Empowering Monterey Bay Residents for Activated, Collaborative, and Equitable Care
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Research Assistant Support.
- Кому может быть актуально
- Состояния в реестре: Shared Decision-Making, Quality of Life, Advanced Illness, Terminal Illness. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Не всё понятно в терминах? Прочитайте наш гид для пациентов →
Официальное название
EMBRACE - Empowering Monterey Bay Residents for Activated, Collaborative, and Equitable Care
Обзор
The purpose of the EMBRACE Study is to evaluate whether a facilitated intervention improves shared decision-making (SDM) and patient activation among low-income and minority individuals more than usual care only. The ultimate goal is to enhance SDM and patient activation in care.
Подробное описание
This study will assess if an intervention that is delivered by a Stanford trained Research Assistant (RA) will help people better engage in their care with their clinicians.
A total of n=138 patients will be recruited for this study using flyers that will be distributed to our community partner organizations. Approximately 69 patients will be randomized into each study group.
Participants will receive either usual care or will be assigned into the intervention (EMBRACE). Participants assigned to the intervention will receive education provided by a trained RA who will meet with participants by phone for 30 minutes once a month for 6 months to: 1) discuss the importance of shared decision-making, advance care planning, and goal concordant care, and 2) encourage to engage in SDM with their clinicians.
All participants in the study will receive 4 surveys: at baseline (at time of enrollment), 1, 3, and 6 months after study enrollment by telephone, mail, or through a secure REDCap online link delivered to participants.
Вмешательства
- Поведенческое Research Assistant Support
For those in the experimental group, a Research Assistant will provide health education and support as described in the Intervention arm.
Первичные конечные точки
- Patient activation using the "Patient Activation Measure" survey [Срок оценки: 3-months post-enrollment]
- Patient activation using the "Patient Activation Measure" survey [Срок оценки: 6-months post-enrollment]
Вторичные конечные точки (8)
- Quality of shared decision-making using the "Shared Decision Making" questionnaire [Срок оценки: 3-months post-enrollment]
- Quality of shared decision-making using the "Shared Decision Making" questionnaire [Срок оценки: 6-months post-enrollment]
- Patient Quality of Life Using the "Functional Assessment of Cancer Therapy - General Survey" [Срок оценки: 3-months post-enrollment]
- Patient Quality of Life Using the "Functional Assessment of Cancer Therapy - General Survey" [Срок оценки: 6-months post-enrollment]
- Feeling Heart and Understood Using the "Ambulatory Palliative Care Patients' Experience of Feeling Heard and Understood" [Срок оценки: 3-months post-enrollment]
- Feeling Heart and Understood Using the "Ambulatory Palliative Care Patients' Experience of Feeling Heard and Understood" [Срок оценки: 6-months post-enrollment]
- Preference-Concordant Care using the "Preference Concordant Care" Survey [Срок оценки: 3-months post-enrollment]
- Preference-Concordant Care using the "Preference Concordant Care" Survey [Срок оценки: 6-months post-enrollment]
Критерии участия
Критерии включения
- Participants must be receiving clinical care by a primary care physician in the Monterey area
- Participants must be 18 years or older.
- Participants must speak either English or Spanish.
- Participants must be able to consent verbally in English or Spanish to all study procedures.
- Participants must self-identify as a racial/ethnic minorities OR identify as having low-income status
Критерии исключения
\- Patients unable to respond to survey questions in either English or Spanish.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Тройное слепое
- Основная цель
- Организация здравоохранения
Центры проведения
США · 1 центр
- Stanford University — Palo Alto
Идентификаторы
NCT: NCT07652359 · 80353