Testing the Effectiveness of NAFLD Clinical Care Pathway in VA Primary Care

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Non-alcoholic fatty liver disease (NAFLD) is a new condition that has become the most common chronic liver disease in the world and a main cause of liver cirrhosis, liver failure and liver cancer. Obesity and diabetes, conditions that are very common among Veterans are the main risk factors for NAFLD. Therefore, the burden of NAFLD and its complications among Veterans is substantial. However, most VA patients with NAFLD are undiagnosed and untreated, and their care is not consistent with practice guidelines. The NAFLD Clinical Care Pathway (NCCP) intervention seeks to close this major gap in the care of Veterans by automatically identifying patients at risk of NAFLD, calculating their risk scores of having severe NAFLD, and educating the primary care providers on the diagnosis and treatment of NAFLD. This clinical trial will test the benefit of this NCCP intervention against usual care in increasing the rates of NAFLD diagnosis as well as referral to and enrollment in appropriate treatment. The study will also identify barriers and promotors of future NCCP implementation.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

• Patient Aligned Care Teams (PACT) at the Michael E. DeBakey VA Medical Center

Locations
United States
Texas
Michael E. DeBakey VA Medical Center, Houston, TX
RECRUITING
Houston
Contact Information
Primary
Hashem B El-Serag, MD MPH
Hashem.El-Serag@va.gov
(713) 794-8640
Backup
Kyler Godwin, PhD MPH BS
kyler.godwin@va.gov
(713) 440-4672
Time Frame
Start Date: 2024-02-02
Estimated Completion Date: 2028-11-13
Participants
Target number of participants: 32
Treatments
Experimental: E-trigger
The NCCP Intervention is made up of multiple components. The investigators will start by applying the e-trigger and assessing the FIB-4 score, and then will train and educate PACT personnel on managing patients with positive triggers, including making treatment recommendations in collaboration with an inter-professional team. The e-trigger will be generated every three months.
No_intervention: Usual care
The control group will receive no additional training or education. PACTs will provide usual care.
Sponsors
Leads: VA Office of Research and Development

This content was sourced from clinicaltrials.gov