Actively Recruiting

Phase Not Applicable
All Genders
ID06262113

A Decentralized Clinical Trial to Promote Evidence-Based Care for Underserved Patients With Neurofibromatosis 1

Led by Massachusetts General Hospital · Updated on 2025-10-03

294

Participants Needed

1

Research Sites

8 weeks

Total Duration

On this page

Sponsors

M

Massachusetts General Hospital

Lead Sponsor

P

Patient-Centered Outcomes Research Institute

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating two different educational letter interventions to improve the rate of recommended health screenings for people with Neurofibromatosis 1 (NF1) who do not usually attend specialized NF clinics. The study focuses on both adults with NF1 and parents or guardians of children with NF1 across the U.S. The goal is to find out which approach better supports patients during their annual wellness visits with primary care providers by promoting evidence-based care. Participants will be randomly assigned to receive one of two types of letters about NF1 care, one addressed to themselves and one to their primary care clinician. These letters provide information about NF1 care recommendations to be reviewed before the participant's upcoming annual wellness visit. After this visit, participants will complete a follow-up online survey, and a small group may take part in virtual interviews to share their experiences. The study is fully decentralized and does not require any visits to Massachusetts General Hospital. Participants will complete online surveys before and after their wellness visit to assess the impact of the interventions. The main outcome measured is whether participants received the recommended NF1 health screenings within two weeks after their primary care visit. Secondary measures include patient activation and satisfaction with care. Throughout the study, all interactions and data collection are done remotely, and participation continues until after the follow-up survey is completed.

CONDITIONS

Brief Title

A Decentralized Clinical Trial to Promote Evidence-Based Care for Underserved Patients With Neurofibromatosis 1

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Currently lives in the United States, including Puerto Rico and other territories
  • Has a clinical diagnosis of neurofibromatosis 1 (adult participants)
  • Does not attend an NF clinic within the Children's Tumor Foundation NF Clinic Network
  • Has an in-person, well-person visit with a primary care provider scheduled within 3 months of consent
  • Speaks English or Spanish
  • Cares for a child under 18 years with a clinical diagnosis of neurofibromatosis 1 (for parent/guardian participants)
Not Eligible

You will not qualify if you...

  • More than one person from the same household may not participate
  • Unwilling or unable to give informed consent

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (online)

Treatment

Duration - Up to 3 months until the annual wellness visit

Participants receive letters about NF1 care to read before their annual wellness visit with a primary care provider.

1 baseline online survey and 1 follow-up online survey 2 weeks after the visit

Trial Site Locations

Total: 1 location

1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

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Research Team

P

Paulina Arias Hernandez, MSW

E

Evan Koch, BA

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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Published Research Related To This Trial

Self-reported access to specialty clinics and receipt of health surveillance among U.S. patients with neurofibromatosis 1: a national survey.

Vanessa L Merker, Yidan Ma, Lori B Chibnik...

https://pubmed.ncbi.nlm.nih.gov/40241092

Increasing access to specialty care for rare diseases: a case study using a foundation sponsored clinic network for patients with neurofibromatosis 1, neurofibromatosis 2, and schwannomatosis.

Vanessa L Merker, Annie Dai, Heather B Radtke...

https://pubmed.ncbi.nlm.nih.gov/30157837