An interventional study of Concordant in Behavior, Cardiovascular Risk Factor and Influenza, sponsored by Stanford University. Completed at 1 site in United States. Open to male participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-10-25.
Sponsored by Stanford University · Not applicable, Interventional, and Other
Reducing racial disparities in health outcomes is a major policy concern in the United States. Although there has been recent progress to close the gap, black men continue to experience earlier morbidity and mortality from preventable and manageable medical conditions, and live on average 4.2 years less than their white male peers. An oft-prescribed solution to close this stubborn gap is to increase the diversity of the healthcare workforce. Another common policy tool to increase take-up of preventative healthcare services is financial incentives. In this randomized evaluation, we will estimate the effects of financial incentives and a racially concordant physician on the uptake of preventive health services in Oakland, California.
1,573 studies on the registry are indexed under Behavior; 313 are open to participants now.
This study's enrollment of 1,374 is above the median of 120 across 1,197 interventional studies indexed under Behavior.
Browse Behavior studies →Stanford University is the lead sponsor of 2,168 studies on the registry; 431 are open to participants now.
Of its 267 completed or terminated interventional studies of FDA-regulated products, 207 (78%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
-
Does not receive the concordant provider.
Behavioral: Concordant
The intervention is that the subject receives the concordant provider.
Behavioral: Concordant
We will be randomizing across providers - we are particularly interested in racial concordance.
Average Take-up of Preventive Services (Post-consultation)
Take-up of preventative services was scored as either zero (did not utilize any post-consultation services) or 1 (utilized at least 1 post-consultation service). Four non-incentivized post-consultation preventive services were offered (for BMI, blood pressure, cholesterol, and/or diabetes); the subject had the opportunity to select service(s) after meeting with their assigned doctor.
Time frame: 1 day
We recruited 1374 black men in barbershops and flea markets to take the baseline survey. The subjects were given a coupon which allowed them entrance to the clinic.
| Milestone | Discordant | Concordant |
|---|---|---|
| Started | 324 | 313 |
| Completed | 324 | 313 |
| Not completed | 0 | 0 |
Take-up of preventative services was scored as either zero (did not utilize any post-consultation services) or 1 (utilized at least 1 post-consultation service). Four non-incentivized post-consultation preventive services were offered (for BMI, blood pressure, cholesterol, and/or diabetes); the subject had the opportunity to select service(s) after meeting with their assigned doctor.
| score on a scale | Discordant | Concordant |
|---|---|---|
| Average Take-up of Preventive Services (Post-consultation) | 0.52 ± .36 | .71 ± .36 |
Collected over 1 day. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Discordant | 0/324 (0%) | 0/324 (0%) | 0/324 (0%) |
| Concordant | 0/313 (0%) | 0/313 (0%) | 0/313 (0%) |
Numbers are those who presented to the clinic and who met study criteria (African-American, age 18+, male)
| Age, Continuous(years) | Discordant | Concordant | Total |
|---|---|---|---|
| Mean | 43.4 ± 16.3 | 42.6 ± 17.1 | 43.0 ± 16.7 |
| Sex: Female, Male(Participants) | Discordant | Concordant | Total |
|---|---|---|---|
| Female | 0 | 0 | 0 |
| Male | 324 | 313 | 637 |
| Race (NIH/OMB)(Participants) | Discordant | Concordant | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 324 | 313 | 637 |
| White | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Average education level(score on a scale) | Discordant | Concordant | Total |
|---|---|---|---|
| Mean | .62 ± .49 | .64 ± .48 | .63 ± .48 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.
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