[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"complex-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:complex-care":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,59],{"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":33,"overallStatus":46,"whyStopped":4,"lastUpdateSubmitDate":47,"lastUpdatePostDateStruct":48,"startDateStruct":51,"completionDateStruct":53,"leadSponsor":55,"locationsCount":58},"100639920","comprehensive-enhanced-care-management-under-calaim-for-high-risk-medi-cal-members-100639920",false,"NCT07587073","Comprehensive Enhanced Care Management Under CalAIM for High-Risk Medi-Cal Members","A Pragmatic Cluster-Randomized Evaluation of Enhanced Care Management With Community Supports, Transitional Care, and Residential Care Coordination for High-Risk Medi-Cal Members Under CalAIM in California","COMPASS-CalAIM","Inclusion Criteria:\n\n* Adult Medi-Cal managed care member in California.\n* Identified as high-risk for poor outcomes based on plan stratification or qualifying CalAIM criteria.\n* Eligible for ECM and at least one of the following: Transitional Care Services, Community Supports related to post-acute recovery, housing\u002Fresidential stabilization, or nursing facility transition\u002Fdiversion.\n* Recent discharge or active transition from hospital, emergency department, skilled nursing facility, post-acute facility, recuperative care, assisted living, residential behavioral health setting, or other qualifying level-of-care transition.\n* Able to provide informed consent, or eligible for waiver\u002Falteration of consent if approved for cluster-level pragmatic implementation research.\n\nExclusion Criteria:\n\n* Enrollment in hospice or expected survival less than 6 months at the time of the index episode.\n* Long-term custodial institutional placement without an anticipated community transition plan.\n* Current incarceration or detention is preventing intervention delivery.\n* Previous enrollment in this study during the same observation window.\n* Any condition that, in the investigator's judgment, makes participation infeasible or data interpretation unreliable.","ALL","18 Years",{"count":20,"type":21},1200,"ESTIMATED","INTERVENTIONAL",[24],"NA","This pragmatic, cluster-randomized trial will evaluate whether a comprehensive CalAIM-aligned care model consisting of Enhanced Care Management, selected Community Supports, Transitional Care Services, and residential care coordination improves population health outcomes among high-risk Medi-Cal managed care members in California compared with usual CalAIM service delivery. The intervention is intended to improve continuity of care after discharge, reduce potentially avoidable utilization, increase successful linkage to outpatient and social supports, and improve community tenure and patient-reported outcomes.",[27,28,29,30,31,32],"Complex Care","Post-Acute Care Utilization","Housing Instability","Residential Care Transition","Population Health Management","Care Transitions",[34,35,36,37,38,39,40,41,42,43,44,45],"CalAIM","Enhanced Care Management","Community Supports","Transitional Care Services","Residential Care","Recuperative Care","Short-Term Post-Hospitalization Housing","Nursing Facility Transition","Medi-Cal","Population Health","Care Coordination","California","NOT_YET_RECRUITING","2026-05-08",{"date":49,"type":50},"2026-05-14","ACTUAL",{"date":52,"type":21},"2026-10-01",{"date":54,"type":21},"2028-12-31",{"name":56,"class":57},"StratiHealth","INDUSTRY",1,{"id":60,"slug":61,"hasResults":11,"nctId":62,"briefTitle":63,"officialTitle":64,"acronym":65,"eligibilityCriteria":66,"healthyVolunteers":11,"sex":17,"minAge":67,"maxAge":4,"enrollmentInfo":68,"targetDuration":4,"studyType":70,"phases":4,"briefSummary":71,"conditions":72,"keywords":77,"overallStatus":46,"whyStopped":4,"lastUpdateSubmitDate":83,"lastUpdatePostDateStruct":84,"startDateStruct":86,"completionDateStruct":88,"leadSponsor":90,"locationsCount":93},"100600818","complexity-in-health-education-and-social-support-for-children-and-young-people-with-life-limiting-conditions-100600818","NCT07102433","Complexity in Health, Education, and Social Support for Children and Young People With Life-limiting Conditions.","CHESS - Complexity and Outcomes in Health, Education, and Social Support Among Children and Young People With Life-limiting Conditions: Establishing a Multisectoral Collaboration and Conceptual Framework to Advance Evidence and Practice.","CHESS","Stage 1 - Interviews\n\nInclusion Criteria:\n\n* Children (5-17 years) with any life-limiting condition defined using the UK Together for Short Lives widely adopted 4 categories of life-limiting\u002Flife-threatening conditions among children.\n* Parents\u002Fcarers of children (0-17 years old) with a life-limiting conditions.\n* Bereaved parents of a child who had a life-limiting condition (at least 3 months since bereavement).\n* Healthcare professionals (medicine, nursing, allied health professionals), social care providers, education teaching and therapy staff with \\> 6 months experience of caring for children with life-limiting conditions.\n\nExclusion Criteria:\n\n* Children unable to communicate via an interview, using 'draw and talk' or play methods, Talking MatsTM, or via their parents.\n* Children that speak languages not supported by NHS translation services.\n* Any child or young person for whom the PI believes participation in the study may induce undue psychological distress.\n* Parents\u002Fcarers are unable to provide consent\u002Fassent to participate in interviews.\n* Parents\u002Fcarers that speak languages not supported by NHS translation services.\n* Parents who are recently bereaved (\\\u003C3 months).\n* Any parent\u002Fcarer for whom the PI believes participation in the study may induce undue psychological distress (e.g. parents of children who may be receiving end-of-life care).\n* Professionals with \\\u003C6 months experience of caring for children with life-limiting conditions.\n\nStage 2 - Workshops\n\nInclusion criteria:\n\n* Parents or carers of children with a life-limiting condition (0-17 years old).\n* Bereaved parents of a child who had a life-limiting condition (at least 3 months since bereavement).\n* Researchers working with or in the field of complexity in children with life-limiting conditions.\n* Professionals across child health, social care, and education with experience of working with children with life-limiting conditions for \\>6 months.\n\nExclusion criteria:\n\n* Professionals across child health, social care, and education with \\\u003C6 months of experience working with children with life-limiting conditions.\n* Parents, carers, or professionals that are unable to provide consent or assent.\n* Children with life-limiting\u002Flife-threatening conditions will not be included in the workshops\n* Parents who are recently bereaved (\\\u003C3 months) of a child who had a life-limiting condition.","5 Years",{"count":69,"type":21},170,"OBSERVATIONAL","Children and young people (CYP) with life-limiting conditions represent a growing population with complex care needs that span health, education, and social care systems. These children often have multiple diagnoses, rely on medical technologies, and experience prolonged trajectories of illness. Despite this, care remains fragmented, services are poorly integrated, and definitions of \"complexity\" are variable, inconsistent, and inadequately reflect the lived experience of families and the perspectives of professionals.\n\nThe CHESS (Complexity in Health, Education, and Social Support) study aims to develop a shared, evidence-informed understanding of \"complexity\" in the context of CYP with life-limiting conditions. The study will be delivered by a multi-disciplinary, multisectoral research team and is funded by a National Institute for Health and Care Research (NIHR) Programme Development Grant. This research will provide the foundational work to inform the design and implementation of a future NIHR Programme Grant focused on the development and testing of a child-centred, nationally applicable case mix classification system to support integrated multisector care and resource allocation.\n\nThis qualitative study involves two stages. Stage 1 consists of semi-structured interviews with (i) CYP aged 5-17 years with a life-limiting condition, (ii) parents\u002Fcarers (including bereaved parents and parents of children aged under 5 years), and (iii) professionals across healthcare, social care, and education sectors. These interviews aim to elicit stakeholder understandings of \"complexity,\" how it is experienced and enacted in care, and the implications for service access, coordination, and outcomes.\n\nStage 2 comprises a series of stakeholder workshops to review, refine, and synthesise findings from Stage 1 and a parallel realist review. Using consensus methods including the Nominal Group Technique, the workshops will co-develop a cross-sectoral conceptual definition of \"complexity\" and produce a logic model to guide integrated care delivery for this population.\n\nThe CHESS study seeks to address a critical evidence gap in how complexity is understood, measured, and supported across systems. By incorporating the voices of children, families, and professionals across sectors, this study will generate new conceptual clarity, build a foundation for improved outcomes, and contribute directly to the national agenda on equity, quality, and integration in paediatric palliative and complex care.",[27,73,74,75,76],"Medical Complexity","Pediatrics","Life-limiting Illness","Life-threatening Illness",[78,79,80,81,82],"Medical complexity","Pediatric palliative care","Life-limiting conditions","Life-threatening conditions","Children and young people","2025-11-13",{"date":85,"type":50},"2025-11-14",{"date":87,"type":21},"2025-12-01",{"date":89,"type":21},"2026-07-31",{"name":91,"class":92},"King's College London","OTHER",5]