Neurofibromatosis 1 Clinical Trial
Official title:
A Decentralized Clinical Trial to Promote Evidence-Based Care for Underserved Patients With Neurofibromatosis 1
The goal of this fully decentralized, randomized controlled trial is to compare the efficacy of two educational interventions for individuals with Neurofibromatosis 1 (NF1). The primary objective of the study is to determine which intervention leads to higher rates of evidenced-based health screenings for NF1 patients in primary care settings. Adults with NF1 and parents/guardians of children with NF1 from across the U.S. who do not go to a specialized NF clinic and who have an upcoming annual wellness visits scheduled with a primary care provider (PCP) are eligible to enroll in the study.
Status | Not yet recruiting |
Enrollment | 360 |
Est. completion date | August 2026 |
Est. primary completion date | June 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Adult Inclusion Criteria: - Currently lives in the United States (including Puerto Rico and other United States territories) - Has a clinical diagnosis of neurofibromatosis 1 - Does not attend an NF clinic within the Children's Tumor Foundation NF Clinic Network - Has an in-person, well-person visit with a primary care provider scheduled within 3 months of their consent - Speaks English or Spanish Parent/Guardian of a Child with NF1 Inclusion Criteria: - Currently lives in the United States (including Puerto Rico and other United States territories) - Cares for a child (age <18 years) with a clinical diagnosis of neurofibromatosis 1 - Does not attend an NF clinic within the Children's Tumor Foundation NF Clinic Network - Their child has an in-person, well-person visit with a primary care provider scheduled within 3 months of their consent - Speaks English or Spanish Exclusion Criteria: - Only one person per household may participate in the study - Unwilling or unable to give informed consent |
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital | Patient-Centered Outcomes Research Institute |
United States,
Merker VL, Dai A, Radtke HB, Knight P, Jordan JT, Plotkin SR. Increasing access to specialty care for rare diseases: a case study using a foundation sponsored clinic network for patients with neurofibromatosis 1, neurofibromatosis 2, and schwannomatosis. BMC Health Serv Res. 2018 Aug 29;18(1):668. doi: 10.1186/s12913-018-3471-5. — View Citation
Merker VL, Knight P, Radtke HB, Yohay K, Ullrich NJ, Plotkin SR, Jordan JT. Awareness and agreement with neurofibromatosis care guidelines among U.S. neurofibromatosis specialists. Orphanet J Rare Dis. 2022 Feb 10;17(1):44. doi: 10.1186/s13023-022-02196-x. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Receipt of Recommended NF1 Health Screenings | Number of AAP and ACMG recommended health screenings received by the person with NF1 at the annual wellness visit with their PCP, as assessed by patient/parent self-report | 2 weeks after PCP visit | |
Secondary | Patient Activation Measure® | The Patient Activation Measure will be used to assess patient's and parent's self-efficacy managing their or their child's care. The patient form has 13 items and the parent form has 10 items. The measure has scores ranging from 0-100, where higher scores indicate higher patient/parent activation (e.g. self-efficacy in managing your own or your child's healthcare). | At baseline and 2 weeks after PCP visit | |
Secondary | Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Survey Version 4.0 (Beta): Rating of the Visit | The CAHPS® Rating of the Visit will be used to assess patient/parent satisfaction with the visit. This rating is a single item scored from 0 to 10, where higher scores indicated a better visit. | 2 weeks after PCP visit | |
Secondary | Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Survey Version 4.0 (Beta): How Well Providers Communicate With Patients Subscale | The subscale will be used to assess How Well Providers Communicate With Patients. This scale will be scored from 0 to 100, where higher scores indicated better communication with patients. | 2 weeks after PCP visit | |
Secondary | Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Survey Version 4.0 (Beta): Providers' Use of Information to Coordinate Patient Care Subscale | The subscale will be used to assess Providers' Use of Information to Coordinate Patient Care. This scale will be scored from 0 to 100, where higher scores indicate better use of information to coordinate care. | 2 weeks after PCP visit |
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