Actively Recruiting
Stratified Targeted Engagement From Primary Care to Physical Therapy (STEPPT)
Led by San Diego State University · Updated on 2026-02-06
17587
Participants Needed
1
Research Sites
169 weeks
Total Duration
On this page
Sponsors
S
San Diego State University
Lead Sponsor
N
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborating Sponsor
AI-Summary
What this Trial Is About
The goal of this clinical trial is to learn if a health system intervention called "Stratified Targeted Engagement from Primary Care to Physical Therapy (STEPPT)" can improve how often doctors refer Hispanic patients with spine pain to physical therapy (referral rate) and how often patients attend physical therapy after being referred (adherence rate). The main questions this study aims to answer are 1) does STEPPT improve physical therapy referral and adherence rates compared to usual care for Hispanic patients with spine pain who seek care in a Federally Qualified Health Center (FQHC) serving low income communities, and 2) how consistently do FQHC providers and staff deliver STEPPT to patients who may benefit? STEPPT will train doctors and other health care providers to educate participants on the benefits of physical therapy for spine pain and participants will receive culturally tailored handouts and videos to teach them about their spine pain and what to expect in physical therapy. Patients will also receive personalized assistance to schedule their physical therapy appointment and address potential barriers for attending the appointment.
CONDITIONS
Official Title
Stratified Targeted Engagement From Primary Care to Physical Therapy (STEPPT)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- 18 years or older
- Identify as either Hispanic or Non-Hispanic ethnicity, inclusive of all races
- Seeking care for spine pain at an Adult or Adult Walk-in primary care clinic within the participating Federally Qualified Health Center (FQHC)
- New or existing spine pain problem defined by ICD codes for neck or back pain during a primary care visit
- Signed a broad consent for use of de-identified health information for research at the participating FQHC
You will not qualify if you...
- Spine pain due to non-musculoskeletal causes such as infection, cancer, urological disorders, or pregnancy
- Patients requiring urgent medical intervention like fracture or cauda equina syndrome
- Currently have an active physical therapy referral for spine pain at the index encounter
- Previously referred to physical therapy through the STEPPT Care Pathway
- Physical therapy referrals outside the FQHC are excluded from adherence analysis
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Family Health Centers of San Diego
San Diego, California, United States, 92182
Actively Recruiting
Research Team
C
Cheenee R Real, BSN, MPH, MSOL
CONTACT
S
Shadia Assi, BS, MPH
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
CROSSOVER
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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