The SINCERE Intervention to Address COVID-19 Health Disparities

Part of paid clinical trials in Salt Lake City, Utah.

Sponsor
Andrea Wallace
Study ID
NCT05228886
Status
Recruiting

Conditions

  • COVID-19
  • Social Determinants of Health
  • Vulnerable Populations

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • SINCERE — BEHAVIORAL
    Each goal setting session will involve templated prompts in 211's ServicePoint to guide the creation of a patient-centered "action plan" specifying what, when, how much, and how often patients will engage in a behavior (e.g., "I will work on filling out eligibility paperwork for 30 minutes on Wednesday evening"). Again, following clear prompts, ISs negotiate the "action plan" with patients until patients can rate their level of confidence for achieving this behavior a 7 on a scale from 0 to 10.
  • Scheduled Follow-Up — BEHAVIORAL
    Adding to the standard Call + Resources protocol, those assigned to scheduled follow-up will receive a proactive call from 211 every 2 weeks for 3 months to explore additional service needs. These calls will be unstructured, guided by participant requests and 211 IS prompts.
  • Standard of Care — OTHER
    211 ISs contact referred patients, provide referral services, and follow up in an ad-hoc manner.

Study Details

The goal of this real world efficacy study is to understand the benefit of universal social needs screening, community-based service referrals, and telephonic follow-up as a scalable strategy for preventing COVID-19 transmission, and for addressing the secondary health effects of the social, behavioral, and economic changes following the COVID-19 pandemic. With statewide community service providers, existing health information technology, and piloted methods, we seek to determine the effectiveness of universal social needs screening and community service referrals - the SINCERE intervention - in improving health outcomes of COVID-19 vulnerable and socioeconomically disadvantaged populations and whether intensive follow-up and collaborative goal-setting helps overcome barriers to community service use by patients seen in the emergency department and seeking COVID testing at community-based and mobile clinic locations.

Key Dates

Start date
Sep 27, 2021
Status verified
Sep 2025
Primary completion
Mar 31, 2025
Completion
Mar 31, 2026

Study Design

Enrollment
1,500 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Call + Resources
    Participants receive standard care typically provided to 211 callers, including ad hoc follow-up.
  • Experimental: Call + Resources + Scheduled Follow-Up
    Participants receive standard care typically provided to 211 callers plus scheduled follow-up calls according to the Scheduled Follow-Up intervention description.
  • Experimental: Call + Resources + SINCERE
    Participants receive standard care typically provided to 211 callers plus scheduled follow-up calls according to the SINCERE intervention description (scheduled follow up with active collaborative goal setting).

Primary Outcome Measure

Change in Global Health over 12-week time period [ Time Frame: Baseline, 2-week, 4-week and 12-week surveys ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of UtahSalt Lake CityUtah84112
Andrea Wallace, PhD
801-585-9647
Ernest Grigorian, M.S.
801-585-7194

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