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CDS Tool Access for High Blood Pressure (COHERE Trial)
N/A
Waitlist Available
Led By Rachel Gold, PhD, MPH
Research Sponsored by Kaiser Permanente
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 12 months
Awards & highlights
Summary
This trial tests digital tools that help doctors consider patients' social challenges when planning care. It focuses on patients at community health centers who have been screened for social risks. The goal is to improve health outcomes by adjusting care plans based on these social factors.
Who is the study for?
This trial is for clinics that joined OCHIN by July 1, 2021, have done over 200 social risk screenings in the past year, and provide primary care. Clinics that took part in the pilot study, serve prison populations or are school-based health centers cannot participate.
What is being tested?
The COHERE study is testing a new tool called CDS which shows patient's social risks to healthcare teams so they can adjust treatment plans. The goal is to see if this leads to better control of high blood pressure and type 2 diabetes.
What are the potential side effects?
Since this trial involves a decision support tool rather than medication, there aren't direct physical side effects like with drugs. However, there may be impacts on clinic workflow or data management processes.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 12 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~12 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
diabetes control
hypertension control
Secondary study objectives
SDH z-codes added to problem list and/or visit list
completion of medication adherence documentation
completion of social risk screening
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Intervention ArmExperimental Treatment1 Intervention
Intervention clinics will have the CDS tools turned on in their EHR.
Group II: Control ArmActive Control1 Intervention
Control clinics will not receive an intervention.
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
The most common treatments for Type 2 Diabetes include lifestyle interventions, oral medications, and injectable therapies. Lifestyle interventions, such as diet and exercise, improve insulin sensitivity and glycemic control.
Oral medications like metformin reduce hepatic glucose production and increase insulin sensitivity, while sulfonylureas stimulate insulin secretion from the pancreas. Injectable therapies, including insulin and GLP-1 receptor agonists, help regulate blood glucose levels by enhancing insulin secretion and slowing gastric emptying.
These treatments are crucial for managing Type 2 Diabetes as they address different aspects of the disease's pathophysiology. Clinical Decision Support tools that incorporate social risk information can further tailor these treatments to individual patient needs, potentially improving adherence and outcomes by considering factors like socioeconomic status, access to healthcare, and lifestyle challenges.
Development and Evaluation of a Prediabetes Decision Aid in Primary Care: Examining Patient-Reported Outcomes by Language Preference and Educational Attainment.Behavioural interventions for type 2 diabetes: an evidence-based analysis.
Development and Evaluation of a Prediabetes Decision Aid in Primary Care: Examining Patient-Reported Outcomes by Language Preference and Educational Attainment.Behavioural interventions for type 2 diabetes: an evidence-based analysis.
Find a Location
Who is running the clinical trial?
University of California, San FranciscoOTHER
2,562 Previous Clinical Trials
15,254,735 Total Patients Enrolled
Kaiser PermanenteLead Sponsor
552 Previous Clinical Trials
27,696,076 Total Patients Enrolled
OCHIN, Inc.OTHER
22 Previous Clinical Trials
8,725,075 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- The clinic offers healthcare services to people in prison.
Research Study Groups:
This trial has the following groups:- Group 1: Control Arm
- Group 2: Intervention Arm
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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