Addressing Social Needs to Improve Health in Adults With Multiple Chronic Conditions
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKaiser Permanente
About this trial
The investigators will conduct a comparative effectiveness randomized clinical trial with two "active comparator" arms. The investigators will evaluate the two current, usual care strategies (higher intensity "telephonic navigation" vs. lower intensity "virtual outreach") for addressing social needs among patients with multiple chronic conditions.
Eligibility criteria
Qualifiers
Two or more chronic medical conditions from a defined list of 24 chronic conditions
One or more gaps in evidence-based care (related to condition-specific risk factor management, evidence-based screening and preventive care, missed appointments, and medication non-adherence),
At least one self-reported social-related barrier to care or "social need" (e.g., transportation, food, housing, utilities, and/or financial insecurity).
Disqualifiers
major cognitive barriers (dementia, psychosis).
multiple prior year hospitalizations ("extremely high utilizers")
Trial design
Treatments tested in this trial
- Telephonic Outreach
- Virtual Outreach
Treatment groups
800 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov