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Social Equity Data in Primary Care: How Best to Collect Data From Hard-to-Reach Populations

NCT07550101 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 760

Last updated 2026-04-24

No results posted yet for this study

Summary

The goal of this clinical trial is to learn whether a community-based outreach approach can improve the collection of social and demographic information in adult primary care patients who may be harder to reach through standard clinic processes. The study focuses on patients who face potential barriers to care, such as limited income, housing instability, language differences, or other social challenges.

The main questions it aims to answer are:

* Does support from a Community Health Surveyor increase completion of a social and demographic questionnaire compared to usual care?
* Does this approach improve participation among patients with social needs or barriers to accessing care?

Researchers will compare usual care (standard questionnaire invitation methods) with an enhanced approach that includes proactive outreach and support from a Community Health Surveyor to see if this increases questionnaire completion.

Participants will:

* Be invited to complete a social and demographic questionnaire as part of routine care
* Complete the questionnaire either independently or with support from clinic staff or a Community Health Surveyor (depending on group assignment)

Conditions

  • Social Determinants of Health
  • Healthcare Disparities
  • Primary Health Care
  • Health Equity

Interventions

BEHAVIORAL

Community health surveyor

Participants in the intervention arm received usual care for Health Equity Questionnaire (HEQ) completion plus additional support from a Community Health Surveyor (CHS). The CHS proactively contacted participants by telephone (up to three attempts) to invite them to complete the HEQ and provided assistance with questionnaire completion if the participant agreed. Participants could complete the HEQ by phone, in clinic, or in a community setting based on their preference. The CHS guided participants through the questionnaire by reading items aloud, clarifying questions as needed, and facilitating responses, with access to interpretation services when required. This arm was designed to evaluate whether proactive outreach and assisted completion improves HEQ completion rates compared with usual care alone.

Sponsors & Collaborators

  • Unity Health Toronto

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2024-10-11
Primary Completion
2025-04-18
Completion
2025-04-18

Countries

  • Canada

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07550101 on ClinicalTrials.gov