[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Hopital Montfort\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":85},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,57],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":37,"overallStatus":44,"whyStopped":4,"lastUpdateSubmitDate":45,"lastUpdatePostDateStruct":46,"startDateStruct":49,"completionDateStruct":51,"leadSponsor":53,"locationsCount":56},"100594836","assessing-the-effectiveness-of-heat-adaptation-digital-messages-from-primary-care-providers-to-their-patients-on-the-change-in-behaviour-for-heatwave-related-preparedness-100594836",false,"NCT07024628","Assessing the Effectiveness of Heat Adaptation Digital Messages From Primary Care Providers to Their Patients on the Change in Behaviour for Heatwave-related Preparedness","Heat Smart: Empowering Primary Care Providers to Safeguard Vulnerable Populations Against Extreme Heat","HeatSmart","Inclusion Criteria:\n\nThe Heat Smart randomized controlled trial study will recruit patients and primary care providers (PCPs) from Eastern Ontario. The inclusion criteria ensure that the intervention reaches at-risk individuals while being scalable across different patient populations:\n\nPrimary Care Patients:\n\n* Adults (18 years and older)\n* Patients must be registered with a participating PCP.\n* They must have had at least one visit with their PCP in the past two years to ensure active engagement.\n* Participants must have an active email, cell phone or messaging service (SMS) to receive Heat Smart digital messages.\n* Patients must be able to understand and consent to participate in the study.\n* Patients must be able to communicate in at least one of the official languages (English, French).\n* Participants will be recruited from PCP located in two Eastern Ontario public health districts: the Eastern Ontario Health Unit and Ottawa Public Health (including urban, rural, and Indigenous communities such as Akwesasne).\n\nPrimary Care Providers:\n\n* Must be a licensed Family Physician (FP) or Nurse Practitioner (NP) in a practice of at least 2 PCPS.\n* The providers must be offering comprehensive primary care to a panel of patients (not solely urgent care or walk-in services).\n* Must work in a computerized primary care clinic with an electronic medical record system.\n* Must expect to remain in practice for at least 24 months.\n* Must be located in Eastern Ontario.\n* Must be willing to use the Canadian Primary Care Information Network (CPIN) to deliver Heat Smart messages and surveys.\n* Must be using Cliniconex or Qualtrics as a practice tool for communication enabling outreach before the patients are invited to consent to participate in the study.\n\nExclusion Criteria:\n\nPatients who do not read French or English will be excluded from the study as they will not be able to give informed consent or to fill out the surveys. Patients who do not have an email address or text messaging service will be excluded for the same reason. Minors, patients with dementia and people who cannot read and write in English or French will not be eligible because the automated approach to surveying patients makes it impractical to properly obtain their consent.",true,"ALL","18 Years",{"count":21,"type":22},20000,"ESTIMATED","INTERVENTIONAL",[25],"NA","Extreme heat events pose a significant health threat in Canada, as demonstrated by the 2021 heat wave that claimed over 600 lives in Western Canada. Most heat-related deaths occur indoors and are preventable. Primary care providers (PCPs), who serve 88% of Canadians, are uniquely positioned to identify and support at-risk individuals. Heat Smart, in alignment with Heat Alert and Response Systems (HARS), aims to bridge the gap between primary care and public health to enhance community resilience and reduce health inequities related to extreme heat events.\n\nThis randomized control trial in Eastern Ontario will examine whether patients receiving tailored digital health messages from their family physician or nurse practitioner change their behaviour to protect themselves from extreme heat-related illness. The Heat Smart study will:\n\n* Assess risk: Analyze electronic medical records and patient surveys to identify vulnerable individuals.\n* Deliver tailored messages: Send personalized digital guidance via e-mail or text, offering heat safety advice and local resource information in English and French.\n* Issue early warning alerts: Notify at-risk patients of upcoming heat events, prompting action.\n* Evaluate impact: Use surveys and health data to measure effectiveness in reducing heat-related health impacts.\n\nShort-term outcomes include increased awareness and preparedness among patients about heat-related health risks. Long-term goals involve scaling the intervention across Canada to reduce heat-related illnesses, enhance social connectedness, and decrease healthcare utilization.",[28,29,30,31,32,33,34,35,36],"Heathly Subjects","Primary Health Care","Climate Change","Public Health","Preventive Health Services (PREV HEALTH SERV)","Environmental Exposure","Risk Reduction Behavior","Heat Stress Disorders","Heat Exposure",[38,39,40,41,42,43],"primary care","digital messaging","heatwave","climate change","public health","CPIN","RECRUITING","2025-06-09",{"date":47,"type":48},"2025-06-17","ACTUAL",{"date":50,"type":48},"2025-04-01",{"date":52,"type":22},"2028-03-31",{"name":54,"class":55},"Hopital Montfort","OTHER",1,{"id":58,"slug":59,"hasResults":11,"nctId":60,"briefTitle":61,"officialTitle":61,"acronym":4,"eligibilityCriteria":62,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":63,"targetDuration":4,"studyType":23,"phases":65,"briefSummary":66,"conditions":67,"keywords":71,"overallStatus":76,"whyStopped":4,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":80,"completionDateStruct":82,"leadSponsor":84,"locationsCount":4},"100550425","acceptability-and-feasibility-of-a-new-approach-to-engage-patients-with-steatotic-liver-disease-in-physical-activity-100550425","NCT06446908","Acceptability and Feasibility of a New Approach to Engage Patients With Steatotic Liver Disease in Physical Activity","Inclusion Criteria:\n\n* \\>18 years of age,\n* confirmed MASLD or MASH without cirrhosis\n* access to a computer with an internet connection\n\nExclusion Criteria:\n\n* liver disease from another cause,\n* the existence of cirrhosis on imaging or clinically,\n* weekly alcohol consumption over 50g,\n* having a contraindication to PA without medical clearance (the Get Active questionnaire from the Canadian Society for Exercise Physiology is used to determine if medical clearance is needed),\n* being already enrolled in a supervised exercise intervention or PA behaviour change intervention or currently meeting PA guidelines of 150 mins\u002Fweek\n* the need for a wheelchair, cane, walker, or other support(s) to move",{"count":64,"type":22},12,[25],"Steatosis is the building of fat in the liver. Steatotic liver disease (SLD) regroups MASLD (metabolic dysfunction-associated steatotic liver disease) and MASH (metabolic dysfunction-associated steatohepatitis) i.e. MASLD with inflammation. An estimated 30% of the population worldwide has MASLD and 5% of Canadians have MASH. MASH is a leading cause of liver transplantation in Canada. There is no cure for SLD, and the treatment relies on diet, weight loss, and physical activity (PA).\n\nIs a counselling intervention to help patients progressively engage in more PA a feasible and acceptable approach? Objectives. This proposal has three primary objectives: 1) To assess the feasibility of our PA counselling intervention (to be delivered online) with SLD patients; 2) To evaluate the acceptability of our intervention; 3) To evaluate the feasibility of the study methods\u002Fprocedures.\n\nMethodology. This study is an open-label, mono-centred, single-case experimental design with multiple base levels. The study will comprise 3 phases, alternating periods of observation (A) and 1 period of counselling (B) with an A1-B-A2 design.\n\nPA will be assessed continuously using an accelerometer for 7 to 14 days per (A) phase. During phase (B), participants will receive the intervention, i.e. 6 x 45-minute, real-time, face-to-face, virtual sessions with a PA counsellor.\n\nBased on past studies, our sample size will be 12 participants. They will be recruited through the hepatology clinic at Hôpital Montfort.\n\nThe primary outcomes of the project are to evaluate the feasibility and acceptability of the trial and intervention. The secondary outcomes are Daily PA time and biological\u002Fimaging data evolution",[68,69,70],"Liver Steatosis","MASH","MASLD",[72,73,74,75],"Physical activity","coaching","telehealth","liver","NOT_YET_RECRUITING","2024-05-31",{"date":79,"type":48},"2024-06-06",{"date":81,"type":22},"2024-08-01",{"date":83,"type":22},"2027-03-31",{"name":54,"class":55},""]