[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"utilization-health-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:utilization-health-care":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,46,73,104,144],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":31,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100523487","education-and-employment-support-for-hiv-prevention-in-young-adults-enspire-100523487",false,"NCT06096324","Education and Employment Support for HIV Prevention in Young Adults (ENSPIRE)","ENSPIRE","Inclusion criteria are:\n\n* Aged 18-24\n* Economically-vulnerable in past 12 months\n* Sexually active in past 12 months\n* Living in Baltimore\n* Has access to mobile phone with text messaging\n\nExclusion criteria are:\n\n* Aged 17 or younger\n* Older than 24 years\n* Unwilling to provide consent for study participation",true,"ALL","18 Years","24 Years",{"count":21,"type":22},500,"ESTIMATED","INTERVENTIONAL",[25],"NA","The study team will conduct a two-group study to examine the efficacy of implementing a combination intervention to improve economic stability and HIV preventive behaviors. The team will enroll approximately 500 young adults. Participants will be randomly assigned to one of two groups. The first group (\"control\") will receive text messages with information on job openings. The second group (\"intervention\") will receive text messages with information on job openings plus HIV prevention text messages, educational sessions on employment, income generation, and HIV prevention, economic resources, and mentoring.",[28,29,30],"Economic Hardship","Condomless Sex","Utilization, Health Care",[32],"HIV","RECRUITING","2026-03-03",{"date":36,"type":37},"2026-03-04","ACTUAL",{"date":39,"type":37},"2023-09-19",{"date":41,"type":22},"2028-03-31",{"name":43,"class":44},"University of North Carolina, Chapel Hill","OTHER",1,{"id":47,"slug":48,"hasResults":11,"nctId":49,"briefTitle":50,"officialTitle":51,"acronym":4,"eligibilityCriteria":52,"healthyVolunteers":16,"sex":17,"minAge":53,"maxAge":54,"enrollmentInfo":55,"targetDuration":4,"studyType":23,"phases":57,"briefSummary":58,"conditions":59,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":64,"lastUpdatePostDateStruct":65,"startDateStruct":67,"completionDateStruct":69,"leadSponsor":71,"locationsCount":45},"100609935","a-food-as-medicine-approach-to-address-food-insecurity-in-rural-north-carolina-100609935","NCT07221045","A Food As Medicine Approach to Address Food Insecurity in Rural North Carolina","PhytoRx Families: A Pilot Test Study to Address Food Security and Fruit and Vegetable Intake in Rural North Carolina","Inclusion Criteria:\n\n* Fluent in English or Spanish (speaking, reading, writing)\n* An adult (18 years of age or older) who's a parent or caregiver of a child ages 8 to 14 years old or a child ages 8 to 14 years old\n* Served at participating clinic in a county where the program is being implemented (Goldsboro Pediatrics, Bertie County Rural Health Association, and Roanoke Chowan Community Health in Bertie, Halifax, Lenoir, Northampton, or Wayne Counties)\n* Living in a county where the program is being implemented (Bertie, Halifax, Lenoir, Northampton, or Wayne Counties)\n* Free living to the extent they are able to receive and use a box of fresh produce and participate in direct nutrition education classes\n* Willing and able to provide written consent and participate in all study activities.\n\nExclusion Criteria:\n\n* Adults not at risk of food insecurity\n* Adults, who are not parents nor caregivers of a child 8 to 14 years\n* Adults who do not want to or could not fully participate (e.g., an adult family member with advanced kidney disease with severe dietary restrictions).","8 Years","64 Years",{"count":56,"type":22},30,[25],"Increasing fruit and vegetable (FV) intake, and reducing saturated fat, salt, and added sugar are central lifestyle recommendations in the Dietary Guidelines for Americans to prevent chronic disease. Yet, while diet is modifiable, numerous barriers exist for lower-resourced families to engage in healthy dietary behaviors. In particular, rural families face structural and systemic disparities, such as inadequate access to affordable healthy food. Thus, this project. Thus, this study, PhytoRx Families, an innovative produce prescription (Prx) program, addresses health disparities in rural North Carolina (NC). This project will pilot test and explore the impact of PhytoRx Families (PhtyoRxF) on nutrition-related, health-related, and healthcare utilization outcomes.",[60,61,62,63,30],"Diet, Healthy","Health Behavior","Blood Pressure","Diabetes Mellitus Risk","2025-10-23",{"date":66,"type":37},"2025-10-27",{"date":68,"type":37},"2025-04-18",{"date":70,"type":22},"2026-05-31",{"name":72,"class":44},"North Carolina State University",{"id":74,"slug":75,"hasResults":11,"nctId":76,"briefTitle":77,"officialTitle":77,"acronym":4,"eligibilityCriteria":78,"healthyVolunteers":11,"sex":17,"minAge":79,"maxAge":80,"enrollmentInfo":81,"targetDuration":4,"studyType":23,"phases":82,"briefSummary":83,"conditions":84,"keywords":89,"overallStatus":93,"whyStopped":4,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":97,"completionDateStruct":99,"leadSponsor":101,"locationsCount":103},"100592415","a-multi-site-hybrid-type-i-effectiveness-implementation-randomized-trial-of-an-emergency-care-action-plan-for-infants-with-medical-complexity-100592415","NCT06993129","A Multi-Site Hybrid Type I Effectiveness-Implementation Randomized Trial of an Emergency Care Action Plan for Infants With Medical Complexity","Inclusion Criteria:\n\n* Age 0 to 6 months\n* Admitted to the University of Vermont Medical Center, Cincinnati Children's Hospital, Children's Hospital of Philadelphia, or Colorado Children's Hospital Neonatal Intensive Care Unit (NICU),\n* Meets or is expected to meet Children with Medical Complexity status as determined by the treating NICU clinician and defined as \"children with multiple significant chronic health problems including multiple organ systems, which result in functional limitations, high health care needs or utilization, and often require need for, or use of, medical technology.\"\n* Has three or more documented complex chronic conditions (CCCs)\n\nExclusion Criteria:\n\n* Does not have a caregiver participant who agrees to their participation in the study to complete follow-up surveys\n* Does not intend to use the hospital or affiliated sites of which they were recruited from for care during the one-year trial period","0 Months","6 Months",{"count":21,"type":22},[25],"Infants with medical complexity (IMC) are a challenging population with more emergency department visits, inpatient stays, and higher healthcare costs than other children. IMC also experience lower quality emergency health care. The PI and team propose to adapt and put into place an emergency care action plan (ECAP) for IMC across four US hospitals, working directly with medical providers and families in each setting. After the tool is made available to providers and families, the PI and team will measure if the ECAP tool helps decrease the number of hospitalizations (primary research outcome) for IMC, as well as if the ECAP is feasible, acceptable, and useable for those using the ECAP over a one-year period.",[85,86,87,30,88],"Chronic Disease Management","Infants Health","Emergency","Caregiver Stress",[90,91,92],"Children with Medical Complexity","Hybrid Implementation Trial","Health Service Utilization","NOT_YET_RECRUITING","2025-06-03",{"date":96,"type":37},"2025-06-06",{"date":98,"type":22},"2026-04-01",{"date":100,"type":22},"2031-06-01",{"name":102,"class":44},"University of Vermont",4,{"id":105,"slug":106,"hasResults":11,"nctId":107,"briefTitle":108,"officialTitle":109,"acronym":4,"eligibilityCriteria":110,"healthyVolunteers":11,"sex":17,"minAge":111,"maxAge":112,"enrollmentInfo":113,"targetDuration":4,"studyType":23,"phases":115,"briefSummary":116,"conditions":117,"keywords":127,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":135,"lastUpdatePostDateStruct":136,"startDateStruct":138,"completionDateStruct":140,"leadSponsor":142,"locationsCount":45},"100517579","intervention-to-enhance-coping-and-help-seeking-among-youth-in-foster-care-100517579","NCT06019377","Intervention to Enhance Coping and Help-seeking Among Youth in Foster Care","Pilot Testing an Intervention to Enhance Coping and Increase Mental Health Help-seeking Among Transition-age Youth in Foster Care","Inclusion Criteria:\n\n* Eligible to receive federally-funded transition-related services in Oregon (ages 16-20 and in foster care at least 90 days after they turned age 14),\n* Indicated behavioral health risk. Behavioral health risk is indicated by child welfare administrative indicators of lifetime behavioral health need or service involvement (DSM diagnoses, psychotropic medication, emotional-behavioral disability, congregate care\u002Fresidential placement)\n\nExclusion Criteria:\n\n* Inability to actively participate in the intervention, including you who are: non-English speaking, significantly developmentally disabled, or where participation is otherwise contraindicated (e.g., youth is in crisis, youth is in a placement that will not allow for participation)","16 Years","20 Years",{"count":114,"type":22},106,[25],"This study will deploy a scalable secondary prevention program that leverages existing foster youth transition services to improve mental health functioning and service use before and after exiting foster care. Our short-term objective is to remotely test a group intervention called Stronger Youth Networks and Coping (SYNC) that targets cognitive schemas influencing stress responses, including mental health help-seeking and service engagement, among foster youth with behavioral health risk. SYNC aims to increase youth capacity to appraise stress and regulate emotional responses, to flexibly select adaptive coping strategies, and to promote informal and formal help-seeking as an effective coping strategy. The proposed aims will establish whether the 10-module program engages the targeted proximal mechanisms with a signal of efficacy on clinically-relevant outcomes, and whether a fully-powered randomized control trial (RCT) of SYNC is feasible in the intended service context. Our first aim is to refine our SYNC curriculum and training materials, prior to testing SYNC in a remote single-arm trial with two cohorts of 8-10 Oregon foster youth aged 16-20 (N=26). Our second aim is to conduct a remote two-arm individually-randomized group treatment trial with Oregon foster youth aged 16-20 with indicated behavioral health risk (N=80) to examine: (a) intervention group change on proximal mechanisms of coping self-efficacy and help-seeking attitudes, compared to services-as-usual at post-intervention and 6-month follow-up: and (b) association between the mechanisms and targeted outcomes, including emotional regulation, coping behaviors, mental health service use, and symptoms of depression, anxiety, and PTSD. Our third aim is to refine and standardize the intervention and research protocol for an effectiveness trial, including confirming transferability with national stakeholders.",[118,119,120,121,30,122,123,124,125,126],"Adolescent Behavior","Psychosocial Functioning","Coping Behavior","Help-Seeking Behavior","Depression","Anxiety","Stress Disorders, Post-Traumatic","Emotion Regulation","Child Welfare",[128,129,130,131,132,133,134],"Mental health","Help-seeking","Coping","Youth","Foster care","Near-peer","Independent living","2025-02-25",{"date":137,"type":37},"2025-02-28",{"date":139,"type":37},"2024-04-22",{"date":141,"type":22},"2026-08-01",{"name":143,"class":44},"Portland State University",{"id":145,"slug":146,"hasResults":11,"nctId":147,"briefTitle":148,"officialTitle":149,"acronym":150,"eligibilityCriteria":151,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":152,"targetDuration":4,"studyType":23,"phases":154,"briefSummary":155,"conditions":156,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":162,"lastUpdatePostDateStruct":163,"startDateStruct":165,"completionDateStruct":167,"leadSponsor":169,"locationsCount":45},"100550226","integrated-health-care-for-patients-with-frailty-and-heart-failure-100550226","NCT06444321","INTEgRated Health CARE for Patients With Frailty and Heart Failure","INTEgRated Health CARE for Patients With Frailty and Heart Failure (INTERCARE-HF): Evaluation of an Innovation Project","INTERCARE-HF","Inclusion Criteria:\n\n* Age \\>18 years old\n* Admitted to hospital with heart failure with symptoms of decompensation including dyspnoea in NYHA class ≥ II, pulmonary congestion on chest x-ray and\u002For other signs like oedema or positive rales on auscultation and elevated NT-proBNP concentrations at screening\n* Clinical Frailty Score ≥5\n* Signed informed consent by patient and closest relatives\\* and expected cooperation according to the protocol, ICH\u002FGCP and national\u002Flocal regulations\n\n  * Although we preferably will recruit both patients and their relatives, participation from the next-of-kin will not be an exclusion criterium.\n\nExclusion Criteria:\n\n* Inability to comply with all study requirements, due to major co-morbidities or psychosocial issues, or a history of noncompliance, that might compromise the patient's ability to understand and\u002For comply with the protocol instructions or follow-up procedures.\n* Not being able to understand Norwegian.\n* Permanent nursing home and estimated to stay alive for less than 6 months",{"count":153,"type":22},60,[25],"Frailty, an aging-related syndrome of physiological decline characterized by marked vulnerability to adverse health outcomes, has attracted increasing attention in cardiology due to the growing elderly population with heart failure. Frail patients are mainly excluded from large cardiovascular intervention studies, and clinical trials addressing frailty and showing an impact on treatment on symptom burden, quality of life and \u002For outcome has been requested in recent guidelines and consensus documents. The INTEgrRated health CARE for patients with severe frailty and Heart Failure (INTERCARE-HF) is a proof-of-concept study that aims to evaluate the effect of integrated healthcare services for heart failure patients with a severe level of frailty by establishing interdisciplinary and coordinated follow-up teams across the healthcare boundaries. These teams will assess the patient's needs, goals, and risk areas, conduct advance care planning, and develop individualized treatment and follow-up plans. An open-label, non-randomized intervention study aims to recruit 20 patients and heart failure and a clinical Frailty Score (CSF) \\>=5. A control-group (N=40) matched on age an clinical frailty scale score will be included. The overall hypothesis is that the intervention is feasible in routine clinical practice with favorable effects on quality of life, symptoms, caregiver distress, and healthcare service utilization.",[157,158,159,160,30,161],"Heart Failure","Frailty","Frail Elderly Syndrome","Symptom, Behavioral","Quality of Life","2024-06-12",{"date":164,"type":37},"2024-06-13",{"date":166,"type":37},"2024-06-06",{"date":168,"type":22},"2028-12-20",{"name":170,"class":44},"Vestre Viken Hospital Trust"]