Reducing Disparities in Knee Arthroscopy for Adolescents

NCT07580625 | Not Yet Recruiting

• 2 other identifiers: 2024-6880K23AR084596
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Hundreds of thousands of youth athletes require surgery for knee injuries annually. The incidence of operative knee injuries has skyrocketed, but surgery can be delayed due to late recognition and barriers, such as insurance, language, and difficulty navigating the healthcare system. Delays may have lifelong effects, including arthritis, persistent instability, poor patient reported outcomes, and reoperation. There is little patient-centered research on barriers to orthopaedic care, and none on interventions to reduce disparities in pediatric sports medicine. This study will focus on Hispanic children, a growing population nationally and 38% of the Chicago's children, who are at increased risk of delayed knee surgery and its sequelae compared to white, non-Hispanic patients. The overall objectives are to identify barriers to timely knee surgery in Hispanic athletes and develop an intervention to implement evidence on expedient treatment. The aim of this study is to evaluate feasibility, acceptability, and appropriateness of a culturally-tailored intervention in a pilot study of Hispanic youth soccer leagues. The proposed study will drive creation of a future community trial of a culturally-tailored intervention.

Conditions

Knee Injury; ACL Injury; Meniscus Tear; Hispanic or Latino; Adolescent

Outcome Measures

Primary Outcomes (1)

• Feasibility of Intervention Measure, Intervention Appropriateness Measure, and Acceptability of Intervention Measure

  The primary outcomes of interest are intervention feasibility, appropriateness, and acceptability, as measured by these three brief, reliable, and valid tools. They include a total of 12 items using a 5-point Likert scale).

  One soccer season

Study Arms (2)

Intervention arm

EXPERIMENTAL

Players, coaches, and families randomized to the intervention arm will participate in a brief evidence-based presentation on surgical knee injuries led by a bilingual navigator and be encouraged to contact the navigator with injury concerns throughout the season.

Behavioral: Educational program and patient navigator

Control arm

NO INTERVENTION

Players, coaches, and families randomized to the control arm will only receive the navigator's contact information.

Interventions

Educational program and patient navigator BEHAVIORAL

Players, coaches, and families randomized to the intervention arm will participate in a brief evidence-based presentation on surgical knee injuries led by a bilingual navigator and be encouraged to contact the navigator with injury concerns throughout the season.

Intervention arm

Eligibility Criteria

• Age: 14 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Predominantly Hispanic soccer team
• Players between 14-18 years of age

You may not qualify if:

• Players younger than 14 or older than 18 years of age

Sponsors & Collaborators

• Ann & Robert H Lurie Children's Hospital of Chicago: lead
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): collaborator

Study Sites (1)

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, 60611, United States

Location

MeSH Terms

Conditions

Knee Injuries; Anterior Cruciate Ligament Injuries

Interventions

Patient Navigation

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Patient-Centered Care; Primary Health Care; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Attending surgeon

Study Record Dates

• First Submitted: April 28, 2026
• First Posted: May 12, 2026
• Study Start (Estimated): October 1, 2027
• Primary Completion (Estimated): June 1, 2029
• Study Completion (Estimated): July 1, 2029
• Last Updated: June 18, 2026

Record last verified: 2026-06

Locations

US (1)