Addressing Health Disparities in Normal Pressure Hydrocephalus (NPH) in Maryland

ConditionsNormal Pressure Hydrocephalus Hakim Syndrome

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age65+

SponsorJohns Hopkins Bloomberg School of Public Health

About this trial

The study aims to estimate Normal Pressure Hydrocephalus (NPH) prevalence and evaluate health equity gaps in Baltimore and Maryland based on zip codes and race, with a focus on the Black community. Interventions will include educational elements about NPH and three layers targeting patients, Primary Care Providers, and community health workers to enhance care access. Short-term outcomes will measure referrals to specialists, while long-term outcomes will assess healthcare utilization. The study aims to identify and reduce racial disparities in NPH care access, informing intervention strategies for NPH and other surgical areas.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

People over 65 years old who have completed the Annual Wellness Survey (AWV) survey

have a clinical profile in the Hopkins Epic data sets

live in Maryland

Disqualifiers

People under 65 years old will be excluded if they have not completed the AWV survey

do not live in Maryland

certified Community Health Workers from Maryland

completed accredited training by the Maryland Department of Health

Trial design

Design model

Factorial

Treatments tested in this trial

patients will receive NPH education
Other intervention
Patients will benefit from the Hydrocephalus Association's (HA) educational strategy for idiopathic normal pressure hydrocephalus (iNPH) emphasizes patient collaboration in the development of educational materials specifically for this condition. HA has a library of assets that include PowerPoint presentations, videos, and online and print educational materials. There will be also in-person outreach resulting recruitment, website (the study website and HA website), webform (with a symptom of gait, dementia, and bladder symptoms), YouTube videos. The investigators will also go to the communities like senior centers, health fair, and churches, then we will give a talk about iNPH. These resources will be carefully adjusted to suit low-income demographics, guided by feedback from Baltimore audiences and HA's iNPH volunteers.
primary care physicians (PCPs) will receive professional NPH education
Other intervention
A comprehensive professional development program for PCPs and CHWs, featuring presentations, educational videos, webinars, and tools on iNPH diagnosis, treatment, and care management. Provider Continuing Medical Education (CME) credits will be offered for in-person lectures, aiming to equip PCPs with the skills needed to address iNPH in low-income settings effectively
A community health worker will assist PCP
Other intervention
A community health worker will assist PCP to identify barriers and help overcome these barriers in order for patient to access iNPH care.

Treatment groups

660 Participants

are divided into 3 treatment groups

Group A: Patients and the patient's familyExperimental treatment 3 interventions

Group B: PCPs TrainingExperimental treatment 2 interventions

Group C: CHWs assist PCPsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

number of referrals

number of referrals for suspicion of NPH to neurologists or neurosurgeons

Time frame

6 months

number of screenings

number of screenings for shunt surgery

Time frame

12 months

number of screenings

number of screenings for shunt surgery

Time frame

24 months

Secondary outcomes

number of NPH's consultations

number of patients who have received a consultation

Time frame

24 months

Other outcomes

number of referrals

referrals for physical therapy, occupational therapy, psychiatry, neurology - movement disorder specialist, neurology neuropathy specialist, orthopedic surgery, neurosurgery- spine specialist, neuropsychologist

Time frame

12 months and 24 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Johns Hopkins Bloomberg School of Public Health

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: