Addressing Health Disparities in Normal Pressure Hydrocephalus (NPH) in Maryland

Part of paid clinical trials in Baltimore, Maryland.

Sponsor
Johns Hopkins Bloomberg School of Public Health
Study ID
NCT06426004
Status
Not Yet Recruiting

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Conditions

  • Hakim Syndrome
  • Normal Pressure Hydrocephalus

Eligibility Criteria

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

Interventions

  • patients will receive NPH education — OTHER
    Patients will benefit from the Hydrocephalus Association's (HA) educational strategy for idiopathic normal pressure hydrocephalus (iNPH) emphasizes patient collaboration in the development of educational materials specifically for this condition. HA has a library of assets that include PowerPoint presentations, videos, and online and print educational materials. There will be also in-person outreach resulting recruitment, website (the study website and HA website), webform (with a symptom of gait, dementia, and bladder symptoms), YouTube videos. The investigators will also go to the communities like senior centers, health fair, and churches, then we will give a talk about iNPH. These resources will be carefully adjusted to suit low-income demographics, guided by feedback from Baltimore audiences and HA's iNPH volunteers.
  • primary care physicians (PCPs) will receive professional NPH education — OTHER
    A comprehensive professional development program for PCPs and CHWs, featuring presentations, educational videos, webinars, and tools on iNPH diagnosis, treatment, and care management. Provider Continuing Medical Education (CME) credits will be offered for in-person lectures, aiming to equip PCPs with the skills needed to address iNPH in low-income settings effectively
  • A community health worker will assist PCP — OTHER
    A community health worker will assist PCP to identify barriers and help overcome these barriers in order for patient to access iNPH care.

Study Details

The study aims to estimate Normal Pressure Hydrocephalus (NPH) prevalence and evaluate health equity gaps in Baltimore and Maryland based on zip codes and race, with a focus on the Black community. Interventions will include educational elements about NPH and three layers targeting patients, Primary Care Providers, and community health workers to enhance care access. Short-term outcomes will measure referrals to specialists, while long-term outcomes will assess healthcare utilization. The study aims to identify and reduce racial disparities in NPH care access, informing intervention strategies for NPH and other surgical areas.

Key Dates

Start date
Aug 1, 2027
Status verified
May 2026
Primary completion
Sep 30, 2027
Completion
Mar 30, 2032

Study Design

Enrollment
660 participants (estimated)
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
OTHER

Arms

  • Experimental: Patients and the patient's family
    All patients and the patient's family will receive NPH-related education.
  • Experimental: PCPs Training
    Primary Care Provider (PCP) will receive NPH education.
  • Experimental: CHWs assist PCPs
    A community health worker (CHW) will assist PCP.

Primary Outcome Measure

number of referrals [ Time Frame: 6 months ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
Johns Hopkins UniversityBaltimoreMaryland21205-
Johns Hopkins University and HospitalBaltimoreMaryland21205
Hossein Zare, MS, PhD
[email protected]
410-614-7246
Mark G Luciano, PhD, FACS
[email protected]
Hossein Zare, MS, PhD (PRINCIPAL_INVESTIGATOR)
Mark G Luciano, MD, PhD (PRINCIPAL_INVESTIGATOR)
Sevil Yasar, MD, PhD (PRINCIPAL_INVESTIGATOR)
Darrell Gaskin, MS, PhD (SUB_INVESTIGATOR)
Taiwo Akindahunsi, MD (SUB_INVESTIGATOR)
Michelle Spencer, MS (SUB_INVESTIGATOR)
Jiangxia Wang, MA, MS (SUB_INVESTIGATOR)
Amanda Garzon, MIA (SUB_INVESTIGATOR)
Roger Clark (SUB_INVESTIGATOR)

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