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RecruitingNCT05828992Integrate-HDUpdated May 19, 2023

Benchmarking Integrated Care for People Living With Huntington's Disease in England

An observational study in Huntington Disease, sponsored by University of Southampton. Recruiting at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-05-19.

Sponsored by University of Southampton · Observational

From the registry’s dates

  • Primary completion was expected by Nov 2023, 2 years 10 months ago, but the record still lists the study as recruiting.
  • Started Feb 2023; still recruiting 3 years 7 months later.
Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
60
Ages
18 Years and older
Sex
All
01

Study summary

The survey and full study information can be accessed here: https://southampton.qualtrics.com/jfe/form/SV_8iEedDJZy4xaiI6

The goal of this anonymous survey is to benchmark integrated care from the perspective of service users in adults living with Huntington's Disease, including informal caregivers. The main question it aims to answer is: Is standard of care for people living with HD in England person-centred integrated care from the perspective of service users?

Participants will complete a one-time anonymous survey either online or on paper, according to their preference, that takes an average of 20-30 minutes. Participants can take breaks as needed, picking up the survey from where it was paused.

Read the detailed description

Huntington's disease (HD) is a rare brain disease that affects people's coordination, thinking and behaviour. It is a hereditary condition, affecting families across generations. Because its complex, it requires different sectors working together. Different surveys can be found in long term neurological conditions indicating care fragmentation and unmet severe needs, but evidence in HD is sparse.

Two surveys were identified covering people's needs in the UK, dated from 2006 and 2010. When looking for models or approaches tested to improve outcomes for people living with HD, no studies were found. This is an underserved population with complex needs and care gaps that remain unaddressed.

Little is known about to what extent people living with HD are experiencing care coordination between services and sectors in England. Integrate-HD aims to find out what good, joined-up care looks like. The study will explore the views and experiences of people living with HD, to identify the changes needed to improve people's care and quality of life.

Integrate-HD is a national survey to benchmark integrated care from the perspective of people living with HD, including informal caregivers.

The study objectives are to:

  1. Characterise and classify systems/organisations in England involved in HD care in relation to person-centred integrated care from the perspective of users.
  2. Identify areas considered integrated by service users.
  3. Identify areas considered fragmented by service users.
  4. Map care resources used by people living with HD in England.
  5. Identify unmet care needs that need improvement.
02

Conditions studied

  • Huntington Disease

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Keywords

  • Integrated care
  • Huntington's Disease
  • Caregiver
  • Person-centred care
  • Benchmarking
  • Survey
03

In context

Huntington Disease

285 studies on the registry are indexed under Huntington Disease; 49 are open to participants now.

This study's planned enrollment of 60 is below the median of 90 across 78 observational studies indexed under Huntington Disease.

Browse Huntington Disease studies →

Lead sponsor

University of Southampton is the lead sponsor of 121 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adults with capacity living in England impacted by Huntington's Disease.

Inclusion criteria

Adults with capacity living in England and fluent in English that are:

  • A person at risk of HD (where at least one parent is diagnosed with HD, therefore their offspring has 50% chance of developing the disease);
  • A person diagnosed with HD symptomatic or asymptomatic (after undergoing gene testing and having a positive result);
  • An informal caregiver supporting someone living with HD;
  • A former informal caregiver with experience of supporting someone living with HD in the last 3 years.

Exclusion criteria

Exclusion Criteria:

  • Below 18 years old;
  • Not fluent in English;
  • A person without capacity.
05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
60 participants (estimated)
Patient registry
No

Groups and cohorts

  • Person at risk

    Survey personalised for people living at risk of developing Huntington's Disease, meaning they have a parent diagnosed with HD but the person themselves have not undertaken a genetic test.

    Other: No intervention administered

  • Person HD gene positive asymptomatic

    Survey personalised for people that tested positive in their predictive genetic test but have not been yet diagnosed with clinical HD (manifest HD).

    Other: No intervention administered

  • Person HD gene positive symptomatic

    Survey personalised for people that tested positive in their predictive genetic test and have been diagnosed with clinical HD (manifest HD).

    Other: No intervention administered

  • Informal caregiver

    Survey personalised for people caring for another person diagnosed with HD.

    Other: No intervention administered

  • Former informal caregiver

    Survey personalised for people that have cared for another person diagnosed with HD in the last 3 years.

    Other: No intervention administered

Interventions

  • OtherNo intervention administered

    Survey only to gather people's experiences, opinions and needs.

06

What researchers measure

Primary outcomes

  1. Level of integration

    Using SPSS (version 27) responses will be analysed to explore the level of integration at specific systems or organizations in England to distinguish between "higher" and "lower" integration levels. The Likert-type scale section of the survey will have a scheme of points attributed to generate a key of integration level per domain.

    Time frame: 9 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — During this study all information collected from participants will be kept confidential. The data gathered through surveys is anonymous and will be stored on a secure database using only survey IDs. Any identifiable information, such as email contact provided at the end of the survey (in order to receive updates on the research or show interest in future research) will be stored separately to survey answers. All data will be stored on a password protected university computer/laptop or in a locked filing cabinet in a secure office in the University. This will only be accessible by the research team. The procedures for handling, processing, storing, and destroying data are compliant with the Data Protection Act 2018.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 19, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05828992
Lead sponsor
University of Southampton
Collaborators
National Institute for Health Research, United Kingdom, Central Coast Research Institute for Integrated Care, Australia, University Hospital Southampton NHS Foundation Trust
Responsible party
Sponsor
First posted
Apr 25, 2023
Start date
Feb 28, 2023
Primary completion
Nov 30, 2023 (estimated)
Completion
Feb 29, 2024 (estimated)
Last update
May 19, 2023

Study contacts

Sandra B Pires, MSc
Contact
s.m.bartolomeu-pires@soton.ac.uk
07873576074
Mari Carmen Portillo, Professor
Contact
m.c.portillo-vega@soton.ac.uk
Sandra B Pires, MSc
principal investigator · University of Southampton

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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