NCT07656584 · NYU Langone Health
Implementation of Communication Disability Collection and Accommodations in Primary Care Settings
(DECA)
What this study is about
This multi-methods-multi-site study aims to adapt and evaluate the effects of an implementation support package of strategies to assist primary care clinics in documenting patients' communication disability (CD) and accommodation needs in the electronic health record (EHR) and providing communication accommodations through EHR data extraction, surveys, focus groups, interviews, and clinical practice observations.
View original scientific description
This multi-methods-multi-site study aims to adapt and evaluate the effects of an implementation support package of strategies to assist primary care clinics in documenting patients' communication disability (CD) and accommodation needs in the electronic health record (EHR) and providing communication accommodations through EHR data extraction, surveys, focus groups, interviews, and clinical practice observations.
Interventions
BEHAVIORAL
Implementation Support Package
The implementation support package includes materials, activities, and procedures ready for use in diverse primary care practices and will facilitate each clinic's determination of how they will implement collection of disability status and provision of accommodations.
Primary outcome measures
(Aim 2) Patient Reach
Time frame: Baseline, Implementation Follow Up (Approximately Month 9), Maintenance Follow Up (Approximately Month 21)
Percent of patients who have a visit during the time of data collection and have the communication disability field completed in the EHR. A positive outcome for having the communication disability field completed in the EHR will be "no disability" "speech/language disability", "hearing disability", "decline", or "other" documented in the EHR, while a negative outcome will be the CD fields being left blank. All adult patients who are seen in each clinic are eligible to have their disability status documented, regardless of the type of visit.
(Aim 3) Adoption
Time frame: Implementation Follow Up (Approximately Month 9), Maintenance Follow Up (Approximately Month 21)
Adoption assessed for all the patients with a recorded accommodation need; measured as the percentage of clinical encounters in which the accommodation was provided and used, as ascertained through the EHR.
Who can participate
This study lists these criteria on ClinicalTrials.gov. A study coordinator reviews eligibility during screening — this page does not determine whether you qualify.
Inclusion criteria
- EHR Data Extraction
- Adults 18+ years
- Patients who had at least one visit within the 21-month EHR data collection period at participating study clinics. Clinic Leadership, Providers \& Clinic Staff
- Adults 18+ years
- Individuals of all genders and members of all racial and ethnic categories employed at participating study clinics will be eligible for inclusion. NYULH study personnel will enroll providers and staff referred for study inclusion from all participating study clinics; not just NYULH staff exclusively. Patients
- Adults 18+ years
- Patients with communication disabilities seen at least once at participating study clinics during the 21-month study period.
- Patients who self-identify as proficient in English communication as defined by English being a preferred language, or self-reported ability to participate in an interview in English without the support of an interpreter.
Exclusion criteria
- EHR Data Extraction
- Patients whose records are unavailable due to technical issues.
- Patients who are not seen at least once at participating study clinics during the 21-month data collection period.
- Duplicate records (e.g., duplicative EHR records marked for deletion).
- Patients who have opted-out of research participation. Clinic Leadership, Providers \& Clinic Staff Interviews and Focus Groups
- Being \<18 years old
- Not an employed member of a participating study clinic or potential end user of the study implementation strategy. Patient Interviews
- Being \<18 years old
- Patients without communication disabilities.
- Patients with communication disabilities seen outside of participating study clinics.
- Patients who are unable to provide consent for themselves.
- Patients who report not being proficient in English communication or self-reported inability to participate in an interview in English without the support of an interpreter.
Where
- Aurora, Colorado
- Denver, Colorado
- Chicago, Illinois
- Evanston, Illinois
- New York, New York
Related conditions & keywords
Frequently asked questions
What is a clinical trial?
A clinical trial is a research study that tests new medical treatments, drugs, devices, or procedures to determine their safety and effectiveness. Trials are carefully designed and monitored to protect participants while advancing medical knowledge.
Is it safe to participate?
Clinical trials follow strict safety guidelines and ethical standards. Trials must be reviewed and approved, and participants are closely monitored by medical professionals throughout the study. You can withdraw at any time if you choose.
Will I be compensated?
Many clinical trials offer compensation for your time, travel expenses, and inconvenience. The specific compensation varies by study and will be discussed during the screening process. All study-related medical care is typically provided at no cost to participants.
Will I receive a placebo instead of treatment?
When effective treatment exists, participants typically receive either the standard treatment plus the study intervention, or the standard treatment plus placebo. You would not be denied effective care. Placebos are primarily used when no proven treatment is available, or in addition to standard care. Your trial consent form will clearly explain what treatments you may receive.
Can I leave a trial if I change my mind?
Absolutely. Participation in clinical trials is completely voluntary. You have the right to withdraw from the study at any time, for any reason, without penalty or loss of benefits to which you are otherwise entitled.
How long does a clinical trial last?
Trial duration varies widely depending on the study design and purpose. Some trials last just a few weeks, while others may continue for months or years. The study coordinator will provide specific timeline information during your screening call.
Data: ClinicalTrials.gov · synced Jul 8, 2026 · Source of record for eligibility and locations