Implementation of Communication Disability Collection and Accommodations in Primary Care Settings

ConditionCommunication Disabilities

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18+

SponsorNYU Langone Health

About this trial

This multi-methods-multi-site study aims to adapt and evaluate the effects of an implementation support package of strategies to assist primary care clinics in documenting patients' communication disability (CD) and accommodation needs in the electronic health record (EHR) and providing communication accommodations through EHR data extraction, surveys, focus groups, interviews, and clinical practice observations.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults 18+ years

Patients who had at least one visit within the 21-month EHR data collection period at participating study clinics.

Adults 18+ years

Individuals of all genders and members of all racial and ethnic categories employed at participating study clinics will be eligible for inclusion. NYULH study personnel will enroll providers and staff referred for study inclusion from all participating study clinics; not just NYULH staff exclusively.

Disqualifiers

Patients whose records are unavailable due to technical issues.

Patients who are not seen at least once at participating study clinics during the 21-month data collection period.

Duplicate records (e.g., duplicative EHR records marked for deletion).

Patients who have opted-out of research participation.

Trial design

Design model

Parallel

Treatments tested in this trial

Implementation Support Package
Behavioral
The implementation support package includes materials, activities, and procedures ready for use in diverse primary care practices and will facilitate each clinic's determination of how they will implement collection of disability status and provision of accommodations.

Treatment groups

126,870 Participants

are divided into 2 treatment groups

Group A: Implementation Support Package ClinicsExperimental treatment 1 intervention

Group B: Control ClinicsNo intervention 0 interventions

Trial outcomes

Primary outcomes

(Aim 2) Patient Reach

Percent of patients who have a visit during the time of data collection and have the communication disability field completed in the EHR. A positive outcome for having the communication disability field completed in the EHR will be "no disability" "speech/language disability", "hearing disability", "decline", or "other" documented in the EHR, while a negative outcome will be the CD fields being left blank. All adult patients who are seen in each clinic are eligible to have their disability status documented, regardless of the type of visit.

Time frame

Baseline, Implementation Follow Up (Approximately Month 9), Maintenance Follow Up (Approximately Month 21)

(Aim 3) Adoption

Adoption assessed for all the patients with a recorded accommodation need; measured as the percentage of clinical encounters in which the accommodation was provided and used, as ascertained through the EHR.

Time frame

Implementation Follow Up (Approximately Month 9), Maintenance Follow Up (Approximately Month 21)

Sponsors and contacts

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NYU Langone Health

Lead sponsor

Source ClinicalTrials.gov

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