Enhancing Engagement by Integrating Goals and Concerns That Matter to Patients
2 other identifiers
interventional
2,448
1 country
6
Brief Summary
The goal of this clinical trial is to learn if adding patients' goals and concerns to measurement-based collaborative care can tailor care and provide a more holistic view of treatment, thereby improving engagement in care among adult patients receiving collaborative care. The main questions it aims to answer are:
- Does using a clinical decision support system (which includes an enhanced pre-visit questionnaire and patient-level dashboard) improve patient engagement in the collaborative care model?
- Does using a clinical decision support system improve patient and clinician satisfaction with care? Researchers will compare the enhanced collaborative care with traditional collaborative care. Patient participants will complete pre-visit questionnaires before their collaborative care appointments. Responses will be viewed by the clinician and/or patient in a visual dashboard inside the electronic health record.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2025
Longer than P75 for not_applicable
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 14, 2025
CompletedFirst Posted
Study publicly available on registry
March 27, 2025
CompletedStudy Start
First participant enrolled
April 2, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 31, 2028
April 29, 2026
April 1, 2025
2.3 years
March 14, 2025
April 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Engagement
The primary outcome measure targeted is increased Collaborative Care Model (CoCM) engagement as measured by the proportion of CoCM patients with 2 or more Patient Health Questionnaire (PHQ-9)/Generalized Anxiety Disorder (GAD-7) assessments completed.
From enrollment in CoCM to discharge from CoCM, approximately 3-4 months.
Patient and clinician satisfaction and barriers/facilitators to implementation
Qualitative data collected through semi-structured interviews.
From enrollment in CoCM to discharge from CoCM, approximately 3-4 months.
Secondary Outcomes (5)
Practice-level communication: Shared decision-making
Approximately 1 month following enrollment in CoCM
Patient experience: Communication
Approximately 1 month following enrollment in CoCM
Patient experience: Goal setting
Approximately 1 month following enrollment in CoCM
Treatment response: Depression
From enrollment in CoCM to discharge from CoCM, approximately 3-4 months.
Treatment response: Anxiety
From enrollment in CoCM to discharge from CoCM, approximately 3-4 months.
Study Arms (2)
Clinical Decision Support System
EXPERIMENTALCollaborative care model, with a clinical decision support system (CDSS) which includes an enhanced pre-visit questionnaire and dashboard to visualize patient-reported information and clinical information.
Collaborative care model (usual care)
ACTIVE COMPARATORStandard collaborative care model of integrated behavioral health.
Interventions
Collaborative care model of integrated behavioral health and primary care.
A new patient-level clinical decision support system (CDSS) will include enhancing the existing pre-visit questionnaire to capture patient-reported goals and concerns, and displaying pre-visit questionnaire responses and clinical information within a patient-level dashboard in the electronic health record (EHR) for use by clinicians and patients.
Eligibility Criteria
You may qualify if:
- Patients enrolled in the Collaborative Care Model (CoCM) at Dartmouth Health
You may not qualify if:
- Patients not enrolled in the Collaborative Care Model (CoCM) at Dartmouth Health
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Dartmouth-Hitchcock Medical Centerlead
- Dartmouth Collegecollaborator
- National Center for Advancing Translational Sciences (NCATS)collaborator
Study Sites (6)
Dartmouth Hitchcock Concord Family Medicine
Concord, New Hampshire, 03301, United States
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756, United States
Dartmouth-Hitchcock Heater Road Internal Medicine
Lebanon, New Hampshire, 03766, United States
Dartmouth Hitchcock Manchester Family Practice
Manchester, New Hampshire, 03104, United States
Dartmouth Hitchcock Nashua Family Practice
Nashua, New Hampshire, 03063, United States
Dartmouth Hitchcock Nashua General Internal Medicine
Nashua, New Hampshire, 03063, United States
Related Publications (7)
Barr PJ, Thompson R, Walsh T, Grande SW, Ozanne EM, Elwyn G. The psychometric properties of CollaboRATE: a fast and frugal patient-reported measure of the shared decision-making process. J Med Internet Res. 2014 Jan 3;16(1):e2. doi: 10.2196/jmir.3085.
PMID: 24389354BACKGROUNDCurran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217-26. doi: 10.1097/MLR.0b013e3182408812.
PMID: 22310560BACKGROUNDBasch E, Barbera L, Kerrigan CL, Velikova G. Implementation of Patient-Reported Outcomes in Routine Medical Care. Am Soc Clin Oncol Educ Book. 2018 May 23;38:122-134. doi: 10.1200/EDBK_200383.
PMID: 30231381BACKGROUNDOliver BJ, Nelson EC, Kerrigan CL. Turning Feed-forward and Feedback Processes on Patient-reported Data into Intelligent Action and Informed Decision-making: Case Studies and Principles. Med Care. 2019 May;57 Suppl 5 Suppl 1:S31-S37. doi: 10.1097/MLR.0000000000001088.
PMID: 30985594BACKGROUNDTse CS, Van Citters AD, Ricci B, Freundlich NZ, Lee M, Shah SA, Melmed GY, Siegel CA, van Deen WK; IBD Qorus. Identifying and Predicting the Goals and Concerns Prioritised by Individuals with Inflammatory Bowel Disease. J Crohns Colitis. 2022 Mar 14;16(3):379-388. doi: 10.1093/ecco-jcc/jjab142.
PMID: 34350943BACKGROUNDVan Citters AD, Holthoff MM, Kennedy AM, Melmed GY, Oberai R, Siegel CA, Weaver A, Nelson EC. Point-of-care dashboards promote coproduction of healthcare services for patients with inflammatory bowel disease. Int J Qual Health Care. 2021 Nov 29;33(Supplement_2):ii40-ii47. doi: 10.1093/intqhc/mzab067.
PMID: 34849970BACKGROUNDBoudreau DM, Capoccia KL, Sullivan SD, Blough DK, Ellsworth AJ, Clark DL, Katon WJ, Walker EA, Stevens NG. Collaborative care model to improve outcomes in major depression. Ann Pharmacother. 2002 Apr;36(4):585-91. doi: 10.1345/aph.1A259.
PMID: 11918503BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Anna Tosteson, ScD
Dartmouth College
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 14, 2025
First Posted
March 27, 2025
Study Start
April 2, 2025
Primary Completion (Estimated)
July 31, 2027
Study Completion (Estimated)
July 31, 2028
Last Updated
April 29, 2026
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will not share
IPD falls under patient protected health information (PHI).