Expanding the UTHealth Medical Legal Partnership to Improve Mental Health for Low-Income Individuals
2020년 11월 4일 업데이트: Winston Liaw, The University of Texas Health Science Center, Houston
The aim of this study is to test whether participation of low-income patients with health-harming legal needs (HHLNs) in a medical legal partnership (MLP) results in improved mental health, improved quality of life, reduced utilization, and increased resolution of HHLNs.
연구 개요
연구 유형
중재적
등록 (실제)
160
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Texas
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Houston, Texas, 미국, 77093
- Jensen Clinic
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
Inclusion Criteria:
- low-income individuals (Low-income is defined as earning less than 200% of the Federal Poverty Level)
- individuals with HHLNs
- English or Spanish speaking
Exclusion Criteria:
- self-identified as being at significant and immediate risk due to HHLNs (e.g., a situation that involves imminent risk to the patient such as domestic violence)
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 다른
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Medical Legal Partnership
With the medical legal partnership, lawyers are embedded in clinics, and lawyers consult with patients who are identified as having health-harming legal needs (HHLNs).
This arm will also receive usual care, which includes consultation with a social worker and a community health worker.
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With the medical legal partnership, lawyers are embedded in clinics, and lawyers consult with patients who are identified as having health-harming legal needs (HHLNs).
This arm will also receive usual care, which includes consultation with a social worker and a community health worker.
Usual care includes consultation with a social worker and a community health worker.
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활성 비교기: Usual Care
Usual care includes consultation with a social worker and a community health worker.
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Usual care includes consultation with a social worker and a community health worker.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Stress as assessed by the Perceived Stress Scale
기간: baseline
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The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40.
A higher score indicates a worse outcome.
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baseline
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Stress as assessed by the Perceived Stress Scale
기간: 3 months
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The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40.
A higher score indicates a worse outcome.
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3 months
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Stress as assessed by the Perceived Stress Scale
기간: 6 months
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The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40.
A higher score indicates a worse outcome.
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6 months
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Stress as assessed by the Perceived Stress Scale
기간: 12 months
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The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40.
A higher score indicates a worse outcome.
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12 months
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
기간: baseline
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The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21.
A higher score indicates a worse outcome.
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baseline
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Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
기간: 3 months
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The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21.
A higher score indicates a worse outcome.
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3 months
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Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
기간: 6 months
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The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21.
A higher score indicates a worse outcome.
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6 months
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Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale
기간: 12 months
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The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21.
A higher score indicates a worse outcome.
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12 months
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Depression as assessed by the Center for Epidemiologic Studies Depression Scale
기간: baseline
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The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60.
A higher score indicates a worse outcome.
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baseline
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Depression as assessed by the Center for Epidemiologic Studies Depression Scale
기간: 3 months
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The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60.
A higher score indicates a worse outcome.
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3 months
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Depression as assessed by the Center for Epidemiologic Studies Depression Scale
기간: 6 months
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The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60.
A higher score indicates a worse outcome.
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6 months
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Depression as assessed by the Center for Epidemiologic Studies Depression Scale
기간: 12 months
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The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60.
A higher score indicates a worse outcome.
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12 months
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Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
기간: baseline
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The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150.
A higher score indicates a worse outcome.
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baseline
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Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
기간: 3 months
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The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150.
A higher score indicates a worse outcome.
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3 months
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Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
기간: 6 months
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The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150.
A higher score indicates a worse outcome.
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6 months
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Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)
기간: 12 months
|
The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150.
A higher score indicates a worse outcome.
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12 months
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Number of Urgent Care Visits
기간: baseline
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baseline
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Number of Urgent Care Visits
기간: 3 months
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3 months
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Number of Urgent Care Visits
기간: 6 months
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6 months
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Number of Urgent Care Visits
기간: 12 months
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12 months
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Number of Emergency Department Visits
기간: baseline
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baseline
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Number of Emergency Department Visits
기간: 3 months
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3 months
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Number of Emergency Department Visits
기간: 6 months
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6 months
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Number of Emergency Department Visits
기간: 12 months
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12 months
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Number of Hospital Visits
기간: baseline
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baseline
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Number of Hospital Visits
기간: 3 months
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3 months
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Number of Hospital Visits
기간: 6 months
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6 months
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Number of Hospital Visits
기간: 12 months
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12 months
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Percentage of baseline health-harming legal needs that were resolved
기간: baseline
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baseline
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Percentage of baseline health-harming legal needs that were resolved
기간: 3 months
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3 months
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Percentage of baseline health-harming legal needs that were resolved
기간: 6 months
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6 months
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Percentage of baseline health-harming legal needs that were resolved
기간: 12 months
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12 months
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Winston Liaw, MD, MPH, The University of Texas Health Science Center, Houston
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2019년 2월 14일
기본 완료 (실제)
2020년 9월 11일
연구 완료 (실제)
2020년 9월 11일
연구 등록 날짜
최초 제출
2019년 1월 11일
QC 기준을 충족하는 최초 제출
2019년 1월 11일
처음 게시됨 (실제)
2019년 1월 15일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2020년 11월 6일
QC 기준을 충족하는 마지막 업데이트 제출
2020년 11월 4일
마지막으로 확인됨
2020년 11월 1일
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- HSC-MS-18-1037
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
아니
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
아니
미국 FDA 규제 기기 제품 연구
아니
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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