At-risk and vulNerable Individuals To Infection With COVID-19 and ProActive inTervention With intEgrated Health and Social Care

NCT ID: NCT05197608

Last Updated: 2023-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-25

Study Completion Date

2024-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This randomized control trial aims to explore a data-driven, proactive approach to identifying patients at greatest risk during the pandemic, and assess the impact of an embedded System Navigator in a primary health care setting. The System Navigator works one-on-one with patients to identify and provide support to their biological, psychological and social needs (e.g. income, housing, food security). Investigators are doing this study to find out whether proactive identification of vulnerable patients and linking to a System Navigator leads to reduction in emotional distress associated with managing complex health conditions and unmet social needs during COVID-19, compared to usual care.

Investigators will involve approximately 180 patients from primary care clinics that are a part of the University of Toronto Practice-Based Research Network (UTOPIAN). The information from this study will be used to help us understand how proactive engagement within a primary health setting can help to improve the health of patients during COVID-19, and beyond.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Emotional Distress Quality of Life Mental Health

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Social Determinants of Health COVID-19 primary health care proactive care

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomized into "intervention" or "control" group.

The intervention group will be connected to a system navigator who is a trained staff member embedded within the primary health clinic team with a focus to address participant's biological, psychological and social needs. Control group will be provided a tailored list of community resources.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Intervention - System Navigator

The intervention group will be connected to a system navigator who is a trained staff member embedded within the primary health clinic team with a focus to address participant's biological, psychological and social needs.

Working with the System Navigator will mean:

* Discussing patients' current health status and concerns
* Receiving support on management of chronic diseases and mental health including connection to local resources e.g. counseling, harm reduction, crisis support services
* Receiving information about benefits that they may be entitled to and learning about free services
* Receiving help from the System Navigator on forms or letters that are required to access resources

Group Type EXPERIMENTAL

System Navigator

Intervention Type OTHER

Participants will be connected to a System Navigator, who is a trained staff embedded within their primary health clinic to support and help navigate biological, psychological and social needs in proactively identified vulnerable patients.

Tailored list of community resources

Control group will be provided a tailored list of community resources.

Group Type ACTIVE_COMPARATOR

Tailored list of resources

Intervention Type OTHER

Control group will be provided a tailored list of resources

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

System Navigator

Participants will be connected to a System Navigator, who is a trained staff embedded within their primary health clinic to support and help navigate biological, psychological and social needs in proactively identified vulnerable patients.

Intervention Type OTHER

Tailored list of resources

Control group will be provided a tailored list of resources

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* At-risk and vulnerable patients of primary care organizations who are 60+ AND have one or more of:

1. chronic condition (diabetes, CHF, CAD, COPD or asthma)
2. serious mental illness (schizophrenia or bipolar disorder)
3. anticipated to live in poverty and/or be homeless/underhoused

Exclusion Criteria

* patients unable to provide informed consent
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Ontario Ministry of Health and Long Term Care

OTHER_GOV

Sponsor Role collaborator

Ontario Medical Association

OTHER

Sponsor Role collaborator

Platinum Medical Clinic

UNKNOWN

Sponsor Role collaborator

Markham Family Health Team

UNKNOWN

Sponsor Role collaborator

Barrie and Community Family Health Team

UNKNOWN

Sponsor Role collaborator

University of Toronto Practice Based Research Network

OTHER

Sponsor Role collaborator

Unity Health Toronto

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

St. Michael's Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Canada

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Andrew D Pinto, MD, MSc

Role: CONTACT

Phone: 416-864-6060

Email: [email protected]

Rose Wang, MPH

Role: CONTACT

Phone: 416-864-6060

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Andrew D Pinto, MD MSc

Role: primary

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

SMH 20-140

Identifier Type: -

Identifier Source: org_study_id