Implementing a Pilot Patient Navigator Program to Improve Access to Infertility Care for Underserved Patients
1 other identifier
interventional
40
1 country
1
Brief Summary
This investigators will conduct a pilot study investigating the implementation of an infertility Patient Navigator (PN) program to mitigate challenges for underserved individuals at Boston Medical Center (BMC) seeking infertility care. The primary objective is to assess whether the PN program can significantly reduce time to completion of infertility evaluation and to initiation of fertility treatment (if recommended) for infertile patients from an underserved patient population. The study aims are to:
- 1.evaluate the impact of the PN program on timelines including obtaining commercial insurance coverage for infertility, expediting labwork/imaging, weight management, and partner urology appointments, and initiating fertility treatment; and
- 2.ascertain the medical literacy of participants with a validated tool to assess the impact of low medical literacy on PN facilitation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2025
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 25, 2024
CompletedFirst Posted
Study publicly available on registry
July 1, 2024
CompletedStudy Start
First participant enrolled
February 6, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2026
CompletedFebruary 19, 2026
February 1, 2026
1.2 years
June 25, 2024
February 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Time to complete infertility evaluation
This outcome will be assessed by data abstracted from the electronic medical record (EMR).
12 months
Time to start fertility treatments
This outcome will be assessed by data abstracted from the EMR.
12 months
Wait time for urology appointments
This outcome will be assessed by data abstracted from the EMR.
12 months
Wait time for weight management appointments
This outcome will be assessed by data abstracted from the electronic medical record.
12 months
Secondary Outcomes (5)
Pregnancy rate
12 months
Time to live birth
12 months
Frequency of PN contacts in Intervention Group
12 months
Number of PN contacts in Intervention Group
12 months
Duration of PN contacts in Intervention Group
12 months
Study Arms (2)
Infertility Patient Navigator Group
EXPERIMENTALParticipants in this group will receive assistance from the Infertility Patient Navigator (PN) to schedule and complete the infertility evaluation.
Historical Comparison Group
NO INTERVENTIONAge-matched controls selected from the electronic medical record database who received infertility evaluation without PN assistance.
Interventions
Assistance with infertility evaluation including scheduling appointments
Eligibility Criteria
You may qualify if:
- Intervention cases
- A new patient at BMC Reproductive Endocrinology for the diagnosis of infertility from July 1, 2024 to January 31, 2025 Controls
- A new patient at BMC Reproductive Endocrinology for the diagnosis of infertility from July 1, 2023 to January 31, 2024.
You may not qualify if:
- Patients in whom fertility treatment with their own eggs is not recommended, egg freezing or oncofertility cycles.
- Non-English speaking
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Boston Medical Center, Reproductive Endocrinology
Boston, Massachusetts, 02118, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wendy Kuohung, MD
Boston Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 25, 2024
First Posted
July 1, 2024
Study Start
February 6, 2025
Primary Completion
May 1, 2026
Study Completion
May 1, 2026
Last Updated
February 19, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share