Improving Health and Wellness for People With Serious Mental Illness in Puerto Rico
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorPonce Medical School Foundation, Inc.
About this trial
This study evaluates the effectiveness of a culturally tailored intervention, Bridges to Better Health and Wellness (BRIDGES), aimed at reducing chronic disease disparities among Puerto Ricans with serious mental illness (SMI). Participants receive monthly sessions with health care managers to address patient-provider stigma and care coordination.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Design model
Parallel
Treatments tested in this trial
BRIDGES Healthcare Manager Intervention
BehavioralA culturally adapted, multilevel intervention consisting of monthly 60-minute sessions over a 12-month period. Sessions will be conducted by graduate clinical psychology students acting as healthcare managers. The intervention focuses on care coordination, patient activation, and reducing provider stigma to improve access to preventive primary care services.
Enhanced Treatment as Usual (ETAU)
Other interventionParticipants will continue to receive standard psychiatric care, including routine visits with their mental health providers at the designated clinical sites. They will also receive a booklet with information on how best to link with primary care providers. This ensures that participants are aware of available resources and basic health care recommendations, but does not include any active follow-up or intervention components.
Treatment groups
300 Participants
are divided into 2 treatment groupsGroup A: BRIDGES InterventionExperimental treatment 1 intervention
Group B: Enhanced Treatment as Usual (ETAU)Other 1 intervention
Trial outcomes
Primary outcomes
1
Recipt of Preventive Primary Care
29-item questionnaire developed by team members. It uses preventive primary care indicators from the US Preventive Service Task Force Guidelines extracted from medical records and examines the use of physical health services over the past 6-months.Indicators are grouped into six categories: physical examinations, screenings for women, screenings for men, laboratory tests, vaccinations, and education. An aggregate preventive primary score is calculated representing the proportion of services for which each participant was eligible depending on age and gender.
Time frame
baseline,6 and 12 months follow up and 6 and 12 months post interventionSecondary outcomes
1
Hemoglobin A1c
The A1C test is a simple common blood test used to measure blood sugar levels over the past 3 months.
Time frame
baseline,6 and 12 months follow up and 6 and 12 months post intervention2
Lipid Panel
The Lipid panel is a simple common blood test used to examine cardiovascular health by analyzing cholesterol in the blood. This test examines four types of lipids in the blood, namely: 1) Total cholesterol, 2 Low-density lipoprotein (LDL), 3) High-density lipoprotein (HDL), and 4) Triglycerides.
Time frame
baseline,6 and 12 months follow up and 6 and 12 months post intervention3
Basic Metabolic Panel
It is a simple common blood group of tests used to examine different naturally occurring chemicals in the blood. The tests can give information heart, kidneys, and liver function. It includes Blood urine nitrogen (BUN), carbon dioxide (C02), Creatinine, Glucose, Serum chloride, Serum potassium, Serum sodium, and Serum Calcium.
Time frame
baseline,6 and 12 months follow up and 6 and 12 months post intervention4
Smoking - Severity Dependence Scale
Five-item scale, used to assess severity of smoking.
Time frame
baseline,6 and 12 months follow up and 6 and 12 months post interventionSponsors and contacts
Click on the lead sponsor to view all of their trials.
Ponce Medical School Foundation, Inc.
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator
Source ClinicalTrials.gov