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Active, Not Recruiting

NCT Number: NCT05989282

Structural Conditions and Health After Release From Prison

People released from prison experience two times higher cardiovascular (CV) mortality than the general population, have a high prevalence of poor CV health and increased risk of CV events within 2 years of release. Access to high quality healthcare following release from prison is key to preventing poor health and CV outcomes. Our study team will investigate facilitators and barriers to health care access experienced by people released from prison.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Cardiovascular Diseases Behavior Health Behavior Health Care Utilization Patient Acceptance of Health Care Treatment Adherence and Compliance

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Kaiser Permanente Institute for Health Research

Aurora, Colorado, 80011, United States

About this study

Upon release from prison, people face numerous challenges including unstable housing, limited employment, stigma, and poor health. Structural conditions in healthcare systems, including policies, practices and attitudes around healthcare access, transition programs, culture, support of social determinants of health, and specialized services for people released from prison, may influence access and health outcomes for people released from prison. We will enroll people released from prison into a prospective cohort study to examine the association between exposure to structural conditions and 12-month primary outcomes of healthcare utilization (clinic visits, emergency visits, hospitalization) and secondary outcomes of CV hospitalization and all-cause mortality. Moderation by participant characteristics such as self-reported race, ethnicity, gender, age and baseline CV health will be tested.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Recenlty released from state prison into the Denver/Aurora Colorado metro area
  • Age 18 and older
  • Ability to understand study procedures in English or Spanish
  • No plans to leave the area for six months

Exclusion criteria

  • On "current inmate" status or still under correctional observation (i.e., under locked confinement part of the day or night)
  • Plans to leave area within six months
  • Unable to consent

Treatment and study plan

Primary outcomes

  1. Healthcare utilization

    Time frame: 12 months

    Clinic visits, emergency visits, hospitalization

Secondary outcomes

  1. Cardiovascular hospitalization

    Time frame: 12 months

    Hospitalization for a cardiovascular condition

  2. Death

    Time frame: 12 months

    All-cause death

Sponsors and collaborators

Lead sponsor

Kaiser Permanente

Other

Collaborators

  • Denver Health and Hospital Authority
  • National Heart, Lung, and Blood Institute (NHLBI)
  • University of Colorado, Denver

Registry information

Official study title

Healthcare Organizational Structural Conditions and the Health of People Recently Released From Prison

Acronym: SCHARP

Important dates

Study start
2023
Primary completion
2027
Study completion
2028
First posted
Aug 14, 2023
Registry last updated
Aug 14, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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