Implementation of Communication Disability Collection and Accommodations in Primary Care Settings
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: Implementation Support Package.
- Кому может быть актуально
- Состояния в реестре: Communication Disabilities. 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 →
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Обзор
This multi-methods-multi-site study aims to adapt and evaluate the effects of an implementation support package of strategies to assist primary care clinics in documenting patients' communication disability (CD) and accommodation needs in the electronic health record (EHR) and providing communication accommodations through EHR data extraction, surveys, focus groups, interviews, and clinical practice observations.
Вмешательства
- Поведенческое Implementation Support Package
The implementation support package includes materials, activities, and procedures ready for use in diverse primary care practices and will facilitate each clinic's determination of how they will implement collection of disability status and provision of accommodations.
Первичные конечные точки
- (Aim 2) Patient Reach [Срок оценки: Baseline, Implementation Follow Up (Approximately Month 9), Maintenance Follow Up (Approximately Month 21)]
- (Aim 3) Adoption [Срок оценки: Implementation Follow Up (Approximately Month 9), Maintenance Follow Up (Approximately Month 21)]
Критерии участия
Критерии включения
EHR Data Extraction
- Adults 18+ years
- Patients who had at least one visit within the 21-month EHR data collection period at participating study clinics.
Clinic Leadership, Providers \& Clinic Staff
- Adults 18+ years
- Individuals of all genders and members of all racial and ethnic categories employed at participating study clinics will be eligible for inclusion. NYULH study personnel will enroll providers and staff referred for study inclusion from all participating study clinics; not just NYULH staff exclusively.
Patients
- Adults 18+ years
- Patients with communication disabilities seen at least once at participating study clinics during the 21-month study period.
- Patients who self-identify as proficient in English communication as defined by English being a preferred language, or self-reported ability to participate in an interview in English without the support of an interpreter.
Критерии исключения
EHR Data Extraction
- Patients whose records are unavailable due to technical issues.
- Patients who are not seen at least once at participating study clinics during the 21-month data collection period.
- Duplicate records (e.g., duplicative EHR records marked for deletion).
- Patients who have opted-out of research participation.
Clinic Leadership, Providers \& Clinic Staff Interviews and Focus Groups
- Being <18 years old
- Not an employed member of a participating study clinic or potential end user of the study implementation strategy.
Patient Interviews
- Being <18 years old
- Patients without communication disabilities.
- Patients with communication disabilities seen outside of participating study clinics.
- Patients who are unable to provide consent for themselves.
- Patients who report not being proficient in English communication or self-reported inability to participate in an interview in English without the support of an interpreter.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Организация здравоохранения
Центры проведения
США · 5 центров
- The University of Colorado Anschutz Medical Campus — Aurora
- Denver Health — Denver
- University of Illinois Chicago — Chicago
- Northwestern University — Evanston
- NYU Langone Health — New York
Идентификаторы
NCT: NCT07656584 · 25-00040