Measuring Patient Reported Needs in Outpatient Liver Disease Management
A
Archita Desai, MD
Primary Investigator
Enrolling By Invitation
18 years - 100 years
All
Phase
N/A
200 participants needed
1 Location
Brief description of study
What is the purpose of this study?
Patients with chronic liver disease (CLD) are biopsychosocially complex and represent a vulnerable population at high risk for poor health-related outcomes. Beyond their primary liver disease, individuals with CLD often have unmet social needs which serve as important social determinants of health (SODH). For example, limited financial resources, lower educational attainment, unemployment, housing instability, limited neighborhood level resources are known to adversely impact outcomes in patients with CLD. In other populations, screening tools and modules have been created to determine what health-related socioeconomic needs (HRSN) patients have; however, there is no validated tool in CLD patients. Furthermore, it is unclear from current literature if patients are open to having their healthcare providers to address their HRSN and if physicians will incorporate these data into their care management plan. To address this gap in the literature, we aim to (1) identify the HRSNs of CLD patients, (2) determine patient’s preferences about completing HRSN screening during clinical care and (3) understand providers’ experiences with how they might use HRSN data in routine practice.
Patients with chronic liver disease (CLD) are biopsychosocially complex and represent a vulnerable population at high risk for poor health-related outcomes. Beyond their primary liver disease, individuals with CLD often have unmet social needs which serve as important social determinants of health (SODH). For example, limited financial resources, lower educational attainment, unemployment, housing instability, limited neighborhood level resources are known to adversely impact outcomes in patients with CLD. In other populations, screening tools and modules have been created to determine what health-related socioeconomic needs (HRSN) patients have; however, there is no validated tool in CLD patients. Furthermore, it is unclear from current literature if patients are open to having their healthcare providers to address their HRSN and if physicians will incorporate these data into their care management plan. To address this gap in the literature, we aim to (1) identify the HRSNs of CLD patients, (2) determine patient’s preferences about completing HRSN screening during clinical care and (3) understand providers’ experiences with how they might use HRSN data in routine practice.
THIS STUDY IS ENROLLING BY INVITATION ONLY - Participants with chronic liver disease will be recruited from among patients being seen by a Hepatology provider at IU Health and will be contacted in one of two ways: by telephone prior to their clinic visit or in person at the clinic visit. The providers as participants will be from among those providing care for Hepatology patients at IU Health. When a patient agrees to participate, the provider will be given a survey to complete.
Detailed description of study
What will happen during the study?
- Consented participants be asked to complete survey instruments to measure HRSN, screening preference, health literacy, and health related quality of life. Their visit provider will also be surveyed to determine their experience with HRSN screening and to obtain basic demographic information.
- The provider responses will be reviewed and entered into the study database.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Chronic liver disease
-
Age: 18 years - 100 years
-
Gender: All
Patient Inclusion criteria
• Age 18 or greater
• English speaking
• Ability to give consent (West Haven stage 0-1 if history of hepatic encephalopathy)
Patient Exclusion criteria
• History of liver transplant
• Individuals not willing to participate in the survey
• Patients with severe cognitive impairment
Provider Inclusion Criteria
• Participated in patient care during inclusion visit
Provider Exclusion Criteria
• Unable to complete survey within 7 days of the inclusion visit
• Age 18 or greater
• English speaking
• Ability to give consent (West Haven stage 0-1 if history of hepatic encephalopathy)
Patient Exclusion criteria
• History of liver transplant
• Individuals not willing to participate in the survey
• Patients with severe cognitive impairment
Provider Inclusion Criteria
• Participated in patient care during inclusion visit
Provider Exclusion Criteria
• Unable to complete survey within 7 days of the inclusion visit
Updated on
09 Apr 2025.
Study ID: GI-IIR-PRO, 17943
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