[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT05370014":3,"trial-entities:NCT05370014":131,"trial-summary:NCT05370014":139},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":25,"study_type":32,"primary_purpose":33,"phases":34,"enrollment_info":36,"interventions":39,"primary_outcomes":46,"secondary_outcomes":51,"sex":78,"minimum_age":79,"maximum_age":80,"healthy_volunteers":15,"eligibility_criteria":81,"std_ages":93,"locations":96,"central_contacts":111,"overall_officials":118,"references":121,"see_also_links":130},"NCT05370014","Pro00110062","Improving the Collaborative Health of Minority COVID-19 Survivor and Carepartner Dyads","Improving the Collaborative Health of Minority COVID-19 Survivor and Carepartner Dyads Through Interventions Targeting Social and Structural Health Inequities.","RECRUITING","2026-06-30","2025-05","2025-05-16","2023-01-03","University of South Carolina","OTHER",true,"This study tests the efficacy of a dyadic intervention to mitigate the adverse health consequences of severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2 )(COVID-19) in African American (AA) adults with pre-existing chronic health conditions and their informal carepartners (IC). Socioeconomically disadvantaged, older, and Black\u002FAfrican American from rural regions are burdened with greater rates of chronic diseases such as diabetes, hypertension, chronic kidney disease, cardiovascular disease, and stroke.","This study tests the efficacy of a dyadic intervention to mitigate the adverse health consequences of SARS- CoV-2 (COVID-19) in African American (AA) adults with pre-existing chronic health conditions and their informal carepartners (IC). Socioeconomically disadvantaged, older, and Black\u002FAfrican American from rural regions are burdened with greater rates of chronic diseases such as diabetes, hypertension, chronic kidney disease, cardiovascular disease, and stroke. Those chronic diseases contribute to more severe health consequences and higher rates of mortality from COVID-19. POC are also more likely to be impacted by social and structural determinants of health (SSDH), such as barriers to health care access, discrimination, and lack of social support, that negatively impact quality of life (QoL) and effective chronic disease self- management behaviors. To provide the fullest health benefits to participants with chronic conditions in the wake of the COVID-19 pandemic, it is critical that we design interventions targeting SSDH for improved chronic disease self-management, health, functioning, QoL.\n\nThis study will utilize an embedded mixed methods design paired with an efficacy randomized controlled trial (RCT). Our iCINGS FAM (Integrating Community-based Intervention Under Nurse Guidance with Families) is a Registered Nurse (RN)-Community Health Worker (CHW)-delivered, telehealth intervention (14-weeks) that targets compounding racial- and pandemic-related stressors for improved chronic illness management and future disease risk mitigation in adult AA COVID-19 survivor\u002FIC dyads.",[19,20,21,22,23,24],"SARS- CoV-2","Cardiovascular Diseases","Chronic Kidney Diseases","Diabetes Mellitus, Type 2","Chronic Disease","Stroke",[26,27,28,29,30,31],"health inequities","rural","Black\u002FAfrican American","dyads","structural determinants of health","quality of life","INTERVENTIONAL","SUPPORTIVE_CARE",[35],"NA",{"count":37,"type":38},500,"ESTIMATED",[40],{"type":41,"name":42,"description":43,"armGroupLabels":44},"BEHAVIORAL","Integrating Community-based Intervention Under Nurse Guidance with Families (iCINGS FAM)","The intervention consists of two planning sessions with the dyad (over 2 weeks) followed by eight topic-guided sessions delivered the RN-CHW team over 12 weeks (weekly the first 4 weeks, then bi-weekly) (Table 3). Key components of these televisits include COVID-19 risk mitigation, chronic disease management, medication adherence, family functioning\u002Fsupport, and community and health systems resource identification and referral with ongoing goal planning. The RN-CHW will meet weekly for progress review, follow up planning, and setting up anticipatory guidance for the next session with the dyads. The RN and CHW will also review IC or survivor dissatisfaction and other issues that require more immediate attention. RN-CHW planning will be assessed to make sure each televisit remain topic focused yet incorporates flexibility to suit the needs of each dyad.",[45],"iCINGS Fam Intervention",[47],{"measure":48,"description":49,"timeFrame":50},"Change in patient-reported outcomes measurement information system (PROMIS) Global Health Scale","Quality of Life 10 items. minimum score 4 to maximum score 20. Higher scores mean better.","0, 4, 7 months",[52,56,59,62,65,68,71,75],{"measure":53,"description":54,"timeFrame":55},"Change in PROMIS Short Form v1.0 Anxiety","Anxiety 6a (6 items)","0, 4, 7 months. minimum score 6 to maximum score 30. lower scores mean better.",{"measure":57,"description":58,"timeFrame":50},"Change in Center for Epidemiologic Studies Depression Scale (CES-D)","Depression 20 items. minimum score 0 to maximum score 60. lower scores mean better.",{"measure":60,"description":61,"timeFrame":50},"Change in PROMIS Short Form v1.0 Fatigue","Fatigue 6a (6 items). minimum score 6 to maximum score 30. lower scores mean better.",{"measure":63,"description":64,"timeFrame":50},"Change in PROMIS Short From v1.0 Sleep Disturbance","Sleep Disturbance 6a (6 items). minimum score 6 to maximum score 30. lower scores mean better.",{"measure":66,"description":67,"timeFrame":50},"Change in PROMIS Short Form v.1.1 Pain interference","Pain interference 8a (8 items). minimum score 8 to maximum score 40. lower scores mean better.",{"measure":69,"description":70,"timeFrame":50},"Change in Dyadic Illness Management Behaviors","Survivor reported Self-care chronic illness Inventory (20 items); Informal carepartner contributions to self-care of chronic illness inventory 20 item",{"measure":72,"description":73,"timeFrame":74},"Change in Dyadic Efficacy","PROMIS v1.0 General Self-efficacy Scale (10 items)","0, 4, 7 months. minimum score 10 to maximum score 50. higher scores mean better.",{"measure":76,"description":77,"timeFrame":50},"Change in Modified Medical Outcomes Study Social Support Survey Instrument (mMOS-SS)","Social Support (8 items). Transformed minimum score 0 to maximum score 100. higher scores mean better.","ALL","18 Years",null,{"inclusion":82,"exclusion":91,"raw_text":92},[83,84,85,86,87,88,84,86,89,90],"African American","Male and female","Living in a Medically Underserved Area and\u002For a designated rural area of South Carolina","≥ 18 years and above","A history of a COVID-19-associated hospitalization, ER or Urgent Care visit since March 11th, 2020","A previous diagnosis of one or more of the following conditions: type 2 diabetes, hypertension, cardiovascular disease, chronic kidney disease, or stroke (\\>3 months)","Must live on the same property or community, preferably within a 40-mile radius of the survivor","Primarily responsible for care provision and\u002For care\u002Fsocial support in the home (i.e., is not paid for services)",[],"Inclusion Criteria:\n\nCOVID-19 survivor inclusion criteria\n\n* African American\n* Male and female\n* Living in a Medically Underserved Area and\u002For a designated rural area of South Carolina\n* ≥ 18 years and above\n* A history of a COVID-19-associated hospitalization, ER or Urgent Care visit since March 11th, 2020\n* A previous diagnosis of one or more of the following conditions: type 2 diabetes, hypertension, cardiovascular disease, chronic kidney disease, or stroke (\\>3 months)\n\n  -Carepartner inclusion criteria\n* Male and female\n* ≥ 18 years and above\n* Must live on the same property or community, preferably within a 40-mile radius of the survivor\n* Primarily responsible for care provision and\u002For care\u002Fsocial support in the home (i.e., is not paid for services)\n\nExclusion Criteria:\n\n* Survivor and Carepartner exclusion criteria • Enrolled in related clinical trials",[94,95],"ADULT","OLDER_ADULT",[97],{"facility":13,"status":8,"city":98,"state":99,"zip":100,"country":101,"contacts":102,"geoPoint":108},"Columbia","South Carolina","29208","United States",[103],{"name":104,"role":105,"phone":106,"email":107},"Gayenell S Magwood, PhD","CONTACT","803-777-9160","magwoodg@sc.edu",{"lat":109,"lon":110},34.00071,-81.03481,[112,115],{"name":113,"role":105,"phone":114,"email":107},"Study PI","8037779160",{"name":116,"role":105,"phone":117},"Program Coordinator","(803) 576-7787",[119],{"name":104,"affiliation":13,"role":120},"PRINCIPAL_INVESTIGATOR",[122,126],{"pmid":123,"type":124,"citation":125},"37665520","BACKGROUND","Scott J, Burrison S, Barron M, Logan A, Magwood GS. Exploring Nursing Strategies to Engage Community in Cardiovascular Care. Curr Cardiol Rep. 2023 Oct;25(10):1351-1359. doi: 10.1007\u002Fs11886-023-01949-9. Epub 2023 Sep 4.",{"pmid":127,"type":128,"citation":129},"39310085","RESULT","Magwood GS, Ellis C Jr, Hughes Halbert C, Toussaint EA, Scott J, Nemeth LS. Exploring Barriers to Effective COVID-19 Risk Mitigation, Recovery, and Chronic Disease Self-Management: A Qualitative Multilevel Perspective. Patient Relat Outcome Meas. 2024 Sep 18;15:241-253. doi: 10.2147\u002FPROM.S467743. eCollection 2024.",[],{"nct_id":4,"conditions":132,"biomarkers":138},[133,134,135,136,24,137],"Cardiovascular Disorder","Chronic Kidney Disease","COVID-19 Infection","Hypertension","Type 2 Diabetes Mellitus",[],{"nct_id":4,"found":15,"summary":140,"prompt_version":150},{"design":141,"status":142,"heading":143,"summary":144,"follow_up":145,"word_count":146,"commitments":147,"compensation":148,"drugs_mentioned":149},"This is an interventional study that plans to enroll 500 participants. It uses a randomized controlled trial design.","completed","Improving Health for African American COVID-19 Survivors and Carepartners","This study is testing a program called iCINGS FAM to help African American adults who had COVID-19 and their carepartners. Many African Americans, especially in rural South Carolina, face higher rates of chronic diseases like diabetes and heart problems, which can make COVID-19 more severe. This program aims to improve health and quality of life by providing support and guidance from a nurse and community health worker team. The study will measure changes in participants' overall health using a survey called PROMIS Global Health Scale over seven months. We are looking for 500 participants who are African American, at least 18 years old, live in specific areas of South Carolina, had a COVID-19-related hospitalization or ER\u002FUrgent Care visit, and have certain chronic health conditions. The study's current status is unclear.","Participants' health will be measured at the beginning of the study, at 4 months, and at 7 months.",130,"Participants will have two planning sessions over two weeks, followed by eight topic-guided sessions with a nurse and community health worker team over 12 weeks. These sessions will be weekly for the first four weeks, then every other week.","Not stated in the trial record.",[],"v2"]