Recruiting

Engagement Enhancement

Sponsor:

Dartmouth-Hitchcock Medical Center

Code:

NCT06898593

Conditions

Anxiety Disorders

Depression Disorders

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Interventions

Collaborative care model with clinical decision support system

Collaborative care model

Study Details

Brief summary:

The goal of this clinical trial is to learn if adding patients' goals and concerns to measurement-based collaborative care can tailor care and provide a more holistic view of treatment, thereby improving engagement in care among adult patients receiving collaborative care. The main questions it aims to answer are:

  • Does using a clinical decision support system (which includes an enhanced pre-visit questionnaire and patient-level dashboard) improve patient engagement in the collaborative care model?
  • Does using a clinical decision support system improve patient and clinician satisfaction with care?

Researchers will compare the enhanced collaborative care with traditional collaborative care.

Patient participants will complete pre-visit questionnaires before their collaborative care appointments. Responses will be viewed by the clinician and/or patient in a visual dashboard inside the electronic health record.

Conditions

Anxiety Disorders

Depression Disorders

Study ID

NCT06898593

Start date

Apr 2, 2025

Status verified date

Jul, 2026

Completion date

Jul 31, 2028

Anticipated

Primary completion date

Jul 31, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Patients enrolled in the Collaborative Care Model (CoCM) at Dartmouth Health

Exclusion Criteria:

  • Patients not enrolled in the Collaborative Care Model (CoCM) at Dartmouth Health

Study Design

Enrollment

2448 participants

Anticipated

Allocation

Randomized

Intervention Model

Crossover

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Clinical Decision Support System

Collaborative care model, with a clinical decision support system (CDSS) which includes an enhanced pre-visit questionnaire and dashboard to visualize patient-reported information and clinical information.

active comparator: Collaborative care model (usual care)

Standard collaborative care model of integrated behavioral health.

Interventions

Collaborative care model with clinical decision support system

A new patient-level clinical decision support system (CDSS) will include enhancing the existing pre-visit questionnaire to capture patient-reported goals and concerns, and displaying pre-visit questionnaire responses and clinical information within a patient-level dashboard in the electronic health record (EHR) for use by clinicians and patients.

Collaborative care model

Collaborative care model of integrated behavioral health and primary care.

Primary outcome measure

  • Engagement [ Time Frame: From enrollment in CoCM to discharge from CoCM, approximately 3-4 months. ]
  • Patient and clinician satisfaction and barriers/facilitators to implementation [ Time Frame: From enrollment in CoCM to discharge from CoCM, approximately 3-4 months. ]

Central Contacts and Locations

Central contacts

Irina Perreard, PhD

603-646-5449irina.perreard@dartmouth.edu

Aricca Van Citters, MS

603-646-5668aricca.d.van.citters@dartmouth.edu

Locations

Dartmouth Hitchcock Concord Family Medicine

Recruiting

Concord, New Hampshire, United States, 03301

Contacts

Matthew Duncan, MD

603-650-4725matthew.s.duncan@hitchcock.org

Dartmouth Hitchcock Medical Center

Recruiting

Lebanon, New Hampshire, United States, 03756

Contacts

Matthew Duncan, MD

603-650-4725matthew.s.duncan@hitchcock.org

Dartmouth-Hitchcock Heater Road Internal Medicine

Recruiting

Lebanon, New Hampshire, United States, 03766

Contacts

Matthew Duncan, MD

603-650-4725matthew.s.duncan@hitchcock.org

Dartmouth Hitchcock Manchester Family Practice

Recruiting

Manchester, New Hampshire, United States, 03104

Contacts

Matthew Duncan, MD

603-650-4725matthew.s.duncan@hitchcock.org

Dartmouth Hitchcock Nashua Family Practice

Recruiting

Nashua, New Hampshire, United States, 03063

Contacts

Matthew Duncan, MD

603-650-4725matthew.s.duncan@hitchcock.org

Dartmouth Hitchcock Nashua General Internal Medicine

Recruiting

Nashua, New Hampshire, United States, 03063

Contacts

Matthew Duncan, MD

603-650-4725matthew.s.duncan@hitchcock.org

More Information

Sponsor

Dartmouth-Hitchcock Medical Center

Last update posted

Jul 22, 2026

Last verified

Jul, 2026

Keywords

  • Collaborative Care Model
  • pre-visit questionnaire
  • dashboard
  • clinical decision support system
  • Depression
  • Anxiety
  • integrated behavioral health and primary care

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Dartmouth-Hitchcock Medical Center on 2026-07-22.