[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Universidad Autonoma de Madrid\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":127},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,4,0,[8,51,80,102],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":32,"overallStatus":38,"whyStopped":4,"lastUpdateSubmitDate":39,"lastUpdatePostDateStruct":40,"startDateStruct":43,"completionDateStruct":45,"leadSponsor":47,"locationsCount":50},"100627665","personalized-care-management-model-gap-421-for-chronic-pain-in-primary-care-physiotherapy-100627665",false,"NCT07451587","Personalized Care Management Model (GAP-421) for Chronic Pain in Primary Care Physiotherapy","Multicenter Mixed-Methods Pilot Study Evaluating a Personalized Care Management Model (GAP-421) for Chronic Pain in Primary Care Physiotherapy: Feasibility, Care Coordination, and Patient-Reported Outcomes","GAP-421","Inclusion Criteria:\n\n* Adults aged 18 years or older\n* Enrolled in Service 421 of the Madrid Primary Care Service Portfolio (chronic non-cancer pain of at least 3 months duration)\n* Pain intensity NRS of 4 or higher in the last 2 weeks OR functional limitation score of 2 or higher (Annex 54, SERMAS Service Portfolio)\n* Ability to understand and sign informed consent\n* Ability to complete study questionnaires in Spanish\n\nExclusion Criteria:\n\n* Active cancer pain\n* Documented moderate-to-severe cognitive disorder (ICD-10 diagnosis or registered functional assessment)\n* Decompensated psychiatric disorder that, in the clinical judgment of the physiotherapist and\u002For family physician, interferes with study participation\n* Immediate clinical emergency at enrollment\n* Simultaneous participation in another clinical trial or organizational intervention study\n* Anticipated inability to complete 3-month follow-up (planned relocation, imminent institutionalization)\n* Explicit refusal to participate","ALL","18 Years",{"count":20,"type":21},66,"ESTIMATED","INTERVENTIONAL",[24],"NA","This multicenter pilot study evaluates the feasibility, implementation fidelity, and preliminary effects of the GAP-421 (Personalized Care Management) model for chronic pain management in primary care physiotherapy. The GAP model is a time-limited organizational modality that reconfigures schedules, resources, and professional roles during a defined 6-week window to organize care around the individual patient and their trajectory, formalizing coordination work that previously occurred informally.\n\nThe study uses a convergent mixed-methods design across three primary care health centers in the Southeast Healthcare District (DASE) of the Community of Madrid, Spain. The quantitative component is a prospective multicenter pre-post case series with 3-month follow-up (n=66 patients, 22 per center). The qualitative component includes semi-structured interviews (n=12) and focus groups (3 groups, n=6 each). Integration occurs through Joint Display, Pillar Integration Process, and a 9-type legitimation framework.\n\nThe primary outcome is patient-perceived care coordination measured on a 0-10 numerical scale (PREM). Secondary outcomes span five domains: patient-reported outcomes (EQ-5D-5L, Graded Chronic Pain Scale, pain intensity), professional outcomes (coordination burden, role clarity), system sustainability (avoidable re-consultations, emergency department use), implementation fidelity, and feasibility indicators.\n\nResults will generate feasibility parameters, intraclass correlation coefficient estimates, and process indicators essential for designing definitive cluster-randomized trials testing organizational interventions in primary care physiotherapy.",[27,28,29,30,31],"Chronic Pain","Chronic Non-cancer Pain","Care Coordination","Primary Health Care","Musculoskeletal Pain",[33,27,34,29,35,36,37],"Physiotherapy Management","Primary Care","Invisible Work","Organizational Model","Mixed Methods","NOT_YET_RECRUITING","2026-02-28",{"date":41,"type":42},"2026-03-05","ACTUAL",{"date":44,"type":21},"2026-09",{"date":46,"type":21},"2029-08",{"name":48,"class":49},"Universidad Autonoma de Madrid","OTHER",2,{"id":52,"slug":53,"hasResults":11,"nctId":54,"briefTitle":55,"officialTitle":56,"acronym":57,"eligibilityCriteria":58,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":59,"enrollmentInfo":60,"targetDuration":4,"studyType":22,"phases":62,"briefSummary":63,"conditions":64,"keywords":66,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":72,"lastUpdatePostDateStruct":73,"startDateStruct":75,"completionDateStruct":77,"leadSponsor":79,"locationsCount":50},"100571914","artificial-intelligence-satisfaction-in-professionals-and-patients-100571914","NCT06726447","Artificial Intelligence Satisfaction in Professionals and Patients","sAItisfACES - Impact of an Artificial Intelligence Tool on the Satisfaction of Professionals and Patients in Ambulatory Consultations: A Randomized Cluster Study","sAItisfACES","Inclusion Criteria:\n\n* Patients between 18 and 80 years of age.\n* Patients consulting for any health reason in the outpatient clinics of the centers participating in the study.\n* Patients who sign the informed consent to participate in the study.\n\nExclusion Criteria:\n\n* Patients who are unable to understand or complete the questionnaires, due to:\n* Language barriers.\n* Cognitive disabilities.\n* Any other reason that prevents their adequate participation.\n* Patients who are currently participating in other clinical trials or research studies that may interfere with the results of this study.","80 Years",{"count":61,"type":21},148,[24],"This multicenter cluster-randomized study evaluates the impact of an artificial intelligence (AI) tool on the satisfaction of healthcare professionals and patients in outpatient consultations, measuring its effect on perceived satisfaction (through a visual analog scale), the duration of consultations, and the quality and quantity of clinical data recorded. Adult patients (18-80 years) seen in outpatient centers will participate, comparing those using the AI tool with centers following the usual procedure. The tool is expected to reduce the administrative burden, improve user satisfaction and increase the efficiency and quality of the clinical registry. Recruitment will take place between December 2024 and May 2025, with final analysis planned for the end of 2025.",[65],"General Health Status",[67,68,69,70],"Artificial Intelligence","Patient Satisfaction","Medical Records Systems, Computerized","Health Care Quality, Access, and Evaluation","RECRUITING","2026-02-25",{"date":74,"type":42},"2026-02-27",{"date":76,"type":42},"2024-12-01",{"date":78,"type":21},"2026-12-01",{"name":48,"class":49},{"id":81,"slug":82,"hasResults":11,"nctId":83,"briefTitle":84,"officialTitle":85,"acronym":4,"eligibilityCriteria":86,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":87,"enrollmentInfo":88,"targetDuration":4,"studyType":22,"phases":90,"briefSummary":91,"conditions":92,"keywords":4,"overallStatus":38,"whyStopped":4,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":97,"completionDateStruct":99,"leadSponsor":101,"locationsCount":4},"100599895","effect-of-bei-app-for-fibromyalgia-100599895","NCT07090434","Effect of Bei App for Fibromyalgia","Effect of an mHealth-based Digital Intervention to Support Multimodal Treatment in Patients With Fibromyalgia.","Inclusion Criteria:\n\n* Participants will be adults between 18 and 65 years of age with a clinical diagnosis of fibromyalgia according to the 2016 criteria established by the American College of Rheumatology (ACR).\n* All participants must be actively enrolled in the group sessions offered by the patient association and possess the ability to use a smartphone or tablet compatible with the BEI app.\n* Informed consent must be provided voluntarily.\n* Additionally, participants are required to have a minimum level of digital health literacy, operationalized as a score equal to or greater than 2.5 in at least four dimensions of the eHealth Literacy Questionnaire (eHLQ).\n\nExclusion Criteria:\n\n* Participants will be excluded if they present with severe or unstable psychiatric disorders, such as schizophrenia or uncontrolled major depression.\n* Other exclusion criteria include medical comorbidities that contraindicate physical activity, current pregnancy, or concurrent participation in another digital health program or the use of similar therapeutic applications.\n* Individuals with cognitive impairments or technological limitations that prevent the use of the app or participation in digital assessments will also be excluded.","65 Years",{"count":89,"type":21},70,[24],"Background: Fibromyalgia (FM) is a complex, chronic condition characterized by widespread musculoskeletal pain, cognitive dysfunction, fatigue, and emotional comorbidities such as anxiety and depression. These symptoms severely impact daily functioning and quality of life. Although non-pharmacological strategies-such as therapeutic exercise and patient education-are recommended as first-line treatments, their implementation outside the clinical setting remains a challenge due to low adherence and lack of continuity. Objective: To evaluate the effectiveness of a digital health intervention-BEI app-as a complement to usual care in improving clinical and functional outcomes among patients with fibromyalgia. Methods: This is a randomized controlled trial (RCT) with two parallel arms (1:1 allocation). A total of 70 adult participants with fibromyalgia (diagnosed per ACR 2016 criteria) will be recruited through a patient association in Madrid, Spain. The control group will receive 12 weeks of standard, in-person treatment consisting of group-based education and physical activity. The experimental group will receive the same in-person program plus daily access to the BEI mobile application, which includes educational modules, physical and cognitive training, symptom tracking, and personalized feedback. Outcomes will be assessed at baseline, week 6 (mid-intervention), week 12 (post-intervention), and week 24 (follow-up). Primary outcomes include pain intensity (VAS) and functional impact (FIQR). Secondary outcomes include catastrophizing, self-efficacy, cognitive function, physical activity, anxiety, depression, quality of life, app engagement, and satisfaction. Expected results: The results of this trial will provide evidence regarding the potential of mHealth tools to enhance adherence, self-efficacy, and functional outcomes in individuals with fibromyalgia.",[93],"Fibromyalgia (FM)","2025-07-24",{"date":96,"type":42},"2025-07-29",{"date":98,"type":21},"2026-01-07",{"date":100,"type":21},"2027-06-30",{"name":48,"class":49},{"id":103,"slug":104,"hasResults":11,"nctId":105,"briefTitle":106,"officialTitle":107,"acronym":108,"eligibilityCriteria":109,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":110,"enrollmentInfo":111,"targetDuration":4,"studyType":22,"phases":113,"briefSummary":114,"conditions":115,"keywords":117,"overallStatus":38,"whyStopped":4,"lastUpdateSubmitDate":119,"lastUpdatePostDateStruct":120,"startDateStruct":122,"completionDateStruct":124,"leadSponsor":126,"locationsCount":4},"100371596","effectiveness-of-action-observation-and-motor-imagery-intervention-plus-exercise-for-chronic-painful-shoulder-in-primary-care-100371596","NCT04118439","Effectiveness of Action Observation and Motor Imagery Intervention Plus Exercise for Chronic Painful Shoulder in Primary Care","Effectiveness of an Exercise Program Combined With Action Observation and Motor Imagery in Patients With Chronic Shoulder Pain in Primary Care. A Controlled Clinical Trial","OPTIMIST","Inclusion Criteria:\n\n1. who have been diagnosed and referred by the family physician to physiotherapy units in primary care by a process of muscular origin in the shoulder region,\n2. who have not received physiotherapy treatment by the same process in the last 6 months.\n\nExclusion Criteria:\n\n1. suffer from systemic diseases such as rheumatoid arthritis, fibromyalgia, diagnosed neurological disease, lupus erythematosus, or cancer.\n2. History of shoulder surgery,\n3. patients with psychiatric pathologies or personality disorders;\n4. patients with severe mobility limitation compatible with the diagnosis of frozen shoulder, 5) patients diagnosed with type II diabetes,\n\n6\\) patients with little knowledge of Spanish language spoken or written and 7) reproduction of symptoms during active movements of the cervical spine or during palpation of the cervical or thoracic region.","75 Years",{"count":112,"type":21},100,[24],"Objective: to evaluate the effectiveness of an action observation program (OA) and motor imagery (MI) -integrated into routine physiotherapy practice- to reduce disability associated with chronic shoulder pain in primary care, after 8 weeks of intervention and with follow-ups at 3 and 6 months with blind evaluation of the response variable. Design: randomized controlled clinical trial. Population: Patients with chronic shoulder pain diagnosed and referred by their family doctors to the physiotherapy service will be included. Intervention: Group: experimental: MI+OA+ multicomponent exercises or control group: multicomponent exercises. 100 patients (50 per group) will be included. Variables: sociodemographic and clinical variables will be collected.\n\nPrimary variable: Disability related to pain in the shoulder region; Secondary variables: Intensity of perceived pain, Shoulder Joint Range of Motion, Hand and shoulder strength, Fear of movement, Catastrophizing in the face of pain, Quality of life of patients, Global Perception of Change, and adherence to exercise. Statistical analysis: Descriptive. Main effectiveness analysis by intention to treat comparing the difference between groups in the average disability for the different intervention times.\n\nMultivariate analysis considers the influence of psychological variables on pain and on the therapeutic response. An analysis segmented by sex will be carried out, and the influence of psychological variables on pain and on the therapeutic response will be analyzed.",[116],"Shoulder Pain",[118,116,27],"Motor Imaginery","2025-03-17",{"date":121,"type":42},"2025-03-20",{"date":123,"type":21},"2025-06",{"date":125,"type":21},"2027-06",{"name":48,"class":49},""]