Community-engaged Approaches to Testing in Community and Healthcare Settings for Underserved Populations (CATCH-UP)
Covid19
About this trial
This is an interventional other trial for Covid19 focused on measuring COVID-19, RADx-UP, Health Services Research, Implementation Science, Evidence-based practice, Social determinants of health
Eligibility Criteria
Inclusion Criteria:
Practices:
- Primary care practices located in Oklahoma.
- Priority to practices serving a majority of patients that are underserved or vulnerable populations (rural, minority, elderly).
- Practices routinely using a certified electronic health record (EHR) will be eligible to participate, as practices that are still using paper records are either planning to close due to clinician retirement or will likely be implementing an EHR during the project, which would compromise their ability to participate.
- Practice-wide participation will be encouraged, but participation of all members within a practice (both clinicians and staff members) will not be required. The minimum acceptable level of participation will be one clinician and nurse/medical assistant dyad plus anyone else who would have to be involved to make changes in the processes of care (e.g. clinic manager) for that unit of care.
- Clinicians and staff members 18 years of age and older at the time of enrollment (consent).
Patients survey participants:
- Patients (or caregivers of patients) who are seen in eligible practices or community testing sites and received a recommendation for the patient to receive a SARS-CoV-2 diagnostic test.
- Patients (or their caregivers) who are 18 or older
Exclusion Criteria:
Practices:
- Practices that are uninterested in reducing missed opportunities for guidelines-based testing for SARS-CoV-2
- Solo practices with a clinician planning to retire within 12 months of enrollment will not be eligible for participation.
- Practices likely to experience ownership change in the next 12 months will not be eligible for participation.
Patient survey participants:
- Patients unable to complete the consent process or survey instruments in English or Spanish.
- Patients or caregivers of patients who are under the age of 18.
Sites / Locations
- Oklahoma Clinical and Translational Science Institute
Arms of the Study
Arm 1
Other
Primary Care Practices
A practice-based implementation study will be conducted with 50 practices, with baseline data collection, and overlapping with interim measurements of care quality and process outcomes, followed by a final data collection at the end of the intervention (including baseline measures plus semi-structured interviews. The practice based approach to increasing testing will be compared to a community-based approach using mobile-setting to increase testing. Additional, non-clinical trial components of this study include patient surveys to understand facilitators and barriers to SARS-CoV-2 testing and identification of legal/ethical, socioeconomic, and behavioral implications of increased testing. Patients are not direct subjects in this part of the study. Intervention will target practices and practice members.