Clinical trials: Access to Primary Care
Amyloidosis, Basal Cell Carcinoma
The Cancer Connected Access and Remote Expertise Beyond Walls Program to Provide In-Home Cancer Treatment and Improve Treatment Satisfaction in Cancer Patients Living in the Florida Panhandle and Surrounding Areas
This phase II trial studies whether providing cancer treatment in the home is preferred over the traditional clinic setting and if it improves treatment satisfaction in cancer patients living in the Florida Panhandle and…
- Conditions
- Amyloidosis, Basal Cell Carcinoma, Biliary Tract Carcinoma, Bladder Carcinoma
- Trial name
- NCT07285044
- Testing
- Cancer Therapeutic Procedure, Questionnaire Administration
- Where
- United States
- Volunteers
- 27 people
- Sponsor
- Mayo Clinic
Health Services Accessibility, Health Behavior
Primary Care Provider Supply and Patient Outcomes
The evidence on how primary care provider supply and skill relates to patient outcomes is limited and inconclusive. The issue of skill is a particularly important one in low-income countries where the shortage of skilled medical…
- Conditions
- Health Services Accessibility, Health Behavior, Health Care Quality, Access, and Evaluation
- Trial name
- NCT03131193
- Testing
- Physician, Mid-level provider, Conditional Cash Transfer
- Where
- Nigeria
- Volunteers
- 10,852 people, healthy volunteers welcome
- Sponsor
- RAND
Palliative Care
Building CAPACITI for Community-Based Palliative Care
The purpose of this cluster randomized controlled trial is to assess the efficacy of a quality improvement intervention called CAPACITI intended to increase competency among primary care teams to deliver early palliative care.
- Trial name
- CAPACITI (NCT05120154)
- Testing
- Online educational materials, Facilitated online webinars
- Where
- Canada
- Volunteers
- 566 people, healthy volunteers welcome
- Sponsor
- McMaster University
BRCA1 Mutation, POLD1 Gene Mutation
An Intervention to Increase Genetic Testing in Families Who May Share a Gene Mutation Related to Cancer Risk and An Intervention to Help Patients and Their Primary Care Providers Stay Up-to-date About Uncertain Genetic Test Results
The purpose of this study is to examine the impact of new cancer genetic counseling models that aim to increase patient engagement with the genetics team.
- Conditions
- BRCA1 Mutation, POLD1 Gene Mutation, CDKN2A Mutation, BRCA2 Mutation
- Trial name
- NCT05420064
- Testing
- Intervention Arm At-risk Relative/ARR Contacts, MyGene Portal, Standard of Care
- Where
- 8 sites in United States
- Volunteers
- 1,000 people, healthy volunteers welcome
- Sponsor
- Memorial Sloan Kettering Cancer Center
Musculoskeletal Diseases
Temple University Employees With Musculoskeletal Conditions Receive Physical Therapy to Treat Limitations Early
The purpose of this study is to determine whether seeing a physical therapist first compared with seeing a physician first is more clinically and cost effective in an occupational setting for acute musculoskeletal conditions.
- Trial name
- TEMPLE (NCT02272257)
- Testing
- Early Direct Access Physical Therapy, Physician management
- Where
- United States
- Volunteers
- 150 people
- Sponsor
- Temple University
Chronic Insomnia
Enhancing Access to Insomnia (EASI) Care in VA PCMHI Clinics
This multi-site project (four VA Medical Centers) will test two approaches to improving the delivery of a behavioral insomnia treatment in the Primary Care setting to Veterans.
- Trial name
- NCT04350866
- Testing
- Expert Recommendations for Implementing Change bundle of strategies, Brief Behavioral Treatment for Insomnia
- Where
- United States
- Volunteers
- 277,920 people
- Sponsor
- VA Office of Research and Development
Diabetic Retinopathy
Artificial Intelligence for Diagnosing Diabetic Retinopathy in Primary Care
This is a clinical trial to evaluate the effects of universal screening for diabetic retinopathy (DR) and diabetic macular edema (DME) using artificial intelligence (AI) in the interpretation of fundus photographs obtained by…
- Trial name
- AID-DR (NCT07236879)
- Testing
- Mobile retinography interpreted by artificial intelligence, Mobile retinography interpreted by ophthalmologists
- Where
- Brazil
- Volunteers
- 922 people
- Sponsor
- Hospital de Clinicas de Porto Alegre
Cancer, Congestive Heart Failure
Expanding Access to Home-Based Palliative Care
This study will test the effectiveness of integrating an evidence-based model of home-based palliative (HBPC) within primary care clinics on patient and caregiver outcomes.
- Conditions
- Cancer, Congestive Heart Failure, Chronic Obstructive Pulmonary Disease
- Trial name
- NCT03128060
- Testing
- Home-based palliative care, Enhanced usual care
- Where
- United States
- Volunteers
- 35 people
- Sponsor
- University of Southern California
Social Needs Status, Unmet Health-Related Social Needs and Access to Community Resources
AI-Based Personalized Health and Self-Care
The goal of this clinical trial is to learn if the DAPHNE chatbot can improve caregiver engagement, usability, and integration of social care support tools into clinical workflows in caregivers of pediatric patients receiving…
- Conditions
- Social Needs Status, Unmet Health-Related Social Needs and Access to Community Resources, Primary Health Care and Access to Primary Care, Technology Use to Support Caregivers
- Trial name
- NCT07168382
- Testing
- DAPHNE Chatbot Intervention, Standard HRSN Screening and Referral (Usual Care)
- Where
- United States
- Volunteers
- 70 people
- Sponsor
- Emre Sezgin
Vulnerable and Precarious Poupulation
Effectiveness of an Innovative Program in Primary Care for Vulnerable and Precarious Population With Access Barriers to Healthcare System: PASS de Ville
Since the end of 2018, the Care and Orientation Center (CASO)of Marseille corridnated by Medecins du Monde has been investigated an innovative program aimed at direct referrals to primary care for vulnerable and precarious…
- Trial name
- EFFIPASS (NCT04321824)
- Where
- France
- Volunteers
- 488 people
- Sponsor
- Assistance Publique Hopitaux De Marseille
Program Implementation, Child Behavior Problem
Improving Access to a Primary Care Based Positive Parenting Program
This is a randomized clinical trial of the impact of incorporating a peer mentor into a primary care based group parenting program on increasing program participation by parents and improving program outcomes.
- Conditions
- Program Implementation, Child Behavior Problem, Positive Parenting
- Trial name
- NCT03077321
- Testing
- CARE plus Peer Mentor, CARE
- Where
- United States
- Volunteers
- 150 people, healthy volunteers welcome
- Sponsor
- University of North Carolina, Chapel Hill
Sickle Cell Disease
Improving Sickle Cell Disease (SCD) Care Using Web-based Guidelines
The overall goal of this proposed project is to 1) increase co-management between sickle cell specialists and primary care providers (PCP's); 2) increase the use of hydroxyurea (HU) which prevents Vaso-Occlusive Episode (VOE)…
- Trial name
- NCT03037021
- Where
- United States
- Volunteers
- 213 people
- Sponsor
- Duke University
Adult Asylum Seekers Who Have Applied for Asylum at the Regional Prefecture in Rennes
Health Care Access for Asylum Seekers in Brittany : Description, Associated Factors and Levers of Improvement
The main objective of this research is to study the logics and the associated factors with asylum seekers use of dedicated health structures.
- Trial name
- ACCEDAB (NCT03754374)
- Testing
- access to healthcare
- Where
- 2 sites in France
- Volunteers
- 1,500 people
- Sponsor
- Rennes University Hospital
Mental Disorder
Improving Access to Psychiatric Care for Patients in Primary Care
Getting a consultation with a psychiatrist within an appropriate time is one of the main issues reported by general practitioners (GP) for patients suffering from mental disorders in primary care.
- Trial name
- DSPP-PSY (NCT03508518)
- Testing
- Shared care device in psychiatry (DSPP), Usual Care
- Where
- France
- Volunteers
- 151 people
- Sponsor
- University Hospital, Toulouse
Breast Carcinoma, Colorectal Carcinoma
Survivorship Care Plans and Telehealth Education for the Improvement of Access to Cancer Survivorship, the IMPACT Study
This trial studies how well self-generated survivorship care plans and telehealth education works in improving knowledge and self-efficacy in cancer survivors living in rural areas.
- Conditions
- Breast Carcinoma, Colorectal Carcinoma, Lung Carcinoma, Lymphoma
- Trial name
- NCT04081779
- Testing
- Survivorship Care Plan, Educational Intervention, Questionnaire Administration
- Where
- United States
- Volunteers
- 261 people, healthy volunteers welcome
- Sponsor
- Fred Hutchinson Cancer Center
Urinary Incontinence
Improving Primary Care Access to Urinary Incontinence Treatment for Women Veterans
The PURSUIT project aims to improve access to evidence-based nonsurgical UI treatment for women Veterans in the Southeast region of the United States using the most effective remote delivery modality.
- Trial name
- PURSUIT (NCT05438849)
- Testing
- Mobile Health Application focused on behavioral treatments to treat urinary incontinence, Practice Facilitation
- Where
- 2 sites in United States
- Volunteers
- 3,214 people
- Sponsor
- University of Alabama at Birmingham
Heart Failure, COPD
Potentially Avoidable Hospitalisation in France
Potentially Avoidable Hospitalizations (Pah) Are Studied As An Indirect Measure Of Access To Primary Care And Of The Interface Between Primary And Secondary Care.
- Conditions
- Heart Failure, COPD, Diabetes
- Trial name
- HPE-LR (NCT02898155)
- Testing
- measure of access to primary care and of the Interface Between Primary ans Secondary Care
- Where
- France
- Volunteers
- 12,000 people
- Sponsor
- University Hospital, Montpellier
Hazardous Drinking
Primary Care-based Facilitated Access to a Web Based Brief Intervention to Reduce Alcohol Consumption
Brief Interventions (BIs) for risky drinkers are an effective tool in primary care. Lack of time in daily practice has been identified as a barrier for the wide implementation of BI.
- Trial name
- EFAR-Spain (NCT02082990)
- Testing
- Face-to-Face Brief Intervention, Online Brief Intervention
- Where
- Spain
- Volunteers
- 320 people
- Sponsor
- Hospital Clinic of Barcelona
Depression, Anxiety
Supporting Peer Interactions to Expand Access to Digital Cognitive Behavioral Therapy for Spanish-speaking Patients
Investigators will evaluate the implementation of an evidence-based, Spanish-language, digital, cognitive-behavioral therapy intervention (SilverCloud) in primary care settings for Latino patients with depression and/or anxiety.
- Trial name
- SUPERA (NCT05746767)
- Testing
- Supported dCBT, Unsupported dCBT
- Where
- 11 sites in United States
- Volunteers
- 426 people
- Sponsor
- University of California, Irvine
Lower Back Pain
Improving Access to Chiropractic Care in Community Health Centers
The goal of this study is to evaluate the feasibility of new implementation strategies designed to increase the number of Primary Care Providers (PCPs) referrals to chiropractic care for lower back pain (LBP) in underserved…
- Trial name
- NCT06104605
- Testing
- Institutional interventions, PCPs interventions, Patient interventions
- Where
- United States
- Volunteers
- 3 people
- Sponsor
- Boston Medical Center