Improving mental health in chronic care in general practice: study protocol for a cluster-randomised controlled trial of the Healthy Mind intervention
This study protocol describes a randomised controlled trial of the Healthy Mind intervention, a general practice-based intervention offering PST to patients with type 2 diabetes and/or ischaemic heart disease and poor mental well-being.MethodsA stepped-wedge cluster-randomised controlled trial with 1-year follow-up will be conducted in Danish general practice. At the annual chronic care consultation, patients with type 2 diabetes and/or chronic ischaemic heart disease will be screened for poor mental well-being. Patients in the control group will be offered usual care while patients in the intervention group will be offere...
Source: Trials - April 23, 2024 Category: Research Source Type: clinical trials

Psychiatric Consultation-Liaison Intervention in Primary Care: A Pilot Study
Conditions: Mental Health Issue; Depression/Anxiety; Quality of Life; Psychosomatic Disorders; Patients Lived Experiences; Doctor-Patient Relation; Collaboration Interventions: Other: Intervention arm - Consultation-Liaison (CL) brief psychiatric intervention in primary care settings; Other: Control Arm - Treatment As Usual (TAU) Sponsors: Center for Primary Care and Public Health (Unisante), University of Lausanne, Switzerland; Neuch âtel Psychiatry Centre (CNP); University of Lausanne Hospitals Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 22, 2024 Category: Research Source Type: clinical trials

Personalised Dose Optimisation of Zestril Supported by the Digital Blood Pressure Diary in a Primary Care Environment in England: Pragmatic Observational Pilot Study for Remote Hypertension Treatment
Conditions: Uncomplicated Hypertension Interventions: Other: Zestril Sponsors: Closed Loop Medicine; Pharmanovia Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 18, 2024 Category: Research Source Type: clinical trials

Conversational Agents to Improve HPV Vaccine Acceptance in Primary Care (ECA-HPV) Clinical Trial
Conditions: Human Papilloma Virus Interventions: Behavioral: Usual Care; Behavioral: ECA-HPV App with Clinic Notification and Adolescent Functions Disabled; Behavioral: ECA-HPV App with Clinic Notification Function Enabled; Behavioral: ECA-HPV App with Adolescent Function Enabled; Behavioral: ECA-HPV App with Clinic Notification and Adolescent Functions Enabled Sponsors: Tufts Medical Center; Boston Medical Center; Northeastern University Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 16, 2024 Category: Research Source Type: clinical trials

Bridging the Gap: Creating a Continuum of Care
Conditions: Frailty; Dependence; Integrated Care Interventions: Other: Intervention group Case Manager (CM); Other: Control Group Sponsors: G öteborg University; Vastra Gotaland Region; Narhalsan Reasearch and Development primary care Region Vastra Gotaland; Sahlgrenska University Hospital, Sweden; Forte Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 16, 2024 Category: Research Source Type: clinical trials

Beta-blockers or Placebo for Primary Prophylaxis (BOPPP) of oesophageal varices: study protocol for a randomised controlled trial
DiscussionThe BOPPP trial aims to investigate the clinical and cost-effectiveness of carvedilol in patients with cirrhosis and small oesophageal varices to determine whether this non-selective beta-blocker can prevent or reduce hepatic decompensation. There is clinical equipoise on whether intervening in cirrhosis, at an earlier stage of portal hypertension, with NSBB therapy is beneficial. Should the trial yield a positive result, we anticipate that the administration and use of carvedilol will become widespread with pathways developed to standardise the administration of the medication in primary care.Ethics and dissemin...
Source: Trials - April 16, 2024 Category: Research Source Type: clinical trials

VR-Enhanced Psychoeducation for Chronic Pain: A Primary Care Pilot Study
Conditions: Chronic Pain; Central Sensitization Interventions: Behavioral: VR-Enhanced Psychoeducational Program for Chronic Pain Sponsors: Badalona Serveis Assistencials; Department of Health, Generalitat de Catalunya Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 12, 2024 Category: Research Source Type: clinical trials

Implementation of the Fatty Liver Index in Primary Care
Conditions: Hepatic Steatosis; Overweight and Obesity Interventions: Other: FLI Sponsors: Consorci Sanitari de l ' Alt Pened ès i Garraf Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 12, 2024 Category: Research Source Type: clinical trials

Do the Symptoms of Chronic Constipation Improve With a Primary Care Programme Based on Behavioural Re-education and Abdominal Massage?
Conditions: Constipation Chronic Idiopathic Interventions: Behavioral: change of habits; Other: change of habits + auto abdominal massage Sponsors: Fundacio d ' Investigacio en Atencio Primaria Jordi Gol i Gurina; Universitat de Vic Active, not recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 11, 2024 Category: Research Source Type: clinical trials

Impact of a Letter Encouraging Pneumococcal Vaccination on the 1-year Vaccination Rate in Heart Failure Patients With a Primary Care Physician
Conditions: Chronic Heart Failure Interventions: Other: Incentive letter for pneumococcal vaccination to the patient and to the GP Sponsors: University Hospital, Montpellier Active, not recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 11, 2024 Category: Research Source Type: clinical trials

Determining the Impact of a Physiotherapist-led Primary Care Model for Hip and Knee Pain - A Cluster Trial
Conditions: Hip Osteoarthritis; Knee Osteoarthritis Interventions: Other: Physiotherapist-led primary care model for hip and knee pain; Other: Usual physician-led primary care model for hip and knee pain Sponsors: Queen ' s University; Canadian Institutes of Health Research (CIHR); The Arthritis Society, Canada Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 10, 2024 Category: Research Source Type: clinical trials

Study of a Primary Care Hypoglycemia Prevention Program
Conditions: Diabetes Mellitus; Hypoglycemia Interventions: Other: Patient Group (Hypoglycemia Prevention Program); Other: Primary Care Physician Group; Other: Clinic Staff Group Sponsors: Johns Hopkins University; National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 9, 2024 Category: Research Source Type: clinical trials

PrimeCog: Primary Care Cognitive Testing
Conditions: Mental Health Issue; Cognitive Symptom; Primary Health Care Interventions: Diagnostic Test: Cognitive Testing Sponsors: Region Östergötland Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - April 4, 2024 Category: Research Source Type: clinical trials

Prednisolone Versus Colchicine for Acute Gout in Primary Care: statistical analysis plan for the pragmatic, multicenter, randomized, and double-blinded COPAGO non-inferiority trial
DiscussionThe trial will provide evidence from a direct comparison of colchicine and prednisolone regarding their efficacy of pain reduction in acute gout patients of primary care and to indicate possible safety signals.Trial registrationClinicalTrials.gov Identifier: NCT05698680 first posted on January 26, 2023 (retrospectively registered). (Source: Trials)
Source: Trials - April 3, 2024 Category: Research Source Type: clinical trials

Group-based Integrative Pain Management in Primary Care Safety Net Clinics
Conditions: Chronic Pain Interventions: Other: Group Acupuncture; Other: Integrative Group Medical Visits Sponsors: University of California, San Francisco; National Institute on Minority Health and Health Disparities (NIMHD) Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - March 25, 2024 Category: Research Source Type: clinical trials