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OpenTrials
Completed

NCT Number: NCT01939704

Community to Clinic Linkage Program at SFGH

It is increasingly clear that the environment in which a child lives, plays, and goes to school has a significant impact on their health. With the implementation of a Community to Clinic Linkage Program (CCLiP) in the SFGH Pediatrics Clinics, we will routinely address Social Determinants of Health when families present. We will randomize patients to receive either the CCLiP intervention or standard of care. We will evaluate programmatic outcome, health care utilization data and return on investment data. We hypothesize that by addressing the environmental and social factors that contribute to health within the setting of the medical home, we will be able to better connect families to community resources, enable more appropriate use of healthcare resources, improve health status, and enhance patient satisfaction.

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Key information

Conditions

Family's Connection to Community Resources and Public Benefits Caregiver Satisfaction and Connectedness to Clinic Child Health Care Status

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

San Francisco General Hospital

San Francisco, California, 94110, United States

About this study

We are proposing a 4-arm, 18 month randomized control clinical trial to address social determinants of health, improve health status and health care satisfaction, and change health care utilization patterns in the Pediatric Urgent Care and Primary Care Clinics at San Francisco General Hospital. We will compare our CCLiP protocol to standard of care in both the Pediatric Primary Care Clinic & Urgent Care. All arms (intervention and control) include a baseline survey including social needs assessment, health care status, health care satisfaction and health care utilization assessment; and two telephone-based follow up surveys at 3 and 6 months. Patients in the intervention arms (whether in urgent care or primary care) will receive a maximum of 3 months of intervention protocol which includes a 30 minute on-site intervention at time of enrollment in addition to twice monthly follow-up phone calls for up to 3 months to help address social needs. Patients in all arms will receive 3 and 6-month follow up surveys.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • English or Spanish Speaking
  • Parent/caregiver accompanying an SFGH Primary Care or Urgent Care Clinic patient 0-17 years old
  • Consenting adult over or equal to 18 years old

Exclusion criteria

  • Non-English or non-Spanish speaking caregiver
  • Caregiver under age 18
  • Caregiver accompanying patient is not familiar with the child's living situation
  • Family participated in study previously
  • Non-San Francisco resident
  • Foster child or child in clinic for a child protective clearance exam

Treatment and study plan

Pediatric Primary Care Intervention

Other

30 minute on-site intervention with biweekly follow up phone calls to address social needs and health care status.

Pediatric Urgent Care Intervention

Other

3 months of intervention protocol, including a 30 minute on-site intervention and twice monthly phone calls to address social needs and health care status.

Primary outcomes

  1. Family's connection to community resources and public benefits

    Time frame: up to 6 months post base-line

    This will be assessed at 3 months and 6 months post-enrollment by phone administered questionnaires.

Secondary outcomes

  1. Child health care utilization

    Time frame: up to 6 months

    This will be assessed at 3 months and 6 months post-enrollment by phone administered questionnaires.

  2. Child health status

    Time frame: up to 6 months

    This will be assessed at 3 months and 6 months post-enrollment by phone administered questionnaires.

Other outcomes

  1. Caregiver satisfaction with care/connectedness to clinical setting

    Time frame: up to 6 months

    This will be assessed at 3 months and 6 months post-enrollment by phone administered questionnaires.

Sponsors and collaborators

Lead sponsor

University of California, San Francisco

Other

Registry information

Acronym: CCLiP@SFGH

Important dates

Study start
2013
Primary completion
2015
Study completion
2019
First posted
Sep 11, 2013
Registry last updated
Dec 18, 2019

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.