Status:
RECRUITING
Addressing Social Needs to Improve Health in Adults With Multiple Chronic Conditions
Lead Sponsor:
Kaiser Permanente
Conditions:
Multiple Chronic Conditions
Social Needs
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The investigators will conduct a comparative effectiveness randomized clinical trial with two "active comparator" arms. The investigators will evaluate the two current, usual care strategies (higher i...
Detailed Description
The goal of the proposed research is to compare the effectiveness of two strategies for addressing social needs in a large, high-risk population of adults with multiple chronic conditions (MCC). Spec...
Eligibility Criteria
Inclusion
- Two or more chronic medical conditions from a defined list of 24 chronic conditions
- One or more gaps in evidence-based care (related to condition-specific risk factor management, evidence-based screening and preventive care, missed appointments, and medication non-adherence),
- At least one self-reported social-related barrier to care or "social need" (e.g., transportation, food, housing, utilities, and/or financial insecurity).
Exclusion
- major cognitive barriers (dementia, psychosis).
- multiple prior year hospitalizations ("extremely high utilizers")
Key Trial Info
Start Date :
September 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2029
Estimated Enrollment :
800 Patients enrolled
Trial Details
Trial ID
NCT06941519
Start Date
September 1 2025
End Date
December 1 2029
Last Update
December 8 2025
Active Locations (1)
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1
Division of Research
Pleasanton, California, United States, 94588