Actively Recruiting
Addressing Durable Health Disparities Through Critical Time Legal Interventions in Medically Underserved Latinx and Migrant Communities
Led by Stony Brook University · Updated on 2025-02-12
1140
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
Sponsors
S
Stony Brook University
Lead Sponsor
U
University of Central Florida
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of providing legal services within primary care settings to medically underserved Latinx and migrant communities. This study aims to test the effectiveness and cost benefits of a Critical-Time Intervention Medical-Legal Partnership (CTI-MLP) on patient health outcomes, identify best delivery methods for CTI-MLP, and develop community engagement strategies to address health-harming legal needs in federally qualified health centers (FQHCs). The trial uses a cluster randomized design involving six FQHCs across Pennsylvania, New York, and Puerto Rico. Three centers will implement the CTI-MLP approach, offering patients screening for legal needs, direct legal representation, and support. The other three centers will provide basic legal information and referrals. Patients in both groups will consent to tracking of their legal case management and health outcomes during the study. Participants will complete questionnaires at enrollment and again at 3, 6, and 12 months, providing information about their health, daily life, and hardships. Researchers will also access de-identified electronic health records and attorney notes. The main outcome measured is the PROMIS Global Health-10 score at baseline and follow-ups. The study will also collect data on social and clinical outcomes, staff communication, and implementation readiness over the 12-month period.
CONDITIONS
Brief Title
Addressing Durable Health Disparities Through Critical Time Legal Interventions in Medically Underserved Latinx and Migrant Communities
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients aged 13 years or older
- Patients impacted by acute health-harming legal needs or risks confirmed by screening
- Willing and able to consent to participate, including allowing access to electronic health records
- Do not plan to relocate within 12 months after enrollment
You will not qualify if you...
- Patients not meeting the inclusion criteria
- Individuals who self-report being sentenced to serve under state or federal custody starting within 12 months of enrollment
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote) to assess health-harming legal needs and eligibility
Duration - Up to 12 months
Participants at intervention health centers meet with a lawyer to review legal risks and receive direct legal representation to address health-harming legal needs. Participants at control centers receive basic legal information and referrals.
Periodic visits or contacts as needed for legal consultation and case management over 12 months
Duration - 12 months
Participants’ health and legal outcomes are tracked over 12 months to assess the impact of legal services on health and functioning.
4 follow-up assessments at baseline, 3 months, 6 months, and 12 months
Trial Site Locations
Total: 1 location
1
Betances Health Center
New York, New York, United States, 10002
Actively Recruiting
Research Team
M
Miguel A Munoz-Laboy, DrPH
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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