Improving how clinics record and accommodate communication disabilities in primary care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multi-site study adapts and tests an implementation support package designed to help primary care clinics document patients' communication disabilities and accommodation needs in the electronic health record. The study uses multiple methods, including data extraction, surveys, focus groups, interviews, and clinical observations, to evaluate how well the package works across settings. Adult patients with communication disabilities seen in participating clinics are included, along with clinic staff and leadership who are eligible to participate. The aim is to see whether the package improves documentation and delivery of accommodations through the EHR and related workflows.

Why it matters

Who can join: the full rules

Inclusion Criteria:

EHR Data Extraction

1. Adults 18+ years
2. Patients who had at least one visit within the 21-month EHR data collection period at participating study clinics.

Clinic Leadership, Providers \& Clinic Staff

1. Adults 18+ years
2. 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.

Patients

1. Adults 18+ years
2. Patients with communication disabilities seen at least once at participating study clinics during the 21-month study period.
3. Patients who self-identify as proficient in English communication as defined by English being a preferred language, or self-reported ability to participate in an interview in English without the support of an interpreter.

Exclusion Criteria:

EHR Data Extraction

1. Patients whose records are unavailable due to technical issues.
2. Patients who are not seen at least once at participating study clinics during the 21-month data collection period.
3. Duplicate records (e.g., duplicative EHR records marked for deletion).
4. Patients who have opted-out of research participation.

Clinic Leadership, Providers \& Clinic Staff Interviews and Focus Groups

1. Being \<18 years old
2. Not an employed member of a participating study clinic or potential end user of the study implementation strategy.

Patient Interviews

1. Being \<18 years old
2. Patients without communication disabilities.
3. Patients with communication disabilities seen outside of participating study clinics.
4. Patients who are unable to provide consent for themselves.
5. Patients who report not being proficient in English communication or self-reported inability to participate in an interview in English without the support of an interpreter.

Where it's running

• The University of Colorado Anschutz Medical Campus
  Aurora, Colorado, United States Recruiting
• Denver Health
  Denver, Colorado, United States Recruiting
• University of Illinois Chicago
  Chicago, Illinois, United States Recruiting
• Northwestern University
  Evanston, Illinois, United States Recruiting
• NYU Langone Health
  New York, New York, United States Recruiting

Study contacts

• Principal investigator: Megan Morris, PhD — megan.morris@nyulangone.org
• Study coordinator: Megan Morris, PhD
• Email: megan.morris@nyulangone.org
• Phone: 646-501-0027

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.