Feasibility of a Novel Systems Approach for Improving Utilization of Alzheimer's Disease Services Among Latinos Attending Primary Care Practices
Conditions:   Dementia;   Caregiver Burnout Intervention:   Combination Product: Alianza Latina Sponsors:   University of Kansas Medical Center;   National Institute on Minority Health and Health Disparities (NIMHD) Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - June 5, 2020 Category: Research Source Type: clinical trials

Feasibility of a Systems Approach for Alzheimer's Services Among Latinos Attending Primary Care Practices
Condition:   Dementia Intervention:   Combination Product: Alianza Latina Sponsors:   University of Kansas Medical Center;   National Institute on Minority Health and Health Disparities (NIMHD) Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - June 5, 2020 Category: Research Source Type: clinical trials

REDUCE (Reviewing long-term antidepressant use by careful monitoring in everyday practice) internet and telephone support to people coming off long-term antidepressants: protocol for a randomised controlled trial
DiscussionHelping patients reduce and stop antidepressants is often challenging for practitioners and time-consuming for very busy primary care practices. If REDUCE provides evidence showing that access to internet and telephone support enables more patients to stop treatment without increasing depression we will try to implement the intervention throughout the National Health Service, publishing practical guidance for professionals and advice for patients to follow, publicised through patient support groups.Trial registrationISRCTN:12417565. Registered on 7 October 2019. (Source: Trials)
Source: Trials - May 24, 2020 Category: Research Source Type: clinical trials

A Community-based Assessment of Skin Care, Allergies, and Eczema (CASCADE): an atopic dermatitis primary prevention study using emollients —protocol for a randomized controlled trial
This study aims to measure the effectiveness of this intervention in a population not selected for risk via a pragmatic, randomized, physician-blinded trial in the primary care setting.MethodsInfant –parent dyads are recruited from a primary care practice participating through one of four practice-based research networks in Oregon, Colorado, Wisconsin, and North Carolina. Eligible dyads are randomized to the intervention (daily use of lipid-rich emollient) or the control (no emollient) group (n = 625 infants in each) and are followed for 24 months. The primary outcome is the cumulative incidence of...
Source: Trials - March 4, 2020 Category: Research Source Type: clinical trials

The Invested in Diabetes Study Protocol: a cluster randomized pragmatic trial comparing standardized and patient-driven diabetes shared medical appointments
This study compares the effectiveness of two SMA approaches using the Targeted Training for Illness Management (TTIM) curriculum. Standardized SMAs are led by a health educator with a set order of TTIM topics. Patient-driven SMAs are delivered collaboratively by a multidisciplinary care team (health educator, medical provider, behavioral health provider, and a peer mentor); patients select the order and emphasis on TTIM topics. Invested in Diabetes is a cluster randomized pragmatic trial involving approximately 1440 adult patients with type 2 diabetes. Twenty primary care practices will be randomly assigned to either stand...
Source: Trials - January 10, 2020 Category: Research Source Type: clinical trials

Improving the relevance of randomised trials to primary care: a qualitative study investigating views towards pragmatic trials and the PRECIS-2 tool
ConclusionsTo maximize the relevance of research directed at primary care, trials should be conducted with the same populations and settings that are found in primary care. Across other aspects of trials it is not always necessary to match the conditions found in practice. (Source: Trials)
Source: Trials - December 11, 2019 Category: Research Source Type: clinical trials

eHealth-supported case management for patients with panic disorder or depression in primary care: Study protocol for a cRCT (PREMA)
DiscussionIf the intervention is more effective than treatment as usual, the three-component (cognitive behaviour therapy, case-management, eHealth) primary care-based intervention for patients suffering from PD/AG or depression could be a valuable low-threshold option that benefits patients and primary care practice teams.Trial registrationGerman clinical trials register,DRKS00016622. Registered on February 22nd, 2019. (Source: Trials)
Source: Trials - December 2, 2019 Category: Research Source Type: clinical trials

The DREAM Initiative: study protocol for a randomized controlled trial testing an integrated electronic health record and community health worker intervention to promote weight loss among South Asian patients at risk for diabetes
This study will be the first to test the efficacy of an integrated EHR –CHW intervention within an underserved, minority population and in a practical setting via a network of small PCPs in NYC. The study’s implementation is enhanced through cross-sector partnerships, including the local health department, a healthcare payer, and EHR vendors. Through use of a softw are platform, the study will also systematically track and monitor CHW referrals to social service organizations. Study findings, including those resulting from cost-effectiveness analyses, will have important implications for translating similar str...
Source: Trials - November 21, 2019 Category: Research Source Type: clinical trials

An electronic family health history tool to identify and manage patients at increased risk for colorectal cancer: protocol for a randomized controlled trial
AbstractBackgroundColorectal cancer is the fourth most commonly diagnosed cancer in the United States. Approximately 3 –10% of the population has an increased risk for colorectal cancer due to family history and warrants more frequent or intensive screening. Yet,
Source: Trials - October 7, 2019 Category: Research Source Type: clinical trials

Supporting breast cancer screening decisions for caregivers of older women with dementia: study protocol for a randomized controlled trial
DiscussionWe hypothesize that caregivers who receive the decision aid will have lower levels of decisional conflict and higher levels of decision-making self-efficacy compared to the control group. We also hypothesize that the DECAD decision aid will reduce mammography use among older women with ADRD.Trial registrationClinical Trials Register,NCT03282097. Registered on 13 September 2017. (Source: Trials)
Source: Trials - December 12, 2018 Category: Research Source Type: clinical trials

Optimizing huddle engagement through leadership and problem-solving within primary care: A  study protocol for a cluster randomized trial
DiscussionThis trial will provide evidence on the impact of a behavioral intervention to implement huddles as a key component of team-based care models. Knowledge gained from this trial will be critical to broader deployment and successful implementation of team-based care models.Trial registrationClinicaltrials.gov,NCT03062670. Registered on 23 February 2017. (Source: Trials)
Source: Trials - October 4, 2018 Category: Research Source Type: clinical trials

At-risk registers integrated into primary care to stop asthma crises in the UK (ARRISA-UK): study protocol for a pragmatic, cluster randomised trial with nested health economic and process evaluations
This study is novel in terms of using a practice-wide intervention to target and engage with patients at risk from their asthma and is innovative in the use of routinely captured data with record linkage to obtain trial outcomes.Trial registrationISRCTN95472706. Registered on 5 December 2014. (Source: Trials)
Source: Trials - August 29, 2018 Category: Research Source Type: clinical trials

Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project)
DiscussionThis cluster randomized controlled trial will show whether a virtual intervention for primary healthcare professionals improves attitudes to the empowerment of patients with chronic diseases.Trial registrationClicalTrials.gov,NCT02757781. Registered on 25 April 2016.Protocol Version. PI15.01 22 January 2016. (Source: Trials)
Source: Trials - October 30, 2017 Category: Research Source Type: clinical trials

Hypertension with unsatisfactory sleep health (HUSH): study protocol for a randomized controlled trial
DiscussionThis randomized clinical trial compares two efficacious insomnia interventions to EUC, and provides a cost-effective and efficient examination of their similarities and differences. The pragmatic orientation of this trial may impact sleep treatment delivery in real world clinical settings and advance the dissemination and implementation of behavioral sleep interventions.Trial registrationClinicalTrials.gov (Identifier:NCT02508129; Date Registered: July 21, 2015). (Source: Trials)
Source: Trials - June 6, 2017 Category: Research Source Type: clinical trials

Smoking Reduction: Testing a Novel Approach to Cessation in Primary Care Practice Settings
Condition:   Smoking Cessation Intervention:   Other: Intervention with Training and Materials Sponsors:   Ottawa Heart Institute Research Corporation;   University of Ottawa;   The Ottawa Hospital Not yet recruiting - verified April 2017 (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 12, 2017 Category: Research Source Type: clinical trials

The Northwest Coalition for Primary Care Practice Support
Conditions :   Cardiovascular Disease;   Essential Hypertension;   Nicotine Dependence;   Hyperlipidemia Interventions :   Other: Coaching;   Other: Educational Outreach;   Other: Site Visits Sponsors :   Group Health Cooperative;   University of Washington;   Oregon Health and Science University Active, not recruiting - verified July 2016 (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - July 18, 2016 Category: Research Source Type: clinical trials

The Northwest Coalition for Primary Care Practice Support
Conditions:   Cardiovascular Disease;   Essential Hypertension;   Nicotine Dependence;   HyperlipidemiaInterventions:   Other: Coaching;   Other: Educational Outreach;   Other: Site VisitsSponsors:   Group Health Cooperative;   University of Washington;   Oregon Health and Science UniversityActive, not recruiting - verified July 2016 (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - July 18, 2016 Category: Research Source Type: clinical trials

The Northwest Coalition for Primary Care Practice Support
Conditions:   Cardiovascular Disease;   Essential Hypertension;   Nicotine Dependence;   Hyperlipidemia Interventions:   Other: Coaching;   Other: Educational Outreach;   Other: Site Visits Sponsors:   Group Health Cooperative;   University of Washington;   Oregon Health and Science University Active, not recruiting - verified July 2016 (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - July 18, 2016 Category: Research Source Type: clinical trials

Effectiveness and cost-effectiveness of a very brief physical activity intervention delivered in NHS Health Checks (VBI Trial): study protocol for a randomised controlled trial
Discussion The VBI trial will provide evidence on the effectiveness and cost-effectiveness of the Step It Up intervention delivered during NHS Health Checks and will inform policy decisions about introducing very brief interventions into routine primary care practice. Trial registration ISRCTN Registry, ISRCTN72691150. Registered on 17 July 2014. (Source: Trials)
Source: Trials - June 27, 2016 Category: Research Source Type: clinical trials

Implementation Study of Enhanced Medication Therapy Management in Primary Care Practice
Conditions:   Medication Therapy Management;   PharmacogenomicsIntervention:   Other: Medication therapy managementSponsor:   Tabula Rasa HealthCareRecruiting - verified April 2016 (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 1, 2016 Category: Research Source Type: clinical trials