One-4-ALL Initiative

University of Colorado Denver (CU Denver)

Status: Enrolling

Conditions: Burden, Caregiver; Literacy; Health Care Utilization

Treatments: Behavioral: Control; Behavioral: One-4-ALL Initiative

Study type: Interventional

Funder types: Other

Identifiers

NCT05454969

22-0995

Details and patient eligibility

About

This study aims to improve health outcomes of individuals and populations, enhance the patient experience, reduce the per capita cost of care, and ensure the well-being of our healthcare providers (quadruple aim). These goals are increasingly difficult to achieve, given the challenges of changes to workflow, staffing shortages, and increased costs brought on by the COVID-19 pandemic. Further, the pandemic brought to light the critical need to transform healthcare access for our racially and culturally minoritized and low-income families that have long been victims of health disparities, specifically with poorer health outcomes.

Full description

The overall objective is to successfully implement a patient app that will be used by families to 1) increase throughput for all patients, including minoritized, low-income, and low health literacy patients, and 2) reduce administrative burdens on providers.

To evaluate this hypothesis, the following specific aims will be examined:

Aim 1: Document modifiable factors that negatively and positively impact providers' ability to provide high-quality patient care in a post-pandemic healthcare system while addressing health disparities through implementation science.

Aim 2: Create a "boarding pass' experience for providers and patients using technology (app) which allows patients and their families to fully prepare for their clinical visits and bridge care between home, primary care providers, and specialty care.

Aim 3: Investigate multilevel contextual factors related to app implementation, to inform future strategies to promote scalability and sustainability of app in all specialties.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All guardians of patients and the providers (surgeons, doctors, nurses, etc) that serve these patients.

Exclusion criteria

• None.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups, including a placebo group

One-4-ALL Initiative

Active Comparator group

Description:

The health app arm will pilot the intervention and key outcome measures will be compared between the Health App group and the placebo control.

Treatment:

Behavioral: One-4-ALL Initiative

Control

Placebo Comparator group

Description:

Will receive standard care.

Treatment:

Behavioral: Control