Ignite Creation Date:
2024-07-17 @ 10:45 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06479447
Status:
RECRUITING
Last Update Posted:
2024-07-03
First Post:
2024-06-24
Brief Title:
Patient Outcome Reporting for Timely Assessments of Life With Post-Traumatic Stress Disorder
Sponsor:
University of Chicago
Organization:
University of Chicago
Study Overview
Official Title:
Patient Outcome Reporting for Timely Assessments of Life With Post-Traumatic Stress Disorder
Status:
RECRUITING
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PORTAL-PTSD
Brief Summary:
This study aims to implement and evaluate a more timely approach to post-traumatic stress disorder PTSD diagnosis and management entitled Patient Outcome Reporting for Timely Assessments of Life with Post-Traumatic Stress Disorder PORTAL-PTSD in a primary care setting with a high prevalence of trauma specifically the South Side of Chicago in partnership with Chicago Family Health Center CFHC
Detailed Description:
Traumatic stress and post-traumatic stress disorder PTSD are highly prevalent and lead to increases in psychiatric and cardiovascular disease Racial and ethnic minority people residing in sociocultural environments entrenched in community violence or experiencing assault are at especially high risk of PTSD However many people with PTSD are not diagnosed or treated Current practices for identifying PTSD are subject to bias because diagnosis depends on clinician- or patient-initiated discussion of trauma-related symptoms and stigma knowledge time and access to resources are often barriers to these discussions System-level solutions are needed to increase diagnosis and treatment of PTSD Systematic screening protocols can help address bias in who is screened A keystone to screening for PTSD could be to screen patients when they are at clinic visits While no formal recommendation exists for PTSD screening clinics who serve patients at a high risk for PTSD for example the Veterans Affairs have implemented screening at clinic visits Use of patient portals may provide another promising strategy to address barriers to PTSD screening In the investigators previous work a population health approach was used to screen for and assess depression symptoms employing the patient portal as a tool to reach out to patients The investigators found that it resulted in a higher screening rate and identified more patients with moderate-severe depression After identifying patients with PTSD the next necessary step is to provide evidence-based treatments like integrated primary-care behavioral health PCBH Integrated primary care-behavioral health PCBH is a model of care in which the behavioral health and primary care teams are collocated with the primary care clinic and work together to address the biopsychosocial factors that are affecting a patients health PCBH has been found to be less stigmatizing for patients with PTSD and models of care that are proactive and provide telephonic care management have been found to increase treatment engagement for PTSD Thus coupling screening for PTSD with a PCBH model may be a highly effective strategy to improving PTSD outcomes Therefore the investigators goal is to implement and evaluate a novel strategy for screening and management of PTSD in a primary care setting with a high prevalence of trauma specifically the South Side of Chicago In partnership with Chicago Family Health Center a federally qualified health center FQHC with 5 clinical sites and PCBH the investigators aim to 1 Implement a system-level screening and management strategy for PTSD The investigators will implement a process of clinic visit and population health screening for PTSD leveraging the patient portal with linkage to care within a PCBH model and 2 Evaluate a system-level screening and management strategy for PTSD With these aims this grant will lead to increased understanding of the utility and feasibility of screening and managing PTSD in an FQHC that serves a predominantly racialethnic minority population with high rates of trauma exposure If proven effective the investigators will evaluate this model of care in a multi-center trial of FQHCs
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 3P50MD017349-03S3 | NIH | None | None |