Stratified Targeted Engagement From Primary Care to Physical Therapy (STEPPT) (NCT07290361)
Stratified Targeted Engagement From Primary Care to Physical Therapy (STEPPT): A Pragmatic Stepped Wedge Cluster Randomized Trial
🩺 Plain-English Summary (8th-Grade Level)
The goal of this clinical trial is to learn if a health system intervention called "Stratified Targeted Engagement from Primary Care to Physical Therapy (STEPPT)" can improve how often doctors refer Hispanic patients with spine pain to physical therapy (referral rate) and how often patients attend physical therapy after being referred (adherence rate). The main questions this study aims to answer are 1) does STEPPT improve physical therapy referral and adherence rates compared to usual care for Hispanic patients with spine pain who seek care in a Federally Qualified Health Center (FQHC) serving low income communities, and 2) how consistently do FQHC providers and staff deliver STEPPT to patients who may benefit? STEPPT will train doctors and other health care providers to educate participants on the benefits of physical therapy for spine pain and participants will receive culturally tailored handouts and videos to teach them about their spine pain and what to expect in physical therapy. Patients will also receive personalized assistance to schedule their physical therapy appointment and address potential barriers for attending the appointment.
Who can join: Review the eligibility criteria below.
Location: Family Health Centers of San Diego — San Diego, California
Age range: 18 Years
🧪 Interventions in This Study
- Engagement of clinic leadership (System Intervention - Usual Care) (BEHAVIORAL)
- Engagement of clinic leadership (System Intervention - STEPPT) (BEHAVIORAL)
- Patient Registry (System Intervention - STEPPT) (BEHAVIORAL)
- Delivery of Patient Education Materials (System Intervention - Usual Care) (BEHAVIORAL)
- Delivery of Patient Education Materials (System Intervention - STEPPT) (BEHAVIORAL)
- Referral Specialist Training (System Intervention - Usual Care) (BEHAVIORAL)
- Patient Health Navigator Training (System Intervention - STEPPT) (BEHAVIORAL)
- Care Navigation (System Intervention - STEPPT) (BEHAVIORAL)
- Care navigation audit and feedback (System Intervention - STEPPT) (BEHAVIORAL)
- Primary Care Provider training (Provider Intervention - STEPPT) (BEHAVIORAL)
- Nurse/Medical Assistant Training (Provider Intervention - STEPPT) (BEHAVIORAL)
- Provider feedback on PT referral and adherence (Provider Intervention - STEPPT) (BEHAVIORAL)
- Patient education on spine pain condition (Patient Intervention - Usual Care) (BEHAVIORAL)
- Patient education on spine pain condition (Patient Intervention - STEPPT) (BEHAVIORAL)
- Patient Education on Physical Referral by Providers (Patient Intervention - Usual Care) (BEHAVIORAL)
- Patient Education on Physical Referral by Providers (Patient Intervention - STEPPT) (BEHAVIORAL)
- Electronic Patient Education on Physical Therapy Referral (Patient Intervention - STEPPT) (BEHAVIORAL)
- Patient education on physical therapy referral by Referral Specialist (Patient Intervention - Usual Care) (BEHAVIORAL)
- Patient education on physical therapy referral by Patient Health Navigator (Patient Intervention - STEPPT) (BEHAVIORAL)
- Care Navigation (System Intervention - Usual Care) (BEHAVIORAL)
- Monitoring of PT referral and adherence rates (System Intervention - STEPPT) (BEHAVIORAL)
- Monitoring of PT referral and adherence rates (System intervention - Usual Care) (BEHAVIORAL)
📋 "Do I Qualify?" — 1-Minute Self Screener
Instant ChecklistFull eligibility criteria are available on the official NIH protocol. View the criteria ↗
📍 All Participating Trial Locations (1 Sites)
- Family Health Centers of San Diego — San Diego, California
📞 Contact the Study Coordinator
Phone: (323) 508-6312
Email: creal2@sdsu.edu
Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.
💰 Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.
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💡 How to Participate
- Check the checklist above to see if you may qualify.
- Contact the study coordinator using the phone/email above.
- Ask about the visit schedule, what is covered at no cost, and any travel support.
- Confirm with your own doctor before making a decision.