Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at UCSF
Dates
study started
completion around

Description

Summary

The goal of this observational study is to help us understand more about the best ways to help individuals living with Sickle Cell Disease (SCD) get the best care. The main question it aims to answer is: How to find individuals unaffiliated from SCD specialist care use three distinct pathways? Once unaffiliated individuals are found using the pathways, Investigators will employ linkage coordinators (trained staff) to engage these patients in care. Participants will be asked to fill out an assessment survey which will cover areas such as previous and current treatment, clinic and hospital experience, pain, and quality of life. Participants will also be given the option of participation in a 1-hour long interview how they feel about treatment for sickle cell disease including clinic experience, pain, and quality of life?

Details

The goal of RECIPE (Recruitment and Engagement in Care to Impact Practice Enhancement) for Sickle Cell Disease is to find unaffiliated patients with SCD using three distinct pathways (Community, Hospital, Surveillance) engage them in care using linkage coordinators (LCs; a successful method adapted from HIV care), and understand the contextual factors and implementation support needed to ensure these methodologies can be further scaled up at a national level. This study is significant because information about unaffiliated patients with SCD who are not actively engaged in the health system has not been systematically collected and studied in the past. Information comes only from experienced clinicians, community groups, patient advocates, and word of mouth. The lack of data about this population is problematic because current implementation studies focus on the barriers related to affiliated patients, with no known strategies identified to engage unaffiliated patients. No previous studies have evaluated the best methods for locating and then engaging and maintaining unaffiliated patients in specialty SCD care. This study will contribute to the literature by optimizing different pathways for finding unaffiliated patients, as well as providing evidence on what may work best in different clinical care settings and among different patients to address barriers to care in hard-to-reach populations.

Keywords

Sickle Cell Disease, Sickle Cell Disease Care, Unaffiliated patients, Linkage Coordinator, Sickle Cell Anemia

Eligibility

You can join if…

Open to people ages 18 years and up

  • Persons must be >/= 18 years of age
  • Persons must have confirmed SCD
  • Persons not seen by a SCD specialist > 1 year +/- 3 months
  • Literacy in English will be required of the consenting patient or parent/guardian

You CAN'T join if...

  • Persons < 18 years of age
  • Persons that are unable to provide informed consent and do not have a designated care-giver that can consent on his/her behalf
  • Persons with sickle cell trait (as per hemoglobin electrophoresis)
  • Persons seen by a SCD specialist < 1 year +/1 3 months

Locations

  • University of California, San Francisco (UCSF) accepting new patients
    Oakland California 94609 United States
  • University of Illinois accepting new patients
    Chicago Illinois 60612 United States
  • University of Alabama, Birmingham (UAB) accepting new patients
    Birmingham Alabama 35233 United States
  • Augusta University accepting new patients
    Augusta Georgia 30901 United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
RTI International
ID
NCT06385886
Study Type
Observational
Participants
Expecting 150 study participants
Last Updated