Development of STEPPT

Completed · Not applicable

Conditions studied: Pain, Back Pain, Low Back Pain, Chronic Pain, Neck Pain

In brief

This 6-month pilot study aims to assess the feasibility, acceptability, and estimate effect sizes of the pilot STEPPT intervention for addressing ethnic disparities in physical therapy referrals and adherence between Hispanic and Non-Hispanic White patients with spine pain. Feasibility and acceptability will be assessed based on the extent to which the pilot clinic implements all components of the intervention appropriately, feedback from clinic staff during implementation of the intervention, and feedback from patients during post-intervention interviews. The investigators anticipate that the intervention will be both feasible and acceptable. Feedback from patients and clinic staff will be used to inform intervention modifications for a larger clinical trial. Effect sizes for the pilot STEPPT intervention (intervention) in comparison to standard care (control) will be assessed by evaluating changes in ethnic disparities (Hispanic vs. Non-Hispanic White) in physician referral to physical therapy and patient adherence to physical therapy referral for the treatment of spine pain before and after implementation of the pilot STEPPT intervention. In comparison to standard care, the investigators expect STEPPT to reduce ethnic disparities in referral and adherence outcomes.

Key facts

Study ID

NCT06835439

Run by

San Diego State University

People needed

144

Starts

2024-11-02

Expected to finish

2025-12-02

Last updated by the study team

2026-05-11

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age: 18 years or older.
• Patients seeking care within the designated Federally Qualified Health System Adult or Adult Walk-in primary care clinic
• Ethnicity/Race: Participants must identify as either Hispanic or Non-Hispanic White ethnicity/race.
• Consent: Participants must have signed a broad consent for the use of de-identified health information for research.
• Spine Pain: Participants must meet one of the following:
• New Spine Pain Problem: A new ICD code for neck or back pain added to the problem list during a visit with a primary care physician.
• Existing Spine Pain Diagnosis: An existing ICD code for neck or back pain on the problem list that is associated with a physician referral for any service during the visit related to the neck or back pain problem.

You may not qualify if…

• Non-Musculoskeletal Spine Pain: Participants with spine pain due to a non-musculoskeletal etiology (e.g., infection, cancer, urological disorders, pregnancy) are excluded.
• Urgent Medical Conditions: Patients requiring urgent medical intervention (e.g., fracture, cauda equina syndrome) are excluded.
• Patients with a physical therapy referral external to the healthcare system are excluded from the analysis of physical therapy adherence

Where it is running

• Family Health Centers of San Diego — San Diego, California, United States

Full record on ClinicalTrials.gov

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