- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05605054
UCSD RELINK: Connecting Adults To Supportive Services
February 1, 2024 updated by: Victoria D. Ojeda
An RCT Testing a Health Literacy Intervention to Reduce Disparities in Access to Care Among Minority Justice-Involved Adults
The goal of this randomized intervention study is to learn about effective health literacy teaching methods in Justice Involved Adults (JIA).
Researchers will compare coach-guided health literacy or self-study design to see if there is a difference in the access and use of healthcare in this population.
The main questions it aims to answer are:
- Will this improve access and use of heath services?
- Will this improve health insurance coverage and long term use of health services?
Participants will:
- Meet with a health coach and service navigator during 12 sessions or meet with service navigator and complete online training over 12 weeks.
- Complete surveys at different time (6months, 1 year)
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Health literacy refers to the skills needed to effectively access, understand, and use health resources.
Inadequate health literacy annually costs the U.S. $100-$200 billion and is observed among justice involved adults (JIA)-a group of ~20 million U.S. persons who are disproportionately non-elderly and African American, Black, and Hispanic due to systemic racism and over-policing.
JIA face numerous barriers in accessing healthcare which contributes to a high, lifelong burden of chronic and infectious disease.
Healthcare access is defined as 1) having health insurance coverage, 2) having a regular source of care and 3) obtaining healthcare in a timely manner.
Health literacy interventions for JIA are critically needed but are unavailable and NIH-funded research that is inclusive of JIA is sorely lacking.
This timely study addresses these gaps.
This study will implement a longitudinal mixed-methods randomized clinical trial (RCT) to assess the impact of the UCSD RELINK coach-guided health literacy intervention vs. a self-study control group on JIA's healthcare access.
To achieve this aim, 300 JIA ages 18+ will be recruited in San Diego, CA and randomized 1:1 to the Treatment Group (i.e., coach-guided health literacy intervention) or the Control Group (i.e., self-study of the intervention).
This study is timely and may inform health literacy interventions for JIA, policies to build health literacy among JIA in institutional and community settings, and the service delivery models for JIA.
The proposed intervention has great potential for increasing health literacy among JIA and thus improving the well-being of this sizeable and underserved community.
Findings from this study may also have relevance for interventions seeking to build the health literacy of other low-income communities.
Study Type
Interventional
Enrollment (Estimated)
300
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Victoria Ojeda, PhD, MPH
- Phone Number: (858) 822-6165
- Email: vojeda@health.ucsd.edu
Study Contact Backup
- Name: Sarah Hiller-Venegas
- Email: sphiller@health.ucsd.edu
Study Locations
-
-
California
-
San Diego, California, United States, 92101
- Recruiting
- Center for employment opportunities
-
Contact:
- Arthur Groneman, BSc
- Phone Number: 858-412-7466
- Email: relinkstudy@health.ucsd.edu
-
San Diego, California, United States, 92104
- Recruiting
- San Diego Probation Department
-
Contact:
- Arthur Groneman, BSc
- Phone Number: 858-412-7466
- Email: relinkstudy@health.ucsd.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 50 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Provision of signed and dated informed consent form
- Stated willingness to comply with all study procedures and availability for the duration of the study
- Persons, aged 18 and over
- Resident of San Diego County
- Not incarcerated at time of enrollment
- Justice involved in the past 3 years (on parole, probation, court diverted)
- Understands English
- Access to a cell phone
Exclusion Criteria:
- Under the age of 18 years old
- Not a resident of San Diego County
- Incarcerated at enrollment
- Not justice-involved within the last 3 years (i.e., not on probation or parole or was court-diverted in the past 3 years)
- No access to a cell phone
- Cannot provide informed consent
- Does not understand English
- Previously enrolled in the pilot UCSD RELINK program
- Adults who have current or prior convictions related to sexual violence/abuse (Penal Code [PC] 290), lewd acts with a child (PC 288), child abduction (PC 280), or arson (PC 451)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Coach-guided
In person or phone call with an assigned Health Coach for about 1 hour per week for 12 weeks to complete the Health Literacy course, and with an assigned Service Navigator for 30 minutes per week for 12 weeks to address health and social service needs.
|
UCSD RELINK coach-guided health literacy intervention and in-person service navigation assistance
|
Active Comparator: Self study
Self-guided printed or online version of the Health Literacy course (approximately 1 hour per week for 12 weeks) and comprehensive Service Navigation report with recommended referrals to services, providers, and contact information for service providers so that the participant can access these resources independently (i.e., without Navigator assistance).
|
Self-studying of programmatic information and list of service referrals
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Recent Use of Health Services
Time Frame: 6 months
|
Any healthcare use in the past 6 months (vs.
never received services or received services more than 6 months ago)
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Health Insurance Coverage
Time Frame: 6 months
|
Defined as uninsured versus any insurance
|
6 months
|
Regular Source of Care
Time Frame: 6 months
|
Presence of one (or multiple) source(s) of care identified by participants
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Victoria Ojeda, PhD, MPH, University of California, San Diego
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 17, 2023
Primary Completion (Estimated)
July 1, 2025
Study Completion (Estimated)
April 1, 2027
Study Registration Dates
First Submitted
October 11, 2022
First Submitted That Met QC Criteria
November 1, 2022
First Posted (Actual)
November 4, 2022
Study Record Updates
Last Update Posted (Estimated)
February 5, 2024
Last Update Submitted That Met QC Criteria
February 1, 2024
Last Verified
February 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- 161903
- R01MD016959 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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