[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"orthopedic-disorders\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:orthopedic-disorders":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,52],{"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":4,"briefSummary":23,"conditions":24,"keywords":29,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":40,"lastUpdatePostDateStruct":41,"startDateStruct":44,"completionDateStruct":46,"leadSponsor":48,"locationsCount":51},"100615956","a-model-for-continuous-care-of-fragile-patients-100615956",false,"NCT07299344","A Model for Continuous Care of Fragile Patients","Un Modello di Presa in Carico Continua Del Paziente Fragile","AFTER","Inclusion criteria:\n\n* Adult medically fragile patients with one of the following neurological conditions: mild-to-moderate stroke (Rankin ≤ 3), Multiple Sclerosis (EDSS ≤ 6.5), Parkinson's disease or parkinsonisms, neuromuscular diseases; or orthopedic conditions: femur, pelvis, or humerus fracture.\n* Able to walk independently, with or without assistive devices.\n* Adequate cognitive function (MMSE ≥ 24).\n* Patient or caregiver owns and can use a mobile device with internet\u002Fdata connection.\n* Presence of a cognitively capable, cooperative caregiver willing to participate in the study.\n\nExclusion criteria:\n\n* Patients with severe neurological or orthopedic conditions who cannot walk independently, even with assistive devices.\n* Patients with moderate or severe cognitive impairment (MMSE \\\u003C 24).\n* Patients with Barthel Index \\> 60.\n* Patients or caregivers unable to use a mobile device or without internet\u002Fdata connection.\n* Patients without a cooperative, cognitively capable caregiver.","ALL","18 Years",{"count":20,"type":21},100,"ESTIMATED","OBSERVATIONAL","This observational study aims to monitor functional status and identify potential declines in the functioning of medically fragile patients with neurological and\u002For orthopedic conditions, representing an added value for ensuring appropriate patient management. This approach improves system efficiency and supports a proactive strategy that promotes the appropriate use of resources.",[25,26,27,28],"Neurological Disorders","Orthopedic Disorders","Functional Decline","Fragile and More Vulnerable",[30,27,31,25,32,33,34,35,36,37,38],"Functional Monitoring","Medically Fragile Patients","Orthopedic Conditions","Rehabilitation","Proactive Care Model","Continuous Patient Management","Rehabilitation Setting","Early Detection of Functional Changes","telemedicine","NOT_YET_RECRUITING","2025-12-09",{"date":42,"type":43},"2025-12-23","ACTUAL",{"date":45,"type":21},"2025-12",{"date":47,"type":21},"2028-06",{"name":49,"class":50},"Azienda Sanitaria Locale CN2 Alba-Bra","OTHER",1,{"id":53,"slug":54,"hasResults":11,"nctId":55,"briefTitle":56,"officialTitle":57,"acronym":4,"eligibilityCriteria":58,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":59,"targetDuration":4,"studyType":61,"phases":62,"briefSummary":64,"conditions":65,"keywords":66,"overallStatus":76,"whyStopped":4,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":80,"completionDateStruct":82,"leadSponsor":84,"locationsCount":51},"100396397","right-size-clinic-visits-using-memora-platform-for-promis-100396397","NCT04441567","Right-Size Clinic Visits Using Memora Platform for PROMIS","Patient Reported Outcomes Measures Pilot Grant for Orthopedic Patients","Inclusion Criteria:\n\n* Subjects that are classified by the Current Procedural Terminology\u002FInternational Classification of Diseases (CPT\u002FICD)-10 Diagnosis Codes, having sustained the injury within 3 weeks of enrollment for non-operative treatment or will undergo surgery during the enrollment period:\n* Ankle Fracture\n* Distal Radius Fracture\n* Tibial Plateau Open reduction internal fixation (ORIF)\n* Spine Operative\n\n  * Anterior cervical discectomy with fusion (ACDF)\n  * Cervical Laminectomy\n  * Lumbar Fusion\n  * Lumbar Decompression\n* Spine Non-operative\n\n  * Lumbar Stenosis\n  * Lumbar Degenerative Disc Disease\n* Rotator Cuff Repair\n* Anterior cruciate ligament (ACL) Reconstruction\n* Have personal use of cellular phone with access to the internet\n* Speak either English or English as a primary language:\n\nExclusion Criteria:\n\n* Limited and non-readers\n* Vulnerable populations - incarcerated patients\n* Patients with no cell phone to use for scoring",{"count":60,"type":21},3000,"INTERVENTIONAL",[63],"NA","Developing novel methods of patient communication is crucial in providing value-based care to orthopedic patients. Healthcare technology platforms have been developed to improve patient communication methods particularly for the administration of patient-reported outcome measures (PROMs). However, the majority of these interventions rely on web-based platforms that require patients to have computer access. Among American households earning less than $30,000 per year, only 59% have access to a desktop or laptop and just 47% have broadband internet at home compared to mobile phone penetration which is estimated at 95% of which 93% regularly use text messages. The use of phone messaging may be the most effective means to have patients complete PROMs.\n\nThe Patient-Reported Outcomes Measurement Information System (PROMIS) is an NIH-funded, clinically validated method of tracking patient-reported outcomes to efficiently assess patient health status. PROMIS utilizes Item Response Theory (IRT) and computerized adaptive testing (CAT) to improve measurement precision and decrease survey time as compared to traditional PROMs.\n\nThe purpose of this two-phase study is to utilize Memora Health's text-messaging platform to collect web-based PROMIS CAT surveys from patients (Phase 1) and use this information to right-size clinic visits (Phase 2).",[26],[67,68,69,70,71,72,73,74,75],"PROM","PROMIS","Memora Health Text messaging platform","SMS (Short Message Service)","Orthopedic conditions","Recovery curves","Right-size clinic visits","CAT","SMS","RECRUITING","2025-10-09",{"date":79,"type":43},"2025-10-14",{"date":81,"type":43},"2021-05-10",{"date":83,"type":21},"2026-09",{"name":85,"class":50},"Boston Medical Center"]