[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"health-services\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:health-services":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,6,0,[8,49,76,105,131,160],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100647385","better-access-to-and-integration-of-mental-health-and-addiction-services-through-navigation-a-mixed-methods-adaptive-pragmatic-clinical-trial-100647385",false,"NCT07707492","Better Access to and Integration of Mental Health and Addiction Services Through Navigation: A Mixed-Methods Adaptive Pragmatic Clinical Trial","BEAM","Inclusion Criteria:\n\nIndividuals who meet the established eligibility criteria for the Family Navigation Project (FNP), specifically:\n\n* Youth ages 11 to 29 years old who are experiencing a mental health and\u002For addictions (MHA) concern OR\n* Family members or caregivers (broadly defined, including family of choice) of youth ages 11 to 29 years old who are experiencing a MHA concern.\n* No maximum age limit for participants who are the family of a youth experiencing a MHA concern, as long as the youth is within the eligible age range.\n* The youth experiencing a MHA concern OR the family member must reside within the districts of Sudbury, Greater Sudbury, or Manitoulin to be eligible for inclusion.\n* Participants must enroll in the clinical trial within the two-month period following the date of their intake with FNP Sudbury-Manitoulin.\n\nExclusion Criteria:\n\n* Individuals will be excluded if they fall outside of the eligible age range for the Family Navigation Project (i.e., younger than 11, older than 29) or if they are not experiencing a mental health and\u002For addictions concern.\n* Participants will also be excluded if the youth with MHA concerns or the family member do not reside within the designated catchment area of Sudbury, Greater Sudbury, or Manitoulin.\n* Individuals older than 29 may only be included if they are participating in this study as a family member of an eligible youth (aged 11-29) who is experiencing a MHA concern.",true,"ALL","11 Years",{"count":20,"type":21},480,"ESTIMATED","INTERVENTIONAL",[24],"NA","The Family Navigation Project (FNP), a youth and family mental health and addictions (MHA) navigation service that currently operates in the Greater Toronto Area (GTA), is expanding to northern Ontario by setting up a new site in the Sudbury and Manitoulin districts. This work is being done in partnership with Compass\u002FBoussole\u002FAkii-Izhinoogan, the lead child and youth mental health agency for Sudbury-Manitoulin. An innovative clinical trial will be conducted following the setup of FNP in Sudbury-Manitoulin, which will test how well the model works for the community in this area. The team will collect information about the experiences and outcomes of the youth and families who use the service. The goal is to see whether FNP leads to better outcomes for youth and families, such as getting help sooner, feeling more supported, and being able to use the healthcare system more efficiently. The trial will use a mixed methods approach, meaning it gathers both numbers (e.g., wait times and service use) and personal experiences (e.g., whether families feel supported). This will provide a rich, in-depth picture of how navigation services work in a northern community and how they impact the lives of young people and their families living there.",[27,28,29,30],"Mental Health","Addictions","Patient Navigation","Health Services",[27,28,32,33,34,35,29,30],"Navigation","Youth","Family","Northern Ontario","NOT_YET_RECRUITING","2026-07-15",{"date":39,"type":40},"2026-07-16","ACTUAL",{"date":42,"type":21},"2026-10",{"date":44,"type":21},"2029-10",{"name":46,"class":47},"Sunnybrook Health Sciences Centre","OTHER",2,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":4,"eligibilityCriteria":55,"healthyVolunteers":11,"sex":17,"minAge":56,"maxAge":4,"enrollmentInfo":57,"targetDuration":4,"studyType":22,"phases":59,"briefSummary":60,"conditions":61,"keywords":62,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":4},"100646062","advanced-teleophthalmology-to-improve-cataract-referral-attendance-from-eccs-to-base-hospital-100646062","NCT07697014","Advanced Teleophthalmology to Improve Cataract Referral Attendance From ECCs to Base Hospital","Role of Tele-Ophthalmology in Improving Cataract Referral Rate in Rural Nepal - A Study at Bharatpur Eye Hospital and Its Satellite Eye Care Centers","Inclusion Criteria:\n\n* Patients aged ≥40 years\n* Diagnosed with visually significant cataract or other ocular conditions requiring Ophthalmological consultation by ECC staff\n* Provided a referral slip to BEH for cataract surgery\n\nExclusion Criteria:\n\n* Patients requiring urgent referral for other ocular comorbidities\n* Patients already under follow-up at BEH\n* Patients unable to participate in tele-consultation due to hearing, communication, or cognitive limitations when companion-assisted consultation is not feasible","40 Years",{"count":58,"type":21},396,[24],"Although cataract remains the leading cause of avoidable blindness in Nepal, completion of referral from peripheral Eye Care Centers (ECCs) to Bharatpur Eye Hospital (BEH) for cataract surgery remains very low, with only about 3% of referred patients attending the hospital. Poor referral completion is influenced by barriers such as long travel distances, transportation costs, inadequate counselling, fear of surgery, and limited communication between peripheral eye care providers and ophthalmologists.\n\nThis study aims to evaluate whether an enhanced tele-ophthalmology model improves cataract referral completion compared with the existing referral system. A stratified matched-cluster quasi-experimental study will be conducted in 12 satellite ECCs of Bharatpur Eye Hospital, comprising six intervention ECCs and six matched control ECCs. Adults aged 40 years or older diagnosed with visually significant cataract or other conditions requiring ophthalmological consultation will be enrolled.\n\nParticipants in intervention ECCs will receive real-time tele-ophthalmology consultation using slit lamp-mounted anterior segment cameras, allowing ophthalmologists to remotely examine patients, confirm the diagnosis, provide counselling, and support referral planning. Control ECCs will continue the existing standard referral process without real-time ophthalmologist-patient interaction.\n\nThe primary outcome is referral completion, defined as attendance at Bharatpur Eye Hospital or a designated secondary hospital within 12 weeks of referral. Secondary outcomes include patient-reported barriers to referral completion, time to hospital attendance, acceptance of tele-ophthalmology, and diagnostic confidence among ECC staff. A total of 396 participants (198 per group) will be enrolled. Referral completion rates between groups will be compared to determine whether enhanced tele-ophthalmology improves access to cataract surgical services and strengthens referral systems in rural Nepal.",[30],[63,64,65,66],"Teleophthalmology","Eye care Centre","Cataract surgery","Referral","2026-07-06",{"date":69,"type":40},"2026-07-10",{"date":71,"type":21},"2026-08-01",{"date":73,"type":21},"2027-07-31",{"name":75,"class":47},"Seva Canada Society",{"id":77,"slug":78,"hasResults":11,"nctId":79,"briefTitle":80,"officialTitle":80,"acronym":81,"eligibilityCriteria":82,"healthyVolunteers":16,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":83,"targetDuration":4,"studyType":22,"phases":85,"briefSummary":86,"conditions":87,"keywords":89,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":96,"lastUpdatePostDateStruct":97,"startDateStruct":99,"completionDateStruct":101,"leadSponsor":103,"locationsCount":4},"100646623","telephone-based-care-coordination-for-services-addressing-childhood-adversity-100646623","NCT07686614","Telephone-Based Care Coordination for Services Addressing Childhood Adversity","CARE","Inclusion Criteria:\n\n* Parent or legal guardian of focal child\n* Comfortable completing surveys in English or Spanish\n* Focal child is less than 12 years of age at enrollment\n\nExclusion Criteria:\n\n* Focal child participated in the 'UCANN\" pilot study\n* Focal child's sibling is enrolled in this study\n* Focal child is currently assigned a DCFS (Department of Child and Family Services) case worker",{"count":84,"type":21},778,[24],"The goal of this study is to learn how telephone-based screening and care coordination impacts children experiencing adverse childhood events (ACEs). The main questions are:\n\n1. Does telephone-based screening and care coordination for children experiencing ACEs increase child receipt of ACEs-related services?\n2. Does telephone-based screening and care coordination for children experiencing ACEs improve parent health and wellbeing?\n3. Does telephone-based screening and care coordination for children experiencing ACEs improve child social and emotional health?\n\nResearchers will compare families who have been randomly selected to receive telephone-based screening and care coordination with those who will receive usual care at their clinic.\n\nParticipants will:\n\n* Be randomly assigned to receive usual care or usual care plus telephone-based screening and care coordination (the intervention)\n* If selected for the intervention, be connected to 211 Los Angeles to receive screening and care coordination for up to 6 months\n* Complete four surveys via interview; surveys will be done at enrollment and 1 month, 6 months, and 12 months following enrollment\n* Agree to allow researchers to review their child's medical records to collect information about their child's health, screenings, diagnoses, and referrals.",[30,27,88],"Well-being",[90,91,92,93,94,95],"child health","adverse childhood experiences","care coordination","parent health","parent mental health","child mental health","2026-06-29",{"date":98,"type":40},"2026-07-07",{"date":100,"type":21},"2026-07-01",{"date":102,"type":21},"2030-03-31",{"name":104,"class":47},"Paul Chung",{"id":106,"slug":107,"hasResults":11,"nctId":108,"briefTitle":109,"officialTitle":110,"acronym":111,"eligibilityCriteria":112,"healthyVolunteers":16,"sex":17,"minAge":113,"maxAge":4,"enrollmentInfo":114,"targetDuration":4,"studyType":22,"phases":116,"briefSummary":117,"conditions":118,"keywords":4,"overallStatus":120,"whyStopped":4,"lastUpdateSubmitDate":121,"lastUpdatePostDateStruct":122,"startDateStruct":124,"completionDateStruct":126,"leadSponsor":128,"locationsCount":130},"100567795","basis-optimization-100567795","NCT06672835","BASIS Optimization","Beliefs and Attitudes for Successful Implementation in Schools (BASIS) Optimization","BASIS R34","Inclusion Criteria:\n\n* Mental health provider who spends 2 hours or more providing supports in school setting\n* Registered to receive CBT+ training from the WA State EBP Initiative\n\nExclusion Criteria:\n\n* None","18 Years",{"count":115,"type":21},32,[24],"The objective of the BASIS R34 pilot study is to test the impact of eBASIS in a randomized controlled trial (RCT). Consistent with IMPACT's IQM, the study tests effects of eBASIS on treatment fidelity and youth outcomes, compared to a digitally delivered control (N=32 clinicians; 96 clients). A well-established EBP (Cognitive Behavioral Therapy Plus), will be a focus of the investigation, which eligible participants will already be signed up to receive.",[27,30,119],"Evidence Based Programs in Schools","RECRUITING","2026-04-21",{"date":123,"type":40},"2026-04-22",{"date":125,"type":40},"2024-10-05",{"date":127,"type":21},"2026-07-30",{"name":129,"class":47},"University of Washington",1,{"id":132,"slug":133,"hasResults":11,"nctId":134,"briefTitle":135,"officialTitle":136,"acronym":4,"eligibilityCriteria":137,"healthyVolunteers":11,"sex":17,"minAge":113,"maxAge":4,"enrollmentInfo":138,"targetDuration":4,"studyType":22,"phases":140,"briefSummary":141,"conditions":142,"keywords":146,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":152,"lastUpdatePostDateStruct":153,"startDateStruct":155,"completionDateStruct":157,"leadSponsor":159,"locationsCount":4},"100635041","evaluating-the-integration-model-of-a-standalone-eye-centre-into-provincial-government-hospital-100635041","NCT07547527","Evaluating the Integration Model of a Standalone Eye Centre Into Provincial Government Hospital","Evaluating the Integration Model of a Standalone Eye Centre Into Provincial Government Hospital: A Case Study From Kalaiya, Bara District, Nepal","Inclusion Criteria:\n\n* All individuals receiving eye-care services at the Kalaiya Eye Centre before and after integration.\n* Patients from Bara district and catchment areas\n* Patients attending eye services during study period\n* New and follow-up patients\n\nExclusion Criteria:\n\n* Patients outside catchment area (e.g., non-Nepalese)\n* Incomplete or missing records",{"count":139,"type":21},20,[24],"This study aims to evaluate the integration of a standalone eye centre into the Provincial Government Hospital in Kalaiya, Bara District, Nepal. The integration model seeks to improve access to comprehensive eye care services by combining the specialized expertise of an eye care facility with the infrastructure and patient flow of a provincial hospital. As the burden of avoidable visual impairment remains high in Nepal, strengthening service delivery at the district level has the potential to improve early detection, timely treatment, and continuity of care. 1 A mixed-method approach will be used to assess changes in service utilization patterns for example patient volume, follow ups and referrals following the integration. Additional focus will be placed on the acceptability of the integration model among patients, eye care professionals, and the hospital staff. This study will help to generate evidence-based recommendations to guide district-level planning for integrated eye care models by 2027.\n\nData will be collected from patient records, hospital statistics, patient and staff interviews. The findings are expected to provide evidence on the feasibility, challenges, and benefits of integrating specialized eye care units into provincial hospital systems in low-resource settings. Ultimately, the study aims to inform policy decisions, support scalable models of eye care integration, and contribute to improved eye health outcomes for underserved populations.",[30,143,144,145],"Ophthalmology Services","Health Service Accessibility","Eye Health Service Delivery",[147,148,149,150,151],"Eye care integration","Ophthalmology services","Health service accessibility","Eye Health delivery","Vision disorders","2026-04-17",{"date":154,"type":40},"2026-04-23",{"date":156,"type":21},"2026-06",{"date":158,"type":21},"2026-12",{"name":75,"class":47},{"id":161,"slug":162,"hasResults":11,"nctId":163,"briefTitle":164,"officialTitle":165,"acronym":166,"eligibilityCriteria":167,"healthyVolunteers":11,"sex":17,"minAge":113,"maxAge":4,"enrollmentInfo":168,"targetDuration":4,"studyType":22,"phases":170,"briefSummary":172,"conditions":173,"keywords":179,"overallStatus":120,"whyStopped":4,"lastUpdateSubmitDate":191,"lastUpdatePostDateStruct":192,"startDateStruct":194,"completionDateStruct":196,"leadSponsor":198,"locationsCount":200},"100580704","phase-4-effects-of-donor-recipient-sex-matched-blood-transfusion-on-patient-outcomes-100580704","NCT06840756","Effects of Donor-recipient Sex-matched Blood Transfusion on Patient Outcomes","Effects of Donor-recipient Sex-matched Versus Sex-mismatched Red Blood Cell Transfusion on Outcomes in Critically Ill Adult Patients","SexMATTERS RCT","Inclusion Criteria:\n\n* Adults (age ≥18);\n* Admission to a participating ICU;\n* Requiring RBC transfusion.\n\nExclusion Criteria:\n\n* Requirement for a specialized RBC product or unit not readily available in inventory (e.g., rare blood type, washed RBCs, complex RBC antibodies, etc.);\n* Massively bleeding patient (i.e., ≥4 units of blood ordered at one time, or Massive Hemorrhage Protocol initiated, or an urgent blood request made);\n* Sex unknown or sex other than male or female (i.e. intersex);\n* Do not have a valid Ontario Health Insurance Plan (OHIP) health card number.",{"count":169,"type":21},11082,[171],"PHASE4","Red blood cell (RBC) transfusions are selected based upon matching donor and recipient blood group: donor and recipient sex are not considered when selecting blood for transfusion. Hence, transfused patients can currently receive sex-matched and\u002For unmatched RBCs when transfusions are given. Sex-matched stem cell transplants, and some solid organ transplants, have shown that sex-matching donor to recipient improves patient outcomes. Recent exploratory studies have also suggested that patient outcomes could be improved by sex-matching for RBC transfusion. There is emerging evidence of underlying biologic mechanism(s) to support these observations. This study is designed as a randomized controlled trial and will explore the impact on patients who receive RBC transfusions from donors of the same sex (\"sex-matched\") compared with donors of the opposite sex (\"sex-mismatched\").\n\nThe trial will study adult patients admitted to the Intensive Care Unit who require an RBC transfusion. Patients will be assigned (through a process called randomization) to receive sex-matched RBCs or sex-mismatched RBCs to determine if there is a difference in mortality between those receiving matched versus mismatched RBCs. The results of this trial could have direct implications on resources, blood inventory, and RBC transfusion ordering practices.",[174,175,30,176,177,178],"Red Blood Cell Transfusions","Sex Differences","Critically Ill Intensive Care Unit Patients","Hematology","Cardiovascular",[180,181,182,183,184,185,186,187,188,189,190],"transfusions","red blood cell transfusions","sex-matched","sex-mismatched","intensive care unit","ICU","cardiovascular","circulatory","hematology","mortality","blood donor characteristics","2026-03-10",{"date":193,"type":40},"2026-03-12",{"date":195,"type":40},"2025-09-11",{"date":197,"type":21},"2029-03-31",{"name":199,"class":47},"Michelle Zeller",8]