Status:

RECRUITING

Social Needs Screening and Chronic Diseases Study (WE CARE)

Lead Sponsor:

University of Massachusetts, Worcester

Collaborating Sponsors:

National Institute of Nursing Research (NINR)

Boston University

Conditions:

Hyperlipidemias

Diabetes

Eligibility:

All Genders

Phase:

NA

Brief Summary

The goal of this clinical trial is to learn if the implementation of the WE CARE social determinants of health (SDOH) screening and referral intervention with an antiracist lens in primary care settin...

Detailed Description

With a multidisciplinary team of social determinants of health (SDOH), implementation, antiracism, community-engaged, and practice-based researchers, the investigators will apply an antiracism framewo...

Eligibility Criteria

Inclusion

  • Adults and children with diagnosed chronic diseases (hypertension, diabetes mellitus, hyperlipidemia, asthma, or depression) who receive Family Medicine care at one of the study sites.
  • Children (\<18 years of age) with a diagnosis of asthma.
  • Adult patients (18 years or older) with a diagnosis of diabetes mellitus, hypertension, hyperlipidemia and/or depression.

Exclusion

  • In adults (\>18 years of age), those without one or more of the following diagnoses as recorded by ICD-10 codes in their EHR: hypertension, hyperlipidemia, diabetes mellitus, or depression.
  • In children (\<18 years of age), those without a diagnosis of asthma.

Key Trial Info

Start Date :

October 8 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 30 2028

Estimated Enrollment :

68000 Patients enrolled

Trial Details

Trial ID

NCT06903897

Start Date

October 8 2025

End Date

September 30 2028

Last Update

November 7 2025

Active Locations (3)

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Page 1 of 1 (3 locations)

1

(Benedict) UMass Memorial Medical Center - Adult Primary Care

Worcester, Massachusetts, United States, 01605

2

UMass Memorial Medical Center - Hahnemann Campus

Worcester, Massachusetts, United States, 01605

3

Family Health Center of Worcester

Worcester, Massachusetts, United States, 01610