Care in the Comprehensive Care Physician (CCP) Program vs. Care in the Comprehensive Care Community and Culture Program (C4P) vs. Care in the Traditional Care
Sponsor study identifier
interventional
3,000
1 country
1
Study Start
March 6, 2019
Actual (reported)Primary Completion
July 31, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
July 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
This randomized trial is evaluating whether socioeconomically disadvantaged Medicare patients at increased risk of hospitalization experience fewer hospitalization if those patients are offered care in: 1) ACCT, where patients receive care from different physicians in the hospital and the clinic settings and have access to nurse and social worker care coordination services, 2) CCP where patients receive care from one physician in the inpatient and outpatient settings or 3) C4P which adds screening of unmet social needs, community health worker support and arts and culture programming to CCP. The study will determine how these programs affect patient activation and engagement in care, satisfaction with care, general health and mental health, and goal attainment.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
July 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 6, 2019
Actual (reported)July 21, 2020
Actual (reported)July 28, 2020
Actual (reported)July 31, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
July 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Quarterly hospitalization rate
Number of hospitalizations per quarter
Through study completion, with a range of 1 to 4.5 years
Quarterly hospitalization rate from all sources
Through study completion, with a range of 1 to 4.5 years
Patient experience
Through study completion, with a range of 1 to 4.5 years
Health Outcomes General Health
Through study completion, with a range of 1 to 4.5 years
Health Outcomes Mental Health
Through study completion, with a range of 1 to 4.5 years
Patient Activation Measure (PAM)
Through study completion, with a range of 1 to 4.5 years
Patients randomized to ACCT receive care from different doctors in clinic and in the hospital. ACCT patients who have been hospitalized twice, had 4 emergency department (ED) visits in the last year or are referred by their primary care physician are offered ACCT care coordination services (ACCT-CC) from nurses and social workers who manage their care with the larger clinical team. Patients are graduated from ACCT if the ACCT team thinks they are no longer high risk.
Patients randomized to the CCP group are assigned to a Comprehensive Care Physician and are asked to see their assigned CCP for their primary care. The patients receive their care from the same CCP in the outpatient clinic and also if they were to be hospitalized.
See arm description
see arm description
David Meltzer
Chicago, Illinois, 60637, United States
Gier NM, Maurer RR, Tang JW. Clinician experiences in a DBT-informed consultation group embedded within a US academic primary care clinic: a qualitative study. BMJ Open. 2025 Oct 27;15(10):e100967. doi: 10.1136/bmjopen-2025-100967.
First Submitted
July 21, 2020
First Posted
July 28, 2020
Study Start
March 6, 2019
Actual (reported)Primary Completion
July 31, 2027
Today Not Tomorrow Pregnancy and Infant Support Program (TNT- PISP)
Patients randomized to C4P receive care from a CCP in both the hospital and the clinic as well as the following: 1) systematic screening of 17 domains of unmet social needs, 2) access to a community health worker and 3) access to community-based arts and culture programming.
see arm description
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
July 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
April 9, 2025
Record last verified: 2025-04
no plan at present
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.
Source retrieved: