Clinical trials: Primary Health Care and Access to Primary Care
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
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
Post Traumatic Stress Disorder
PTSD Training for PCPs in a Virtual World
The overall goal of this project is improve access to and engagement in quality care for military service personnel and Veterans suffering with posttraumatic stress (PTS).
- Trial name
- VW (NCT03898271)
- Testing
- Virtual World
- Where
- United States
- Volunteers
- 200 people, healthy volunteers welcome
- Sponsor
- San Francisco Veterans Affairs Medical Center
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
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
Alcohol Use Disorder (AUD), Pharmacist-Patient Relations
Alcohol Telemedicine Consultation in Primary Care (ATC)
This pragmatic, cluster-randomized trial in adult primary care clinics in a healthcare system with a diverse membership will examine the effectiveness of an innovative, multi-faceted intervention, the Addiction Telemedicine…
- Conditions
- Alcohol Use Disorder (AUD), Pharmacist-Patient Relations, Alcohol Problem
- Trial name
- ATC (NCT05252221)
- Testing
- ATC Intervention
- Where
- 2 sites in United States
- Volunteers
- 41,843 people
- Sponsor
- Kaiser Permanente
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
Breast Carcinoma
Mobile Health Patient Navigation for the Improvement of Screening and the Early Detection of Breast Cancer in Women Accessing Primary Care Clinics in Kenya
This clinical trial develops and studies how well mobile health (m-Health) patient navigation (PN) strategies work to improve screening and the early detection of breast cancer in women accessing primary care clinics in Kenya.
- Trial name
- NCT07764796
- Testing
- Best Practice, Discussion, Interview - Stakeholder
- Where
- United States
- Volunteers
- 800 people, healthy volunteers welcome
- Sponsor
- Emory University
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
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
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
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
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
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
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
Primary Health Care, Telemedicine
Proactive Telemedicine to Improve Healthcare Access and Prevention in Rural Primary Care (PTM)
The study evaluates whether Proactive Telemedicine (PTM) can improve healthcare access for individuals who have not contacted their primary care team for at least one year, compared with face-to-face visits.
- Conditions
- Primary Health Care, Telemedicine, Face to Face Consultation, Health Care Access
- Trial name
- PTM (NCT07299201)
- Testing
- Telemedicine Brief Behavioural Lifestyle Intervention, Face to face Brief Behavioural Lifestyle Intervention
- Where
- Spain
- Volunteers
- 120 people, healthy volunteers welcome
- Sponsor
- Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
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
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
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
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