Enhancing Engagement by Integrating Goals and Concerns That Matter to Patients

Part of paid clinical trials in Concord, New Hampshire.

Sponsor
Dartmouth-Hitchcock Medical Center
Study ID
NCT06898593
Status
Recruiting
Apply to this trial

Conditions

  • Anxiety Disorders
  • Depression Disorders

Eligibility Criteria

Sex
ALL
Age
18 Years - 100 Years
Healthy Volunteers
Not accepted

Interventions

  • Collaborative care model with clinical decision support system — BEHAVIORAL
    A new patient-level clinical decision support system (CDSS) will include enhancing the existing pre-visit questionnaire to capture patient-reported goals and concerns, and displaying pre-visit questionnaire responses and clinical information within a patient-level dashboard in the electronic health record (EHR) for use by clinicians and patients.
  • Collaborative care model — BEHAVIORAL
    Collaborative care model of integrated behavioral health and primary care.

Study Details

The goal of this clinical trial is to learn if adding patients' goals and concerns to measurement-based collaborative care can tailor care and provide a more holistic view of treatment, thereby improving engagement in care among adult patients receiving collaborative care. The main questions it aims to answer are: * Does using a clinical decision support system (which includes an enhanced pre-visit questionnaire and patient-level dashboard) improve patient engagement in the collaborative care model? * Does using a clinical decision support system improve patient and clinician satisfaction with care? Researchers will compare the enhanced collaborative care with traditional collaborative care. Patient participants will complete pre-visit questionnaires before their collaborative care appointments. Responses will be viewed by the clinician and/or patient in a visual dashboard inside the electronic health record.

Key Dates

Start date
Apr 2, 2025
Status verified
Apr 2025
Primary completion
Jul 31, 2027
Completion
Jul 31, 2028

Study Design

Enrollment
2,448 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Clinical Decision Support System
    Collaborative care model, with a clinical decision support system (CDSS) which includes an enhanced pre-visit questionnaire and dashboard to visualize patient-reported information and clinical information.
  • Active Comparator: Collaborative care model (usual care)
    Standard collaborative care model of integrated behavioral health.

Primary Outcome Measure

Engagement [ Time Frame: From enrollment in CoCM to discharge from CoCM, approximately 3-4 months. ]

Central Contacts

Locations (6)

FacilityCityStateZIPSite coordinators
Dartmouth Hitchcock Concord Family MedicineConcordNew Hampshire03301
Matthew Duncan, MD
[email protected]
603-650-4725
Dartmouth Hitchcock Medical CenterLebanonNew Hampshire03756
Matthew Duncan, MD
[email protected]
603-650-4725
Matthew Duncan, MD (SUB_INVESTIGATOR)
Dartmouth-Hitchcock Heater Road Internal MedicineLebanonNew Hampshire03766
Matthew Duncan, MD
[email protected]
603-650-4725
Dartmouth Hitchcock Manchester Family PracticeManchesterNew Hampshire03104
Matthew Duncan, MD
[email protected]
603-650-4725
Dartmouth Hitchcock Nashua Family PracticeNashuaNew Hampshire03063
Matthew Duncan, MD
[email protected]
603-650-4725
Dartmouth Hitchcock Nashua General Internal MedicineNashuaNew Hampshire03063
Matthew Duncan, MD
[email protected]
603-650-4725

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Dartmouth Hitchcock Concord Family Medicine· Concord, NHDartmouth Hitchcock Medical Center· Lebanon, NHDartmouth-Hitchcock Heater Road Internal Medicine· Lebanon, NHDartmouth Hitchcock Manchester Family Practice· Manchester, NHDartmouth Hitchcock Nashua Family Practice· Nashua, NHDartmouth Hitchcock Nashua General Internal Medicine· Nashua, NH

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