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Community and Clinician Partnership for Prevention (C2P2)

This study has been completed.
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
Duke University Identifier:
First received: December 13, 2007
Last updated: February 12, 2015
Last verified: October 2012
The purpose of this study is to evaluate the impact of strategies to develop and foster the relationship between primary care practices and community resources to address specific unhealthy behaviors (tobacco use, poor nutrition, and lack of physical activity).

Condition Intervention
Physical Activity Dietary Habits Tobacco Use Cessation Other: Active Intervention Other: Passive Intervention Other: No intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single (Participant)
Primary Purpose: Prevention
Official Title: Community and Clinician Partnership for Prevention

Further study details as provided by Duke University:

Primary Outcome Measures:
  • The number of referrals from the practices to the community resources [ Time Frame: 6 months ]

Secondary Outcome Measures:
  • Number of referrals received by each resource [ Time Frame: 6 months ]
  • The proportion of patients with unhealthy behaviors who were referred from the practices to community resources [ Time Frame: 6 months ]
  • Practice attitudes and practice regarding referral to community resources [ Time Frame: 6 months ]

Enrollment: 9
Study Start Date: February 2008
Study Completion Date: November 2008
Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Active Intervention
Direct referral to community organizations, with support for practices to do so. These include the North Carolina Tobacco Quitline, public health department dietitians, and the YMCA.
Other: Active Intervention
Quality improvement activities, including monthly teleconferences and chart audit with feedback, to help practices refer to community resources
Experimental: Passive Intervention
Provision of information about community organizations to patients as above.
Other: Passive Intervention
Provision of tools to help with referrals to community resources
Placebo Comparator: Usual Care
Usual care
Other: No intervention
No intervention

Detailed Description:
Tobacco use, poor diet, and lack of physical activity are associated with the leading causes of significant morbidity and mortality, including coronary heart disease, hypertension, cancer, stroke, diabetes, and respiratory dysfunction. One solution to decreasing unhealthy behaviors would be to better integrate primary care providers with community resources, including community and public health organizations that already have the capacity and expertise to deliver effective interventions. This project is a randomized trial to evaluate different practice-level interventions to link practices to community resources to decrease unhealthy behaviors.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Internal medicine and family practices in Durham and Orange counties, North Carolina

Exclusion Criteria:

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00577759

United States, North Carolina
Duke Clinical Research Institute
Durham, North Carolina, United States, 27715
Sponsors and Collaborators
Duke University
Agency for Healthcare Research and Quality (AHRQ)
Principal Investigator: Alex R Kemper, MD, MPH, MS Duke University
  More Information

Responsible Party: Duke University Identifier: NCT00577759     History of Changes
Other Study ID Numbers: Pro00004061
Study First Received: December 13, 2007
Last Updated: February 12, 2015

Keywords provided by Duke University:
Quality assurance, health care
primary health care
community health services
referral and consultation
tobacco processed this record on September 21, 2017