Clinical trials: Stepped Care
Cesarean Section Complications
Clean-CS: A Program to Improve the Safety of C-section
Executive summary: Cesarean delivery, or section (CS), is the single most common surgical procedure performed. Estimates indicate that in low resource settings, CS comprises up to 50% of more of the total volume of operations…
- Trial name
- Clean-CS (NCT04812522)
- Testing
- Clean Cut program
- Where
- 10 sites in Ethiopia
- Volunteers
- 10,506 people, healthy volunteers welcome
- Sponsor
- The Lifebox Foundation
ART Adherence
Efficacy of mHealth + e-Navigator Stepped Care Intervention for ART Adherence Among Latino Men With HIV
The goal of this study is to evaluate the efficacy of stepped care strategies to improve ART adherence among adult Latino men with HIV using a sequential, multiple assignment, randomized trial (SMART).
- Trial name
- Project STEP (NCT06375135)
- Testing
- TXTXT, e-Navigation, Ecological Momentary Assessment (EMA) supported e-Navigation.
- Where
- United States
- Volunteers
- 250 people
- Sponsor
- Florida International University
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
Hypertension; Community Health Workers
Effectiveness of a Community Health Worker Delivered Care Intervention for Hypertension Control in Uganda
Over 80% of the morbidity and mortality related to non-communicable diseases (NCDs) occurs in low-income and middle-income countries (LMICs).
- Trial name
- CHW-HTC (NCT05068505)
- Testing
- Community health worker delivered multicomponent intervention
- Where
- Uganda
- Volunteers
- 869 people
- Sponsor
- Charite University, Berlin, Germany
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
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
Neoplasms, Cancer Survivorship
Effectiveness of a Guided, Web-based, Stepped-care-approach to Cognitive Behavioral Therapy for Insomnia in Cancer Survivors
The goal of this multicenter randomized clinical trial is to develop and evaluate a web-based stepped-care approach to Cognitive Behavioral Therapy for Insomnia (CBT-I), specifically tailored to adult cancer survivors…
- Conditions
- Neoplasms, Cancer Survivorship, Insomnia
- Trial name
- eNightfall (NCT07876661)
- Testing
- Stepped-care Cognitive Behavioral Therapy for Insomnia, Standard web-based Cognitive Behavioral Therapy for Insomnia, Control arm - Care as usual with sleep hygiene leaflet
- Where
- Belgium
- Volunteers
- 140 people
- Sponsor
- Vrije Universiteit Brussel
Health Care Workers
Hand Hygiene Intervention Study
Infections acquired by patients in hospitals are a major cause of illness and death worldwide, and particularly so in hospitals with very limited resources.
- Trial name
- HAND (NCT01933087)
- Testing
- Hand hygiene promotion
- Volunteers
- 58 people, healthy volunteers welcome
- Sponsor
- University of Oxford
Severe Mental Illness
Effectiveness of Mentalization-based Therapy (MBT)
The effects of psychological treatment, mentalization-based therapy, will be studied among persons with mental disorders seeking help from mental health care services.
- Trial name
- NCT06659211
- Testing
- Mentalisation-Based Therapy, Treatment as Usual (TAU)
- Where
- Finland
- Volunteers
- 128 people
- Sponsor
- Oulu University Hospital
Neonatal Patients Undergoing Major Non-cardiac Surgery, Congenital Anomaly
Neonatal Enhanced Recovery After Surgery (ERAS) Outcomes Study
The goal of this observational study is to improve the way newborn babies are cared for before, during, and after major surgery. Surgery can be very stressful on a baby's body.
- Trial name
- NEO (NCT07771478)
- Testing
- Pre-nERAS Guideline Implementation Intervention, Multifaceted Implementation of nERAS Guideline Intervention
- Where
- 3 sites in Canada, United Kingdom
- Volunteers
- 400 people
- Sponsor
- The Hospital for Sick Children
Low Back Pain, Neck Pain
Which Model of Care is the Most Cost-effective in the Treatment of Musculoskeletal Disorders?
As musculoskeletal disorders (MSKDs) reach epidemic proportions in Canada, access to the public health system for those who suffer from them is increasingly difficult.
- Conditions
- Low Back Pain, Neck Pain, Anterior Knee Pain Syndrome, Rotator-cuff Related Shoulder Pain
- Trial name
- Edu1st (NCT06832852)
- Testing
- Stepped care, Rehabilitation Care, Medical Care
- Where
- Canada
- Volunteers
- 369 people
- Sponsor
- Laval University
Polypharmacy, Multimorbidity
Reduction of Polypharmacy in Elderly People With Multiple Diseases
Elderly GP patients are often treated with five or more medications and therefore prone to adverse drug reactions (ADR). Potentially inappropriate prescriptions (PIPs) lead to increased adverse events like falls, hospitalizations…
- Trial name
- RED (NCT05526963)
- Testing
- Medication plan review, Adherence support
- Where
- Germany
- Volunteers
- 1,146 people
- Sponsor
- Martin-Luther-Universität Halle-Wittenberg
Urinary Tract Infections
Chlorhexidine to Prevent Catheter-related Urinary Tract Infection
The study is to investigate whether chlorhexidine (CHG)-based antiseptics is more effective to prevent catheter-related urinary tract infection (CAUTI) among inhospital patients who required Foley catheter insertion.
- Trial name
- NCT05712434
- Testing
- Long Intervention, Mid-length Intervention, Short Intervention
- Where
- Taiwan
- Volunteers
- 30,994 people
- Sponsor
- National Taiwan University Hospital
Cancer
Stepped Care - Optimising Psycho-oncological Care Provision by Structured Screening and Diagnosis
The study will examine whether the provision of psychosocial support services for cancer patients in acute care can be optimized by the use of a structured combination of screening procedures with physician interviews and…
- Trial name
- STEPPEDCARE (NCT01859429)
- Testing
- Stepped Care
- Where
- Germany
- Volunteers
- 1,012 people
- Sponsor
- University of Leipzig
Cancer, Lung, Cancer, Head and Neck
A Stepped Care Intervention to Reduce Disparities in Mental Health Services Among Cancer Patients and Caregivers
Medically under-served (i.e., low-income, uninsured, underinsured) cancer patients generally encounter significant disparities in accessing care for their mental health needs while undergoing toxic treatments that provide…
- Trial name
- NCT03016403
- Testing
- Stepped-Care Intervention, Enhanced Usual Care
- Where
- 5 sites in United States
- Volunteers
- 535 people
- Sponsor
- University of Colorado, Denver
Pregnancy Related, Weight Gain
HealthyPregnancy - Digital Support for Pregnant Women with a BMI At 25 or Above (BMI≥25)
The study aims to examine the effectiveness of a digital care guide offering support and information on diet, physical exercise and mental well-being on pregnancy weight gain among pregnant women with a BMI at 25 or above in a…
- Trial name
- NCT06734910
- Testing
- HealthyPregnancy
- Where
- 2 sites in Denmark
- Volunteers
- 450 people
- Sponsor
- Center for Clinical Research and Prevention
Aging, Dementia
Exploring Use of Companion Robot Pets for Older Adults in Care Homes
This study will assess the use and impact of the affordable 'Joy for All' robot pets for older people with and without dementia living in the care homes in South West England.
- Conditions
- Aging, Dementia, Neuropsychiatric Symptoms, Wellbeing
- Trial name
- NCT04168463
- Testing
- Two Joy for All robots (one cat and one dog)
- Where
- United Kingdom
- Volunteers
- 83 people, healthy volunteers welcome
- Sponsor
- University of Plymouth
Depression, Postpartum, Puerperal Disorders
Screening for Depression and Anxiety in Pregnant and Postpartum Women: Evaluating Prevalence, Risk Factors, and the Stepped Screening Protocol in a Care Pathway
Having a baby is a major life event, and for some women, it can increase the risk of developing mental health issues. A recent survey in the UK found that one in five women experience mental health problems during pregnancy or…
- Conditions
- Depression, Postpartum, Puerperal Disorders, Depression During Pregnancy, Anxiety
- Trial name
- NCT06664593
- Testing
- integrated perinatal mental health pathway
- Where
- Belgium
- Volunteers
- 378 people, healthy volunteers welcome
- Sponsor
- University Hospital, Ghent
Osteo Arthritis Knee and Hip
Predicting The Right Advice at The Right Time in Patients With Hip and Knee OsteoArthritis: the e-cOAch Cross-over.
This study aims to learn how symptoms and daily functioning change over time in people with hip or knee osteoarthritis (OA). The goal is to use this information to build computer models that can predict these changes.
- Trial name
- e-cOAch (NCT07423858)
- Testing
- Physical Activity program, Sleep program, Weight management program
- Where
- Netherlands
- Volunteers
- 600 people
- Sponsor
- UMC Utrecht
Depression Anxiety Disorder, Psychological Distress
Evaluating the Effectiveness of a School-based Stepped Care Treatment Model for Adolescent Depression in Pakistan
This study aims to test the effectiveness of a stepped-care model to reduce depressive symptoms in adolescents in school settings in Pakistan.
- Conditions
- Depression Anxiety Disorder, Psychological Distress, Well-Being, Psychological
- Trial name
- SMART-STEP (NCT07399314)
- Testing
- Universal Intervention & CBT-based Guided Self-Help Application
- Where
- Pakistan
- Volunteers
- 600 people
- Sponsor
- Global Institute of Human Development