- ARC (NCT03451552)
- Testing
- Patient Navigator
- Where
- Canada
- Volunteers
- 326 people
- Sponsor
- Ottawa Hospital Research Institute
HIV Infection, Tuberculosis
Immunosuppression in HIV-infected Patients With Tuberculosis in Ethiopia
Background: Tuberculosis (TB) and HIV are leading causes of disease and death in Subsaharan Africa. Antiretroviral therapy (ART) dramatically improves prognosis in HIV infection, but TB is still a common complication in…
- Conditions
- HIV Infection, Tuberculosis, Immunosuppression
- Trial name
- NCT01252537
- Where
- 5 sites in Ethiopia
- Volunteers
- 1,200 people
- Sponsor
- Lund University
Autism Spectrum Disorder, Mental Health Issue
Access to Tailored Autism Integrated Care Pilot Study
Children with autism spectrum disorder (ASD) represent a rapidly growing, high-priority clinical population highlighted by the NIMH and Interagency Autism Coordinating Committee due, in part, because they have multiple service…
- Trial name
- ATTAIN (NCT04293627)
- Testing
- ATTAIN
- Where
- United States
- Volunteers
- 36 people, healthy volunteers welcome
- Sponsor
- University of California, San Diego
Primary Health Care
Continuous Quality Improvement Cohorts on Advanced Access
The goal of this clinical trial is to compare the implementation and effects of CQI cohorts on AA for PHC clinics. The main questions it aims to answer are to assess the effectiveness of CQI cohorts on AA outcomes.
- Trial name
- NCT05715151
- Testing
- CQI intervention, Audit and Feedback
- Where
- 18 sites in Canada
- Volunteers
- 48 people, healthy volunteers welcome
- Sponsor
- Université de Sherbrooke
TB - Tuberculosis, PTLD
Intergrated Service Delivery for Lung Health Conditions
The Advancing Lung Health in Zambia project aims to improve access to integrated screening, diagnosis, and management of tuberculosis (TB) and other priority respiratory diseases at community and primary healthcare levels.
- Conditions
- TB - Tuberculosis, PTLD, COPD (Chronic Obstructive Pulmonary Disease), Computer Aided Diagnosis
- Trial name
- TB REACH W11 (NCT07816523)
- Testing
- Intergrated lung health screening, AI-Enabled Cough Sound Screening for Tuberculosis, Post-TB Lung Disease evaluation
- Where
- Zambia
- Volunteers
- 20,300 people, healthy volunteers welcome
- Sponsor
- Centre for Infectious Disease Research in Zambia