[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"primary-health-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:primary-health-care":550},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,20,0,[8,43,78,101,122,154,199,220,247,271,306,330,350,376,402,435,460,487,507,524],{"id":9,"slug":4,"hasResults":10,"nctId":11,"briefTitle":12,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":10,"sex":15,"minAge":16,"maxAge":17,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":31,"lastUpdatePostDateStruct":32,"startDateStruct":35,"completionDateStruct":37,"leadSponsor":39,"locationsCount":42},"100634473",false,"NCT07540143","The REACH-OUT Trial","A Technology-based, Primary Care Strategy to Optimize Blood Pressure Before Pregnancy: The REACH-OUT Trial","Inclusion Criteria:\n\n* biologically female\n* age 18-44\n* English or Spanish-speaking\n* prescribed an antiHTN\n* have a systolic BP \\>140 or diastolic BP\\>90 at their index visit\n* have access to the internet\n\nExclusion Criteria:\n\n* not pregnant or within 3 months postpartum\n* severe, uncorrectable vision, hearing, or cognitive impairment that would preclude study consent or participation","FEMALE","18 Years","44 Years",{"count":19,"type":20},350,"ESTIMATED","INTERVENTIONAL",[23],"NA","Test the effectiveness of a technology-enabled strategy to optimize blood pressure among reproductive-aged women with hypertension receiving care in Federally Qualified Health Centers.",[26,27,28,29],"Hypertension","Reproductive Behavior","Primary Health Care","Electronic Health Record","RECRUITING","2026-06-18",{"date":33,"type":34},"2026-06-22","ACTUAL",{"date":36,"type":34},"2026-06-16",{"date":38,"type":20},"2030-06-30",{"name":40,"class":41},"Northwestern University","OTHER",1,{"id":44,"slug":4,"hasResults":10,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":48,"eligibilityCriteria":49,"healthyVolunteers":50,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":52,"targetDuration":4,"studyType":21,"phases":54,"briefSummary":55,"conditions":56,"keywords":62,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":77},"100643238","NCT07636291","Aconselha + Movimento: Protocol for Online Training on Physical Activity and Sedentary Behavior Counseling","Development, Implementation, and Effectiveness Evaluation of a Training Program for Health Workers on Physical Activity and Sedentary Behavior: Protocol of Aconselha + Movimento","ACONSELHA+","Inclusion Criteria:\n\n* Healthcare professionals working in Primary Health Care Units (UBS) in Florianópolis (SC), Rio Claro (SP), or São José dos Pinhais (PR) during the data collection period\n* Professionals who are actively working in their positions at the time of recruitment\n* Professionals who voluntarily agree to participate and provide informed consent\n\nExclusion Criteria:\n\n* Professionals who are not actively working during the data collection period\n* Professionals who do not provide informed consent\n* Professionals with incomplete baseline assessment data",true,"ALL",{"count":53,"type":20},3306,[23],"This study aims to develop, implement, and evaluate the effectiveness of an online training program on physical activity and sedentary behavior counseling for primary health care workers. The training program is designed to improve competencies related to physical activity and sedentary behavior counseling within primary health care settings. Health professionals working in primary health care units from selected municipalities in Brazil will be invited to participate. Outcomes related to counseling competencies and professional practices will be assessed before and after participation in the training program.",[57,58,59,60,61,28],"Counseling","Exercise","Competence","Motor Activity","Primary Health Care Providers",[63,64,58,65,66,67],"counseling","Motor activity","Health Centers","Public Health","Primary health care","2026-06-03",{"date":70,"type":34},"2026-06-09",{"date":72,"type":34},"2026-03-11",{"date":74,"type":20},"2026-12-15",{"name":76,"class":41},"Universidade Federal do Paraná",3,{"id":79,"slug":4,"hasResults":10,"nctId":80,"briefTitle":81,"officialTitle":82,"acronym":83,"eligibilityCriteria":84,"healthyVolunteers":50,"sex":51,"minAge":85,"maxAge":4,"enrollmentInfo":86,"targetDuration":4,"studyType":21,"phases":88,"briefSummary":89,"conditions":90,"keywords":4,"overallStatus":91,"whyStopped":4,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":95,"completionDateStruct":97,"leadSponsor":99,"locationsCount":42},"100612388","NCT07252934","District Health Centre Membership Among Older Adults in Hong Kong","Enhancing District Health Centre Membership Among Older Adults Through Intergenerational Home-based and AI-generated Digital Interventions","DHCRCT","Inclusion Criteria:\n\n* 65 years or older\n* spoke Chinese\n* are physically, mentally, and cognitively capable of engaging in simple physical tasks\n* understanding survey questions\n* non district health centre member\n\nExclusion Criteria:\n\n* All subjects have the right to withdraw if they wish not to continue","65 Years",{"count":87,"type":20},180,[23],"This study is a cluster randomized controlled trial study to evaluate the feasibility, acceptability, and effectiveness of intergenerational home-based and AI-generated digital interventions in improving the proportion of District Health Centre members among older adults in Hong Kong.",[28],"NOT_YET_RECRUITING","2026-04-28",{"date":94,"type":34},"2026-04-29",{"date":96,"type":20},"2026-06",{"date":98,"type":20},"2027-06-30",{"name":100,"class":41},"The University of Hong Kong",{"id":102,"slug":4,"hasResults":10,"nctId":103,"briefTitle":104,"officialTitle":105,"acronym":4,"eligibilityCriteria":106,"healthyVolunteers":50,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":107,"targetDuration":4,"studyType":21,"phases":109,"briefSummary":110,"conditions":111,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":112,"lastUpdatePostDateStruct":113,"startDateStruct":115,"completionDateStruct":117,"leadSponsor":119,"locationsCount":42},"100635409","NCT07552311","Generative AI Plan for Care Lab Study","Generative AI Pre-visit Lab Study","Inclusion Criteria:\n\n1. Age of majority: are of legal adult age (18 or older in most US states; 19 or older in Nebraska \\& Alabama, or 21 or older in Mississippi)\n2. Resides in the United States\n3. Fitbit mobile user using their Google accounts on an Android smartphone\n4. Able to read, write and willing to consent in English\n\nExclusion Criteria:\n\n1. Enrollment using a corporate google.com account\n2. Have a condition or circumstance that the investigator determines as inappropriate for participation.\n3. Have a chief complaint or symptoms that are potentially related to mental health disorders, sexually transmitted diseases or infections, or pregnancy.",{"count":108,"type":20},40000,[23],"This is an experimental study to observe participants' interactions with the Pre-visit Lab, and the output of various generative AI models that support consumer symptom queries and provide the user with information about possible urgency, potential causes or diagnoses based on the symptoms they disclose, and a summary of information to bring to a health care visit if planned.",[28],"2026-04-20",{"date":114,"type":34},"2026-04-27",{"date":116,"type":34},"2025-11-21",{"date":118,"type":20},"2026-12-31",{"name":120,"class":121},"Fitbit LLC","INDUSTRY",{"id":123,"slug":4,"hasResults":10,"nctId":124,"briefTitle":125,"officialTitle":126,"acronym":127,"eligibilityCriteria":128,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":129,"targetDuration":4,"studyType":21,"phases":131,"briefSummary":132,"conditions":133,"keywords":138,"overallStatus":91,"whyStopped":4,"lastUpdateSubmitDate":144,"lastUpdatePostDateStruct":145,"startDateStruct":147,"completionDateStruct":149,"leadSponsor":151,"locationsCount":153},"100627665","NCT07451587","Personalized Care Management Model (GAP-421) for Chronic Pain in Primary Care Physiotherapy","Multicenter Mixed-Methods Pilot Study Evaluating a Personalized Care Management Model (GAP-421) for Chronic Pain in Primary Care Physiotherapy: Feasibility, Care Coordination, and Patient-Reported Outcomes","GAP-421","Inclusion Criteria:\n\n* Adults aged 18 years or older\n* Enrolled in Service 421 of the Madrid Primary Care Service Portfolio (chronic non-cancer pain of at least 3 months duration)\n* Pain intensity NRS of 4 or higher in the last 2 weeks OR functional limitation score of 2 or higher (Annex 54, SERMAS Service Portfolio)\n* Ability to understand and sign informed consent\n* Ability to complete study questionnaires in Spanish\n\nExclusion Criteria:\n\n* Active cancer pain\n* Documented moderate-to-severe cognitive disorder (ICD-10 diagnosis or registered functional assessment)\n* Decompensated psychiatric disorder that, in the clinical judgment of the physiotherapist and\u002For family physician, interferes with study participation\n* Immediate clinical emergency at enrollment\n* Simultaneous participation in another clinical trial or organizational intervention study\n* Anticipated inability to complete 3-month follow-up (planned relocation, imminent institutionalization)\n* Explicit refusal to participate",{"count":130,"type":20},66,[23],"This multicenter pilot study evaluates the feasibility, implementation fidelity, and preliminary effects of the GAP-421 (Personalized Care Management) model for chronic pain management in primary care physiotherapy. The GAP model is a time-limited organizational modality that reconfigures schedules, resources, and professional roles during a defined 6-week window to organize care around the individual patient and their trajectory, formalizing coordination work that previously occurred informally.\n\nThe study uses a convergent mixed-methods design across three primary care health centers in the Southeast Healthcare District (DASE) of the Community of Madrid, Spain. The quantitative component is a prospective multicenter pre-post case series with 3-month follow-up (n=66 patients, 22 per center). The qualitative component includes semi-structured interviews (n=12) and focus groups (3 groups, n=6 each). Integration occurs through Joint Display, Pillar Integration Process, and a 9-type legitimation framework.\n\nThe primary outcome is patient-perceived care coordination measured on a 0-10 numerical scale (PREM). Secondary outcomes span five domains: patient-reported outcomes (EQ-5D-5L, Graded Chronic Pain Scale, pain intensity), professional outcomes (coordination burden, role clarity), system sustainability (avoidable re-consultations, emergency department use), implementation fidelity, and feasibility indicators.\n\nResults will generate feasibility parameters, intraclass correlation coefficient estimates, and process indicators essential for designing definitive cluster-randomized trials testing organizational interventions in primary care physiotherapy.",[134,135,136,28,137],"Chronic Pain","Chronic Non-cancer Pain","Care Coordination","Musculoskeletal Pain",[139,134,140,136,141,142,143],"Physiotherapy Management","Primary Care","Invisible Work","Organizational Model","Mixed Methods","2026-02-28",{"date":146,"type":34},"2026-03-05",{"date":148,"type":20},"2026-09",{"date":150,"type":20},"2029-08",{"name":152,"class":41},"Universidad Autonoma de Madrid",2,{"id":155,"slug":4,"hasResults":10,"nctId":156,"briefTitle":157,"officialTitle":158,"acronym":159,"eligibilityCriteria":160,"healthyVolunteers":10,"sex":51,"minAge":4,"maxAge":4,"enrollmentInfo":161,"targetDuration":4,"studyType":21,"phases":163,"briefSummary":164,"conditions":165,"keywords":178,"overallStatus":91,"whyStopped":4,"lastUpdateSubmitDate":189,"lastUpdatePostDateStruct":190,"startDateStruct":192,"completionDateStruct":194,"leadSponsor":196,"locationsCount":42},"100620350","NCT07356479","Enhancing Mental and Physical Health of Women Veterans 3.0","Enhancing Mental and Physical Health of Women Through Engagement and Retention (EMPOWER) 3.0 (QUE 25-015)","EMPOWER","Inclusion Criteria:\n\n* This study is recruiting VA sites - not individual patients.\n* Prior to randomization, the study team will work with sites to ensure they have met the preconditions necessary to enroll in the study, which includes VISN, regional and\u002For facility level leadership support for participation.\n\nExclusion Criteria:\n\n* N\u002FA",{"count":162,"type":20},18,[23],"Women Veterans are the fastest growing segment of VA users, with most users in midlife. This dramatic growth has created challenges for VA to ensure that appropriate services are available to meet women Veterans' needs, and that they will want and be able to use those services. Furthermore, few VA improvement efforts have focused on women Veterans' health and health care in midlife. The EMPOWER QUERI 3.0 Program is a cluster randomized type 3 hybrid implementation-effectiveness trial testing two strategies designed to support implementation and sustainment of evidence-based practices for women Veterans in at least 18 VA facilities from 4 regions.",[166,167,168,26,169,170,171,172,173,28,174,175,176,177],"Cardiovascular Diseases","Overweight","Obesity","Cholesterol","Diabetes Mellitus","Prediabetic State","Menopause","Cognitive Behavioral Therapy","Stress Disorders, Post-Traumatic","Prevention","Implementation Science","Quality Improvement",[179,167,168,26,169,170,171,172,173,28,174,175,180,177,181,182,183,184,185,186,187,188],"Cardiovascular diseases","Implementation science","Women","Veterans","Patient Participation","Patient Satisfaction","Patient Preference","Physicians, Primary Care","Physicians, Women","Health Behavior","2026-01-12",{"date":191,"type":34},"2026-01-21",{"date":193,"type":20},"2026-10-01",{"date":195,"type":20},"2031-09-30",{"name":197,"class":198},"VA Office of Research and Development","FED",{"id":200,"slug":4,"hasResults":10,"nctId":201,"briefTitle":202,"officialTitle":203,"acronym":204,"eligibilityCriteria":205,"healthyVolunteers":10,"sex":15,"minAge":16,"maxAge":17,"enrollmentInfo":206,"targetDuration":4,"studyType":21,"phases":208,"briefSummary":209,"conditions":210,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":212,"lastUpdatePostDateStruct":213,"startDateStruct":215,"completionDateStruct":217,"leadSponsor":219,"locationsCount":42},"100437484","NCT04976881","Promoting Preconception Care and Diabetes Self-Management Among Reproductive-Aged Women With Diabetes","Promoting Preconception Care and Diabetes Self-Management Among Reproductive-Aged Women With Diabetes: The PREPARED Trial","PREPARED","Inclusion Criteria:\n\n* female\n* age 18-44\n* English or Spanish-speaking\n* have a chart diagnosis of type 2 diabetes\n* not currently pregnant\n* not infecund, sterilized, or in a monogamous relationship with a sterilized partner\n* have a private cell phone with text messaging capability.\n\nExclusion Criteria:\n\n* severe, uncorrectable vision, hearing, or cognitive impairments that would preclude study consent or participation",{"count":207,"type":20},840,[23],"This study is being done to investigate strategies that may improve patient's knowledge of type 2 diabetes during reproductive age and improve knowledge and engagement in self-care activities.",[211,29,28,27],"Diabetes Mellitus, Type 2","2025-11-14",{"date":214,"type":34},"2025-11-18",{"date":216,"type":34},"2022-05-06",{"date":218,"type":20},"2026-05",{"name":40,"class":41},{"id":221,"slug":4,"hasResults":10,"nctId":222,"briefTitle":223,"officialTitle":224,"acronym":225,"eligibilityCriteria":226,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":227,"targetDuration":4,"studyType":21,"phases":229,"briefSummary":230,"conditions":231,"keywords":4,"overallStatus":91,"whyStopped":4,"lastUpdateSubmitDate":238,"lastUpdatePostDateStruct":239,"startDateStruct":241,"completionDateStruct":243,"leadSponsor":245,"locationsCount":4},"100603377","NCT07135726","Online Access to Clinical Treatment Notes for Outpatients","OpenNOTES: Online Access to Clinical Treatment Notes for Outpatients - an Interventional, Prospective, Controlled Mixed-methods Study","OpenNOTES","Inclusion Criteria:\n\nPatients (General, Module A \\& D):\n\n* Aged 18 years or older\n* Outpatient treatment at one of the four study centers\n* For intervention group: access to an internet-enabled device (e.g. smartphone, tablet, computer) and ability to receive text messages\n\nFor Module D:\n\n* Experience with the respective disease or medical field (e.g. via prior treatment experience or basic medical understanding)\n* At least one documented clinical treatment in the internal system of a participating center within the 12 months prior to intervention start\n* Availability of clinically relevant treatment notes (e.g. physician letters, progress notes, discharge summaries, consultation notes) suitable for anonymized analysis\n\nPatients (Control Group - Module A):\n\n•No requirement for access to an internet-enabled device\n\nHealthcare Practitioners (Modules A \\& D):\n\n* Aged 18 years or older\n* Employed at one of the study centers\n* Ability to give informed consent\n* For Module D: experience in relevant clinical field and familiarity with medical terminology and treatment standards\n\nRelatives (Module B):\n\n* Aged 18 years or older\n* Ability to give informed consent\n* Identified as family member, friend, or legal representative of a participating patient\n\nExperts (Module E):\n\n* Demonstrated expertise or professional experience in digital health Relevant experience with telematics infrastructure (TI), HL7 FHIR®, ePA, KIM, TIM, or affiliation with relevant institutions (e.g. gematik GmbH, HL7 Deutschland e.V., mio42 GmbH)\n* Participation in or co-design of health IT interoperability projects\n\nPatients and Physicians (Module E):\n\n* Good proficiency in German (workshops conducted in German)\n* Basic digital literacy and experience with digital technologies in healthcare\n\nExclusion Criteria:\n\nGeneral:\n\n* Insufficient German language skills\n* Severe organic brain disorders with cognitive impairment\n* Intellectual disability\n* Acute self-endangerment or danger to others at time of inclusion\n* Lack of capacity to provide informed consent\n* Lack of access to an internet-enabled device and inability to receive text messages (except in control group of Module A)\n\nModule D:\n\n* Clinical notes that cannot be anonymized due to legal, ethical, or technical restrictions\n* Presence of rare diagnoses or unique treatment histories that hinder effective anonymization",{"count":228,"type":20},1092,[23],"This study investigates the feasibility and impact of patient access to clinical notes written by their healthcare providers-a concept known as Open Notes. While international research has already demonstrated positive effects of Open Notes on patient empowerment and treatment outcomes, there is a lack of corresponding evidence for the German healthcare context. The quasi-experimental study therefore combines quantitative and qualitative methods to evaluate the effects of Open Notes on patient-reported outcomes as well as clinical practice.\n\nThe study is structured into five modules, each addressing specific research questions:\n\nModule A - Summative Outcome Evaluation in Patients: Does the use of Open Notes lead to a significant increase in patient-reported outcomes such as empowerment and self-efficacy? Module B - Formative Process Evaluation with Stakeholders: What experiences do patients, relatives and clinicians have with Open Notes and what challenges and barriers arise in their use? Module C - Changes in Clinical Documentation: How do language style and content of clinical notes change when they are shared with patients as Open Notes? Module D - Optimization through Artificial Intelligence: Can clinical notes be processed using artificial intelligence in a way that makes them easier for patients to understand compared to conventional medical documentation? Module E - Integration into National Data Infrastructure: What technical, organizational and legal requirements must be met to successfully integrate Open Notes into the national telematics infrastructure and the electronic health record or routine care? The overall goal is to identify both patient-related outcomes and structural conditions for the sustainable implementation of Open Notes in the German healthcare system. The use of artificial intelligence is intended to further enhance patient-centeredness while reducing the burden on clinical staff.",[232,233,28,234,235,236,237],"Mental Disorders","Chronic Disease","Outpatients","Internal Medicine","Aged","Comorbidity","2025-08-20",{"date":240,"type":34},"2025-08-22",{"date":242,"type":20},"2025-09-01",{"date":244,"type":20},"2028-02-29",{"name":246,"class":41},"Julian Schwarz",{"id":248,"slug":4,"hasResults":10,"nctId":249,"briefTitle":250,"officialTitle":250,"acronym":4,"eligibilityCriteria":251,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":252,"targetDuration":4,"studyType":254,"phases":4,"briefSummary":255,"conditions":256,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":262,"lastUpdatePostDateStruct":263,"startDateStruct":265,"completionDateStruct":267,"leadSponsor":269,"locationsCount":42},"100602389","NCT07122869","Eligibility of Patients Referred to Emergency Departments by Their General Practitioners for Care in Walk-in Clinics: A Single-Center Study in Île-de-France","Inclusion Criteria:\n\n* Age 18 years or older\n* Patient referred to the emergency department (ED) with a letter from a general practitioner (GP)\n* ED visit during the study hours (Monday to Friday, 9 a.m. to 8 p.m.)\n* Consultation in the selected adult emergency service\n* Medical or traumatic reason justifying the ED visit\n* Patient stable at arrival and during ED care\n\nExclusion Criteria:\n\n* Patients under 18 years old (pediatric cases excluded)\n* No referral letter or proof of GP referral\n* ED visit outside study hours (weekends, nights)\n* Patients requiring intensive hospital care defined by:\n* Intravenous treatments (e.g., antibiotics, fluids)\n* Heavy imaging exams (CT scan, MRI) during the visit\n* Diagnoses with immediate life- or function-threatening conditions (e.g., myocardial infarction, stroke, severe infection)\n* Hospitalization decided during or after ED visit\n* Clinical instability at or during ED visit (abnormal vital signs, respiratory distress, etc.)\n* Patients referred for non-medical reasons (social issues, lack of medical follow-up)",{"count":253,"type":20},80,"OBSERVATIONAL","This study aims to find out how many patients sent to the emergency department by their general practitioner could instead be treated in a walk-in clinic. Walk-in clinics provide quick, basic medical care without an appointment and can perform simple tests like blood work and X-rays. By identifying patients who don't need full hospital emergency care, this study hopes to improve patient flow and reduce overcrowding in emergency rooms in the Île-de-France region.",[257,28,258,259,260,261],"Emergency Service, Hospital","General Practitioners","Walk-In Clinics","Patient Admission","Health Services Accessibility","2025-08-08",{"date":264,"type":34},"2025-08-14",{"date":266,"type":34},"2025-07-28",{"date":268,"type":20},"2025-08-30",{"name":270,"class":41},"Centre Hospitalier de Gonesse",{"id":272,"slug":4,"hasResults":10,"nctId":273,"briefTitle":274,"officialTitle":275,"acronym":276,"eligibilityCriteria":277,"healthyVolunteers":50,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":278,"targetDuration":4,"studyType":21,"phases":280,"briefSummary":281,"conditions":282,"keywords":290,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":297,"lastUpdatePostDateStruct":298,"startDateStruct":300,"completionDateStruct":302,"leadSponsor":304,"locationsCount":42},"100594836","NCT07024628","Assessing the Effectiveness of Heat Adaptation Digital Messages From Primary Care Providers to Their Patients on the Change in Behaviour for Heatwave-related Preparedness","Heat Smart: Empowering Primary Care Providers to Safeguard Vulnerable Populations Against Extreme Heat","HeatSmart","Inclusion Criteria:\n\nThe Heat Smart randomized controlled trial study will recruit patients and primary care providers (PCPs) from Eastern Ontario. The inclusion criteria ensure that the intervention reaches at-risk individuals while being scalable across different patient populations:\n\nPrimary Care Patients:\n\n* Adults (18 years and older)\n* Patients must be registered with a participating PCP.\n* They must have had at least one visit with their PCP in the past two years to ensure active engagement.\n* Participants must have an active email, cell phone or messaging service (SMS) to receive Heat Smart digital messages.\n* Patients must be able to understand and consent to participate in the study.\n* Patients must be able to communicate in at least one of the official languages (English, French).\n* Participants will be recruited from PCP located in two Eastern Ontario public health districts: the Eastern Ontario Health Unit and Ottawa Public Health (including urban, rural, and Indigenous communities such as Akwesasne).\n\nPrimary Care Providers:\n\n* Must be a licensed Family Physician (FP) or Nurse Practitioner (NP) in a practice of at least 2 PCPS.\n* The providers must be offering comprehensive primary care to a panel of patients (not solely urgent care or walk-in services).\n* Must work in a computerized primary care clinic with an electronic medical record system.\n* Must expect to remain in practice for at least 24 months.\n* Must be located in Eastern Ontario.\n* Must be willing to use the Canadian Primary Care Information Network (CPIN) to deliver Heat Smart messages and surveys.\n* Must be using Cliniconex or Qualtrics as a practice tool for communication enabling outreach before the patients are invited to consent to participate in the study.\n\nExclusion Criteria:\n\nPatients who do not read French or English will be excluded from the study as they will not be able to give informed consent or to fill out the surveys. Patients who do not have an email address or text messaging service will be excluded for the same reason. Minors, patients with dementia and people who cannot read and write in English or French will not be eligible because the automated approach to surveying patients makes it impractical to properly obtain their consent.",{"count":279,"type":20},20000,[23],"Extreme heat events pose a significant health threat in Canada, as demonstrated by the 2021 heat wave that claimed over 600 lives in Western Canada. Most heat-related deaths occur indoors and are preventable. Primary care providers (PCPs), who serve 88% of Canadians, are uniquely positioned to identify and support at-risk individuals. Heat Smart, in alignment with Heat Alert and Response Systems (HARS), aims to bridge the gap between primary care and public health to enhance community resilience and reduce health inequities related to extreme heat events.\n\nThis randomized control trial in Eastern Ontario will examine whether patients receiving tailored digital health messages from their family physician or nurse practitioner change their behaviour to protect themselves from extreme heat-related illness. The Heat Smart study will:\n\n* Assess risk: Analyze electronic medical records and patient surveys to identify vulnerable individuals.\n* Deliver tailored messages: Send personalized digital guidance via e-mail or text, offering heat safety advice and local resource information in English and French.\n* Issue early warning alerts: Notify at-risk patients of upcoming heat events, prompting action.\n* Evaluate impact: Use surveys and health data to measure effectiveness in reducing heat-related health impacts.\n\nShort-term outcomes include increased awareness and preparedness among patients about heat-related health risks. Long-term goals involve scaling the intervention across Canada to reduce heat-related illnesses, enhance social connectedness, and decrease healthcare utilization.",[283,28,284,66,285,286,287,288,289],"Heathly Subjects","Climate Change","Preventive Health Services (PREV HEALTH SERV)","Environmental Exposure","Risk Reduction Behavior","Heat Stress Disorders","Heat Exposure",[291,292,293,294,295,296],"primary care","digital messaging","heatwave","climate change","public health","CPIN","2025-06-09",{"date":299,"type":34},"2025-06-17",{"date":301,"type":34},"2025-04-01",{"date":303,"type":20},"2028-03-31",{"name":305,"class":41},"Hopital Montfort",{"id":307,"slug":4,"hasResults":10,"nctId":308,"briefTitle":309,"officialTitle":310,"acronym":4,"eligibilityCriteria":311,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":312,"targetDuration":4,"studyType":254,"phases":4,"briefSummary":314,"conditions":315,"keywords":318,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":320,"lastUpdatePostDateStruct":321,"startDateStruct":323,"completionDateStruct":325,"leadSponsor":327,"locationsCount":42},"100416441","NCT04702711","Experiences of Anger in Patients in Primary Health Care With Symptoms of Generalized Anxiety","Experiences of Anger in Patients in Primary Health Care With Symptoms of Generalized Anxiety - a Qualitative Study From the Perspective of Patients and Health Care Professionals","Patients with symptoms of generalized anxiety\n\nInclusion Criteria:\n\n* Clinically significant level of symptoms of generalized anxiety which is confirmed by a self-rated diagnose of GAD on the questionnaire GAD-Q-IV (Newman et al., 2002; Moore et al., 2014). The questions of the GAD-Q-IV correspond to the A, B, C and D criteria of GAD in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).\n* Sufficient knowledge in Swedish to be able to answer questionnaires and take part in an interview.\n* If the patient receives any medical or psychological treatment for generalized anxiety this should be recently started and\u002For not yet have led to any notable decrease of symptoms. In the case of pharmacological treatment this should not be associated with more extensive psychological side-effects.\n\nExclusion Criteria:\n\n* Severe psychiatric difficulties where the patient needs specialized psychiatric care\n* Known brain-injury or symptoms of dementia\n* The patient is in an acute crisis\n* Obvious alcohol or substance abuse\n\nHealth care professionals\n\nInclusion Criteria:\n\n* Have a health care profession and work at a primary health care center.\n* Current working experience of at least one year at a primary health care center which included contact with patients with symptoms of generalized anxiety\n\nExclusion Criteria:\n\n\\- Being at the primary health care center in the role of an external student",{"count":313,"type":20},40,"Symptoms of generalized anxiety is common in the general population and is often treated in primary health care. Anger is an emotion that can lead to interpersonal problems but can also be an agent for justice and change. Previous research has shown a link between generalized anxiety and anger but there is a lack of qualitative research investigating how individuals with symptoms of generalized anxiety experience anger.\n\nThe aim of this research study is to increase knowledge about how anger is experienced in adult patients in primary health care with symptoms of generalized anxiety and about the experiences of health care professionals working with patients with symptoms of generalized anxiety.",[316,317,28],"Generalized Anxiety","Anger",[316,319,317,28],"Worry","2025-04-11",{"date":322,"type":34},"2025-04-16",{"date":324,"type":34},"2020-10-19",{"date":326,"type":20},"2026-12",{"name":328,"class":329},"Kronoberg County Council","OTHER_GOV",{"id":331,"slug":4,"hasResults":10,"nctId":332,"briefTitle":333,"officialTitle":333,"acronym":334,"eligibilityCriteria":335,"healthyVolunteers":10,"sex":51,"minAge":4,"maxAge":336,"enrollmentInfo":337,"targetDuration":4,"studyType":254,"phases":4,"briefSummary":339,"conditions":340,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":341,"lastUpdatePostDateStruct":342,"startDateStruct":344,"completionDateStruct":346,"leadSponsor":348,"locationsCount":42},"100582405","NCT06862882","Impact of a Community-Based Primary Health Care Project on the Inappropriate Use of Emergency Medical System in Bergamo","PHC-BG_EMS","Inclusion Criteria:\n\n* Urgent Emergency Medical System call\n\nExclusion Criteria:\n\n* Non-urgent Emergency Medical System call","100 Years",{"count":338,"type":20},10000,"The goal of this study is to reduce the inappropriate use of the Emergency Medical System in Bergamo. The main question it aims to answer is: can a Community-Based Primary Health Care Project impact on the use of the Emergency Medical System in Bergamo? Monthly changes in urgent calls to the Emergency Medical System will be analysed.",[28],"2025-03-06",{"date":343,"type":34},"2025-03-11",{"date":345,"type":34},"2020-06-01",{"date":347,"type":20},"2025-06-30",{"name":349,"class":41},"Fondazione San Giuliano Onlus",{"id":351,"slug":4,"hasResults":10,"nctId":352,"briefTitle":353,"officialTitle":354,"acronym":355,"eligibilityCriteria":356,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":357,"targetDuration":4,"studyType":21,"phases":359,"briefSummary":360,"conditions":361,"keywords":364,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":367,"lastUpdatePostDateStruct":368,"startDateStruct":370,"completionDateStruct":372,"leadSponsor":374,"locationsCount":42},"100528017","NCT06155292","Report Cards and Feedback for PCCE","The Effect of Personalized Report Cards and Bottom-up Framing on PCCE Performance and Attitudes","RCF: PCCE","Inclusion criteria:\n\n* Primary care physicians within the UCLA Health Department of Medicine Primary Care Network that are eligible for the PCCE Incentive program as of October 1, 2023.\n* Physicians with the clinical full-time employee level (FTE) of ≥ 40% as of October 1, 2023\n* Physicians with panel size \\>50 patients as of October 1, 2023\n\nExclusion criteria:\n\n* Physicians classified as Pediatrics will be excluded from data analysis given the structural differences in health maintenance guidelines for children.\n* Physicians classified as Urgent Care will be excluded from data analysis given the structural differences in their performance evaluation. They are all in Arm 1.\n* Physicians who participate in the design of this experiment will be excluded from analysis.",{"count":358,"type":20},330,[23],"As part of UCLA Health's commitment to developing an integrated health system built on a foundation of physician-led, team-based primary care, the Department of Medicine (DOM) implemented a performance-based incentive plan called the Primary Care Clinical Excellence (PCCE) Incentive Plan.\n\nThe UCLA Health DOM Quality team is leading the implementation and evaluation of this incentive plan across the UCLA Health primary care network, with the primary goal to immediately produce improvements in the quality of primary care. In order to rigorously measure the most efficacious ways to frame and communicate information about the quality improvement (QI) program, the DOM Quality team has partnered with the UCLA Anderson School of Management.\n\nUnderstanding the factors that motivate physicians to deliver high quality primary care will provide pivotal insights into the successful implementation of performance based programs nationwide.",[362,28,363],"Behavioral Economics","Health Maintenance",[365,366],"behavioral economics","personalized feedback","2025-01-28",{"date":369,"type":34},"2025-01-30",{"date":371,"type":34},"2023-10-03",{"date":373,"type":20},"2025-10-31",{"name":375,"class":41},"University of California, Los Angeles",{"id":377,"slug":4,"hasResults":10,"nctId":378,"briefTitle":379,"officialTitle":379,"acronym":380,"eligibilityCriteria":381,"healthyVolunteers":50,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":382,"targetDuration":4,"studyType":254,"phases":4,"briefSummary":383,"conditions":384,"keywords":388,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":394,"lastUpdatePostDateStruct":395,"startDateStruct":397,"completionDateStruct":399,"leadSponsor":400,"locationsCount":42},"100569956","NCT06700980","Options for Lowering the Threshold to Brussels Out-of-hours Primary Care Services for Dutch Speaking Citizens","BruWNed","Inclusion Criteria:\n\n* Patients: adult, living in Brussels, Dutch-speaking\n* GPs: adult, working in Brussels, Dutch- and\u002For French-speaking\n* Employees of professional organization-regulatory bodies: adult, Dutch-and\u002For French-speaking\n\nExclusion Criteria:\n\n* Subject is not capable of will\n* Subject cannot express themself in Dutch or French",{"count":313,"type":20},"The purpose of this qualitative study is to find out which technological translation tools can be used to improve Dutch-speaking care in all Brussels out-of-hours primary care services.",[385,386,28,387,261],"Communication Barriers","Language","After-hours Care",[389,390,391,392,393],"Language barrier","translation","healthcare","technological tool","Official language minority","2024-12-23",{"date":396,"type":34},"2024-12-27",{"date":398,"type":34},"2024-12-10",{"date":326,"type":20},{"name":401,"class":41},"Universitair Ziekenhuis Brussel",{"id":403,"slug":4,"hasResults":10,"nctId":404,"briefTitle":405,"officialTitle":406,"acronym":4,"eligibilityCriteria":407,"healthyVolunteers":50,"sex":15,"minAge":408,"maxAge":409,"enrollmentInfo":410,"targetDuration":4,"studyType":21,"phases":412,"briefSummary":413,"conditions":414,"keywords":418,"overallStatus":91,"whyStopped":4,"lastUpdateSubmitDate":426,"lastUpdatePostDateStruct":427,"startDateStruct":429,"completionDateStruct":431,"leadSponsor":433,"locationsCount":4},"100553367","NCT06485167","Effect of HIFEM® Treatment of Urinary Incontinence in Women in Primary Care. A Randomized Controlled Trial","Effect of High-intensity Electromagnetic Energy (HIFEM®), a Non-invasive Treatment of Urinary Incontinence and Pelvic Floor Dysfunction in Women in Primary Care. A Randomized Controlled Study.","Inclusion Criteria:\n\n* Woman\n* Age 40-70 years\n* Any form of UI - stress incontinence (AI), urge incontinence (TI) or mixed urinary incontinence (MUI) according to QUID\n* No major language difficulties that prevent understanding and speaking the Swedish language and filling in questionnaires.\n\nExclusion Criteria:\n\n* Woman with a serious illness such as psychosis, pulmonary insufficiency, epilepsy, severe depression, dementia, is being treated in palliative care, has ongoing drug or alcohol abuse\n* Implanted pacemaker or larger metal implant in the body: metal plates, screws, defibrillator and metal implants in the pelvic area or copper coil\n* The patient has a piercing between the waist and knees and is not willing to remove it before each treatment\n* Pregnant, or planning to become pregnant, at screening or at any time during the study period\n* Painful urges\n* Bladder emptying difficulties\n* Previous malignancy in the abdomen or urinary tract\n* Pelvic floor physical therapy, including muscle training and\u002For electrical stimulation, in a clinical setting within 30 days prior to screening\n* Severely overweight (defined as weight \\> 135 kg)\n* Pulmonary insufficiency, defined as difficulty breathing and fatigue, especially during exercise\n* Any condition that causes a lack of normal skin sensation in the pelvis, buttocks and lower extremities\n* Currently recovering from surgical procedures where muscle contraction may interfere with the healing process\n* Currently receiving treatment for a malignant tumor that would interfere with study participation.\n* Used the BTL EMSELLA unit before\n* The person has urinary incontinence of neurogenic etiology, such as multiple sclerosis, spina bifida, Parkinson's, spinal cord injury, diabetic neuropathy, etc.\n* Vaginal prolapse\n* Vaginal rejuvenation treatment, including laser treatments and radiofrequency therapy, within 6 months prior to the screening visit","40 Years","70 Years",{"count":411,"type":20},100,[23],"Urinary incontinence (UI) is a condition with involuntary leakage of urine. UI has a significant impact on health related quality of life, poorer sleep quality and sexual function, reduced participation in social and physical activities and is associated with large health care charge. Non-surgical method is always recommended as first action with a step-by-step care starting from non-invasive to more invasive interventions. Systematic overview shows that available non-surgical treatment options in primary care indicated low results in improving effect. HIFEM® technology is a non-invasive method and studies showed significant result on women with UI. For Swedish healthcare HIFEM® is a new medical technology product to treat UI. However, there is a lack of knowledge about the HIFEM® effect in women seeking primary care.\n\nThe aim is to evaluate the effect of high-intensity electromagnetic energy (HIFEM®) on pelvic floor muscles, urinary leakage, sexual function, and health-related quality of life in women with urinary leakage in Swedish primary care, as well as to evaluate cost-effectiveness.\n\nThe intervention included six 30 minutes HIFEM® sessions once a week over six weeks compared with control group.\n\nThe results are expected to lead to effective non-surgical treatment options that can reach many patients, contribute to improving existing routines and can be a new potential way to support health promotion care in primary care and be a cost-effective investment.",[415,416,172,417,28],"Urinary Incontinence","Quality of Life","Mental Health Issue",[419,420,421,422,423,424,425],"urinary incontinence","mental health","menopause","sexual health","womens health","primary health care","quality of ife","2024-06-26",{"date":428,"type":34},"2024-07-03",{"date":430,"type":20},"2024-08-01",{"date":432,"type":20},"2025-12-15",{"name":434,"class":329},"Vastra Gotaland Region",{"id":436,"slug":4,"hasResults":10,"nctId":437,"briefTitle":438,"officialTitle":439,"acronym":440,"eligibilityCriteria":441,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":442,"targetDuration":4,"studyType":254,"phases":4,"briefSummary":444,"conditions":445,"keywords":447,"overallStatus":91,"whyStopped":4,"lastUpdateSubmitDate":451,"lastUpdatePostDateStruct":452,"startDateStruct":454,"completionDateStruct":456,"leadSponsor":458,"locationsCount":4},"100538750","NCT06294899","CRP and Lung Ultrasound in Respiratory Evaluation","Evaluation of Point-of-Care Ultrasound Along With C-Reactive Protein-Point of Care Tests Impact on Clinical Decision-making and Perceived Usefulness in Routine Healthcare Use in Patients With Lower Respiratory Tract Infection. Correlation Between C-Reactive Protein Concentrations and Lung Ultrasound Findings.","PLURE","Inclusion Criteria:\n\n* Age ≥ 18 years old\n* Clinical suspicion of LRTI defined as acute illness lasting less than 21 days, with cough as the main symptom, accompanied by at least one other lower respiratory symptom (such as sputum production, dyspnoea, difficult breathing, or chest pain) without any other explanation for the clinical picture.\n* Ability to read, understand and willingness to give written consent to participate in the study.\n\nExclusion Criteria:\n\n* Patients who have been treated with antibiotics during the last 14 days up to inclusion.\n* Patients with hemodynamic instability or that need emergency medical care due to the current clinical condition.\n* Previous diagnosis of lung or pleural cancer.\n* Thoracic surgery within the past 60 days.\n* Lung interstitial diseases.\n* Patients who refuse to participate in the study",{"count":443,"type":20},202,"Lower respiratory tract infections (LRTIs) are one of the most common reasons for consultation in Primary Care centres. Differentiating between viral and bacterial aetiologies can be challenging, leading to inappropriate antibiotic prescribing. Lung ultrasound (LUS), an imaging test that gained particular relevance since the beginning of the SARS-CoV-2 pandemic, offers several advantages over the classic chest X-ray in detecting and monitoring LRTIs, especially when pleural involvement exists.\n\nThis study aims to correlate LUS findings with capillary blood C-Reactive Protein (CRP) values in patients with LRTIs, evaluating LUS as a diagnostic tool and its impact on therapeutic decisions. The descriptive observational study, conducted from January 2024 to December 2026 in Lleida, will include LRTI patients attending Primary Care centres. By validating LUS as a rapid and non-invasive diagnostic tool, unnecessary antibiotic prescriptions can be reduced, promoting LUS as a complementary test in Primary Care consultations. This will facilitate appropriate diagnosis and treatment decisions for patients with LRTIs, enhancing the overall management of respiratory infections.",[28,446],"Lower Respiratory Tract Infection",[448,449,450],"C-Reactive Protein","Lung ultrasonography","Lower Respiratory Tract Infections","2024-04-29",{"date":453,"type":34},"2024-04-30",{"date":455,"type":20},"2024-06-01",{"date":457,"type":20},"2028-09-01",{"name":459,"class":41},"Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina",{"id":461,"slug":4,"hasResults":10,"nctId":462,"briefTitle":463,"officialTitle":464,"acronym":465,"eligibilityCriteria":466,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":467,"targetDuration":4,"studyType":21,"phases":469,"briefSummary":470,"conditions":471,"keywords":475,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":479,"lastUpdatePostDateStruct":480,"startDateStruct":481,"completionDateStruct":483,"leadSponsor":485,"locationsCount":42},"100540854","NCT06322251","Identification of Interpesonal Violence","Identifying Intimate Partner Violence: an Intervention Study in Health Care Using a Standardised Questionnaire and Virtual Patients","ViP","Inclusion criteria:\n\n* All health care staff who meet patients at the included study sites are elegible for the study\n* Midwives, MDs, psychologists, social workers, nurses etc.\n\nExclusion criteria:\n\n\\- Health care staff who does not want to participate",{"count":468,"type":20},200,[23],"The goal of this study is to increase primary care professional's ability to identify individuals exposed to intimate partner violence (IPV) in primary health care settings.\n\nThe main questions it aims to answer are\n\n1. To what extent do the following three interventions contribute to identify potential victims of IPV: (1) the use of a standardized questionnaire that screens exposure to IPV, (2) staff using tailored virtual patients for clinical training on IPV and (3) a combination of interventions 1 and 2?\n2. Which intervention do primary care professionals experience as most effective in increasing the ability to identify and respond to victims of IPV?\n\nParticipants will be divided to apply one of the three interventions in their health care setting: 1) a standardized questionnaire to patients, 2) virtual patients tailored to health professionals, and 3) a combination of 1 and 2.\n\nPre-and post-measurement of the health professionals identification of patients exposed to IPV will will be used to explore the effect of the interventions.\n\nFocus group interviews with the participating health professionals will be a qualitative complement. The participants will be asked about what intervention they experience as the most effective in increasing the ability to identify victims of IPV.",[28,472,473,474],"Interpersonal Violence","Youth","Pregnancy",[473,474,476,477,478],"Primary care","Virtual patient","Interpersonal violence","2024-04-26",{"date":451,"type":34},{"date":482,"type":34},"2024-04-01",{"date":484,"type":20},"2028-06-30",{"name":486,"class":329},"Region Stockholm",{"id":488,"slug":4,"hasResults":10,"nctId":489,"briefTitle":490,"officialTitle":491,"acronym":492,"eligibilityCriteria":493,"healthyVolunteers":50,"sex":51,"minAge":16,"maxAge":85,"enrollmentInfo":494,"targetDuration":4,"studyType":254,"phases":4,"briefSummary":496,"conditions":497,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":499,"lastUpdatePostDateStruct":500,"startDateStruct":502,"completionDateStruct":503,"leadSponsor":505,"locationsCount":42},"100542720","NCT06346535","PrimeCog: Primary Care Cognitive Testing","PrimeCog: Cognitive Profile, Psychosocial Characteristics, Brain MRI and Biomarkers for Stress and Neurodegeneration in Patients With Depression or Stress Induced Exhaustion Disorder in Primary Care.","PrimeCog","Inclusion Criteria:\n\n1. adults 18 to 65 years old;\n2. fluent in Swedish;\n3. corrected to normal vision and hearing;\n4. (for cases), newly diagnosed with MDD or SED (i.e., received as new diagnosis at the visit to the physician) according to the diagnostic criteria from DSM-V (MDD) and the Swedish Board of Health and Welfare (SED)\n\nExclusion Criteria:\n\n1. already ongoing treatment for MDD\u002FSED or previous diagnosis of MDD\u002FSED within the last year;\n2. history of serious mental illness (defined as mental illness that has required psychiatric in-patient care);\n3. acute cerebrovascular event or severe head trauma in the last 6 months;\n4. known cognitive impairment;\n5. substance dependence, ongoing or past;\n6. motor disability or impairment affecting interaction with the digital tests;\n7. photosensitive epilepsy or -migraines.\n\nFor the MRI subgroup, any contraindication to MRI is an exclusion criterion.",{"count":495,"type":20},300,"The PrimeCog study aims to describe the symptomatology and pathophysiology of stress-induced exhaustion disorder (SED) and major depressive disorder (MDD) compared to healthy controls (HC). The participants will be recruited at primary care centers, and samples of blood, saliva, and hair will be collected. Digital questionnaires covering psychosocial variables and screening instruments for the detection of depression, anxiety, etc., along with a digital cognitive test battery, will be performed at home. Subsequently, an MRI of the brain will be performed, and analysis of biomarkers for stress, inflammation, and neurodegeneration will be conducted. These procedures will be repeated after twelve and twenty-four months. The study will investigate differences in the biomarkers, neuroimaging findings, and cognitive abilities between patients with SED, MDD, and controls over time. Associations between the symptom severity of MDD\u002FSED and psychosocial variables, cognition, MRI, and the biomarkers will also be examined. The aim is to provide new diagnostic tools for differentiation between MDD and SED and guide individualized treatment based on underlying pathophysiology and cognitive function. All necessary competences for conducting this extensive study are represented within the research group. The PrimeCog study is unique in its comprehensive design, addressing knowledge gaps, and directly comparing these diagnoses over time in primary care, where patients are typically treated.",[417,498,28],"Cognitive Symptom","2024-04-19",{"date":501,"type":34},"2024-04-23",{"date":482,"type":34},{"date":504,"type":20},"2029-04-01",{"name":506,"class":41},"Region Östergötland",{"id":508,"slug":4,"hasResults":10,"nctId":509,"briefTitle":510,"officialTitle":510,"acronym":4,"eligibilityCriteria":511,"healthyVolunteers":10,"sex":51,"minAge":16,"maxAge":4,"enrollmentInfo":512,"targetDuration":4,"studyType":21,"phases":514,"briefSummary":515,"conditions":516,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":499,"lastUpdatePostDateStruct":519,"startDateStruct":520,"completionDateStruct":522,"leadSponsor":523,"locationsCount":42},"100487963","NCT05633940","The Effects of Primary Care Behavioral Health in Primary Care in Sweden","Patients:\n\nInclusion Criteria, one of following:\n\n* Adult patients who seek care for mental health problems at a participating centre,\n* Adult patients who have received any following International Classification of Diseases diagnose: F00-F99, Z56, Z73\n* Adult patients who are prescribed any psychotropic drugs with ATC codes: N05A-C, N06A) at a participating centre.\n* Adult patients who has an appointment to a behavioral health consultant at a participating centre.\n\nExclusion Criteria:\n\n• Not capable to leave informed consent.\n\nMedical staff:\n\nInclusion Criteria:\n\n• Health care professionals employed at a participating centre.\n\nExclusion Criteria:\n\n• Temporarily hired personnel, e.g. hired doctors or nurses on weekly basis.",{"count":513,"type":20},500,[23],"The novel multi-professional service delivery model \"Primary Care Behavioural Health\" (PCBH) has been suggested as an effective way to integrate behavioural health services into routine primary care to overcome the growing problems with psychosocial and mental health problems in primary care. In this multicenter mixed-methods pragmatic clinical trial, the implementation of PCBH in routine primary health care in a region in Sweden is investigated.",[28,517,518],"Mental Disorder","Behavioral Symptoms",{"date":501,"type":34},{"date":521,"type":34},"2021-01-01",{"date":118,"type":20},{"name":506,"class":41},{"id":525,"slug":4,"hasResults":10,"nctId":526,"briefTitle":527,"officialTitle":528,"acronym":4,"eligibilityCriteria":529,"healthyVolunteers":10,"sex":15,"minAge":16,"maxAge":530,"enrollmentInfo":531,"targetDuration":4,"studyType":254,"phases":4,"briefSummary":533,"conditions":534,"keywords":537,"overallStatus":91,"whyStopped":4,"lastUpdateSubmitDate":541,"lastUpdatePostDateStruct":542,"startDateStruct":544,"completionDateStruct":546,"leadSponsor":548,"locationsCount":4},"100396810","NCT04446949","Maternal Health Care and Pregnancy Outcomes in Undocumented Migrant Women in Norway.","Documenting the Undocumented - The Use of Maternal Health Care and Pregnancy Outcomes in Undocumented Migrant Women in Norway.","Inclusion Criteria:\n\n* No registered Norwegian identity number\n* Female\n\nExclusion Criteria:\n\n* Male","50 Years",{"count":532,"type":20},70000,"Little research on the health service utilization and the health situation of undocumented pregnant migrants has been performed previously, and it is essential to obtain more information on the services given, and to examine whether residency status is a risk factor in maternal and perinatal health among migrants.This project will give new knowledge on undocumented women seeking care at the voluntary clinics and the emergency clinics (DEGPs) in Oslo and Bergen, their health care needs, and the medical follow-up they are provided. The project will present new knowledge by showing trends in undocumented pregnant migrants care seeking compared to general trends among other migrants and Norwegian residents. It will also give new knowledge on pregnancy outcomes and perinatal health in undocumented migrants compared to foreign and Norwegian born women. This approach has not previously been used to study undocumented migrants in Norway, and there are very few similar studies in other European countries. Cause and effect relations are rarely claimed in findings from observational epidemiologic studies, however the information from three different sources (voluntary clinics, emergency clinics and Medical Birth Registry) will give an overall picture of the use of primary health care in undocumented pregnant migrants, as well as a comparative assessment of maternal outcomes in this population. The proposed research will also give important knowledge on how to conduct quantitative research in a population that is difficult to reach, and that is not commonly included in research.",[535,28,536],"Transients and Migrants","Pregnancy Outcome",[538,539,540],"Norway","Emergency care","Medical Birth Registry","2020-06-22",{"date":543,"type":34},"2020-06-25",{"date":545,"type":20},"2021-01",{"date":547,"type":20},"2028-02",{"name":549,"class":41},"University of Oslo",""]