Clinical trials: Care Coordination
Mental Disorders, Severe
Bringing Health Home
Individuals suffering from Serious Mental Illnesses (SMI) are at risk for serious adverse health and social outcomes compared to the general population due to a high prevalence of chronic physical health disorders such as…
- Trial name
- BHH (NCT05160701)
- Testing
- Medherent
- Where
- United States
- Volunteers
- 300 people
- Sponsor
- University of Maryland, Baltimore
Adherence, Patient, TB
Leveraging mHealth to Enable and Adapt CHW Strategies to Improve TB/HIV Patient Outcomes in SA
mHealth solutions designed to support affordable human resources for health, such as community health workers (CHWs), offer the opportunity to reimagine a patient-centered, system-level solution that may radically change care…
- Conditions
- Adherence, Patient, TB, HIV/AIDS, Care Coordination
- Trial name
- LEAP-TB-SA (NCT04298905)
- Testing
- CHW mHealth patient intervention for trigger escalation
- Where
- United States
- Volunteers
- 62 people
- Sponsor
- Johns Hopkins University
Advance Care Planning, Nurse Care Coordination
Nurse-led Patient-centered Advance Care Planning: A Pilot Study
This study begins to look at ways nurses in primary care might help patients engage in Advance Care Planning and communicate their values and preferences to family and doctors.
- Conditions
- Advance Care Planning, Nurse Care Coordination, Multiple Chronic Health Conditions
- Trial name
- ACP (NCT02302820)
- Testing
- Advance Care Planning Intervention
- Where
- United States
- Volunteers
- 78 people
- Sponsor
- Mayo Clinic
COVID-19
Working Towards Empowered Community-driven Approaches to Increase Vaccination and Preventive Care Engagement
This study will optimize, implement, and test the impact of our multicomponent health program that includes three primary implementation strategies (Cultural Weavers and co-creation, mHealth strategies using culturally meaningful…
- Trial name
- WEAVE (NCT05841810)
- Testing
- mHealth Outreach, Care Coordination
- Where
- 4 sites in United States
- Volunteers
- 398 people, healthy volunteers welcome
- Sponsor
- University of California, San Diego
Maternal Death, Maternal Morbidity
Improving Women's Health Through Coordinated Postpartum Planning
The purpose of the study is to design, implement, and evaluate a holistic postpartum women's health care system for women who have cardiovascular risk factors for severe maternal morbidity (SMM) including chronic hypertension…
- Trial name
- NCT05430815
- Testing
- Enhanced Postpartum Care System
- Where
- United States
- Volunteers
- 320 people
- Sponsor
- Emory University
Patient Self-management Support
Implementing Networks Self-management Tools Through Engaging Patients and Practices
The purpose of this project is to use the Agency for Healthcare Research and Quality patient self-management support tools and resources across four practice-based research networks and 16 member practices using a community-based…
- Trial name
- INSTTEPP (NCT02815020)
- Testing
- Boot Camp Translation - community-participatory process
- Volunteers
- 467 people, healthy volunteers welcome
- Sponsor
- Oregon Health and Science University
Anticoagulants
Coordination of Oral Anticoagulant Care at Hospital Discharge
Oral anticoagulants (OACs - warfarin, dabigatran, rivaroxaban, apixaban and edoxaban) are the very top cause of serious drug-related harm.
- Trial name
- COACHeD (NCT02777047)
- Testing
- Anticoagulation Coordinated Care
- Where
- Canada
- Volunteers
- 56 people
- Sponsor
- St. Joseph's Healthcare Hamilton
Health Services, Comorbidity
Ambulatory ICU Study for Medically and Socially Complex Patients
This is a prospective randomized wait-list control study to determine whether a stand-alone, co-located team of physician, mental health behaviorist, and care coordinators with decreased panel size (aka "intensive primary care")…
- Conditions
- Health Services, Comorbidity, Primary Health Care
- Trial name
- SUMMIT (NCT03224858)
- Testing
- SUMMIT intervention, Enhanced usual care
- Where
- United States
- Volunteers
- 200 people, healthy volunteers welcome
- Sponsor
- Oregon Health and Science University
Patient Activation
Effectiveness of Nurse-based Care Coordination on Readmissions Among Primary Care Patients: a Stepped Wedge Cluster Randomized Trial
This trial will evaluate the effectiveness of nurse-based care coordination and nurse-based remote patient monitoring on hospital readmissions among primary care patients.
- Trial name
- NCT04224220
- Testing
- Adult Medical Care Coordination, Remote Patient Monitoring
- Where
- United States
- Volunteers
- 1,947 people
- Sponsor
- Mayo Clinic
Solid Tumor, Adult
A Pilot Study of Genetic Testing Uptake Through Enhanced Oncology Nurse-Led Intervention
Genetic factors are a significant determinant of the likelihood of developing various types of cancers. Identification of germline risk can have important implications for both patients and their families.
- Trial name
- GENESIS (NCT06436157)
- Testing
- Enhanced education, Usual care education
- Where
- 2 sites in United States
- Volunteers
- 60 people
- Sponsor
- University of California, Davis
High Risk Pregnancy, Multidisciplinary Communication
The Center for Peripartum Optimization
In January 2017 investigators started a Center for Peripartum Optimization (CPO) with the aim of optimizing a patient's clinical status in an outpatient setting to minimize unnecessary laboratory tests and studies, costly…
- Conditions
- High Risk Pregnancy, Multidisciplinary Communication, Communication, Obstetric Complication
- Trial name
- NCT03522909
- Testing
- Seen in clinic
- Where
- United States
- Volunteers
- 250 people
- Sponsor
- Johns Hopkins University
Dementia, Nurse Care Coordination
Dyadic, App-supported Collaborative Care Intervention Trial for Family Caregivers of People Living With Dementia
In Germany, approximately 1.8 million individuals are living with dementia, representing a considerable share of those requiring long-term care.
- Conditions
- Dementia, Nurse Care Coordination, Informal Caregiver
- Trial name
- Living@Home (NCT07251088)
- Testing
- Experimental arm
- Where
- 12 sites in Germany
- Volunteers
- 554 people
- Sponsor
- German Center for Neurodegenerative Diseases (DZNE)
Depression Chronic, Depression and Quality of Life
Remote Medical Monitoring of Patients With Depression
The goal of this clinical trial is to learn if ThIA Suivi, a digital tool for remote monitoring of patients, can improve the care of adults with depression who are followed by a psychiatrist.
- Conditions
- Depression Chronic, Depression and Quality of Life, Depression, Major Depressive Episode
- Trial name
- TELEMED-DEP (NCT07878754)
- Testing
- Use of ThIA Medical Device
- Where
- 3 sites in France
- Volunteers
- 608 people
- Sponsor
- ThIA Santé Mentale
Asthma Childhood
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination
The overall goal of this research study is to test the effectiveness of a multifaceted and multi-level prompting intervention in a real world urban primary care office setting on improving provider-delivered guideline-based…
- Trial name
- PRAGMATIC (NCT03066596)
- Testing
- eMPI
- Where
- United States
- Volunteers
- 530 people
- Sponsor
- Montefiore Medical Center
Mental Health Wellness 1, Mental Illnesses
Project Wellness Enhancement: Increasing Health Care Choice and Outcomes for People With Mental Illness
This project aims to study health outcomes of individuals with mental illness attending a co-located primary health care center in a mental health center.
- Conditions
- Mental Health Wellness 1, Mental Illnesses, Other Diagnoses, Comorbidities, and Complications | Patient
- Trial name
- WE (NCT02263742)
- Testing
- Peer whole health intervention, EBPs at Wellness Center
- Where
- 2 sites in United States
- Volunteers
- 204 people, healthy volunteers welcome
- Sponsor
- Yale University
Post-traumatic Stress Disorder, Generalized Anxiety Disorder
Primary Care Intervention Strategy for Anxiety Disorders
This study will compare the effectiveness of an intervention strategy for the treatment of people with post traumatic stress disorder, generalized anxiety disorder, panic disorder, and social anxiety disorder in the primary care…
- Conditions
- Post-traumatic Stress Disorder, Generalized Anxiety Disorder, Panic Disorder, Social Anxiety Disorder
- Trial name
- NCT00347269
- Testing
- Cognitive-behavioral therapy, Psychotropic medication optimization, Treatment as Usual
- Where
- 4 sites in United States
- Volunteers
- 1,004 people
- Sponsor
- University of Washington
Advanced or Metastatic Solid Tumor, Relapsed Hematologic Malignancy
Impact of the Coordinated Intervention of the Healthcare Facilities Pharmacist and the Dispensary Pharmacist on the Care Pathway for Cancer Patients Treated With Oral Therapy
The rise of oral therapies in the management of cancers has considerably changed the patient care path. If the oral route is preferred by patients because it offers a better quality of life, it is not without impact for patients…
- Trial name
- IPPACTTO (NCT04327583)
- Testing
- IPPACTTO
- Where
- 7 sites in France
- Volunteers
- 396 people
- Sponsor
- Institut Cancerologie de l'Ouest
Children and Youth With Special Healthcare Needs, Care Coordination
Learning Health for Pediatric Complex Care Integration (PCCI)
The study team will conduct a mixed methods evaluation of the implementation of an evidence-based clinical program -- the Pediatric Complex Care Integration (PCCI) program - for improvement of care integration for children and…
- Trial name
- NCT05056480
- Testing
- Surveys
- Where
- United States
- Volunteers
- 20 people
- Sponsor
- Duke University
Hospitalization, Patient Readmission
Intervening With and Improving Care for Patients at Risk for Frequent Hospital Admissions
Patients with frequent hospital admissions account for a disproportionate share of visits and costs. An intervention that can bridge the gap between hospital and community based care for a population of patients with frequent…
- Trial name
- NCT01292096
- Testing
- Provision of extra (care coordination and management) services
- Where
- United States
- Volunteers
- 19 people
- Sponsor
- NYU Langone Health
Dyspnea, Heart Failure
The Triple A Initiative Study ("Aktionsbündnis Akute Atemnot")
Acute dyspnea is a common chief complaint of patients presenting to the emergency department. Patients with acute dyspnea display a high mortality rate.
- Trial name
- NCT02049853
- Testing
- NTproBNP measurement with point of care device "Cobash232" in the POCT group
- Where
- 6 sites in Germany
- Volunteers
- 67 people
- Sponsor
- Prof. Dr. Michael Christ