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Stratified Targeted Engagement From Primary Care to Physical Therapy (STEPPT)

NCT ID: NCT07290361
Registry status: Recruiting
Study type: Interventional
Phase: Not applicable
Sponsor: San Diego State University
Conditions: Low Back Pain, Neck Pain

Overview

ClinicalTrials.gov lists this study as Recruiting.

Official title: Stratified Targeted Engagement From Primary Care to Physical Therapy (STEPPT): A Pragmatic Stepped Wedge Cluster Randomized Trial

Enrollment: 17587 participants (Estimated).

What is being studied

Behavioral: Care Navigation (System Intervention - STEPPT)
Behavioral: Care Navigation (System Intervention - Usual Care)
Behavioral: Care navigation audit and feedback (System Intervention - STEPPT)
Behavioral: Delivery of Patient Education Materials (System Intervention - STEPPT)
Behavioral: Delivery of Patient Education Materials (System Intervention - Usual Care)
Behavioral: Electronic Patient Education on Physical Therapy Referral (Patient Intervention - STEPPT)
Behavioral: Engagement of clinic leadership (System Intervention - STEPPT)
Behavioral: Engagement of clinic leadership (System Intervention - Usual Care)
Intervention: Health Care Facilities Workforce and Services
Intervention: Health Personnel
Behavioral: Monitoring of PT referral and adherence rates (System Intervention - STEPPT)
Behavioral: Monitoring of PT referral and adherence rates (System intervention - Usual Care)
Behavioral: Nurse/Medical Assistant Training (Provider Intervention - STEPPT)
Intervention: Nurses
Behavioral: Patient Education on Physical Referral by Providers (Patient Intervention - STEPPT)
Behavioral: Patient Education on Physical Referral by Providers (Patient Intervention - Usual Care)
Behavioral: Patient education on physical therapy referral by Patient Health Navigator (Patient Intervention - STEPPT)
Behavioral: Patient education on physical therapy referral by Referral Specialist (Patient Intervention - Usual Care)
Behavioral: Patient education on spine pain condition (Patient Intervention - STEPPT)
Behavioral: Patient education on spine pain condition (Patient Intervention - Usual Care)
Behavioral: Patient Health Navigator Training (System Intervention - STEPPT)
Behavioral: Patient Registry (System Intervention - STEPPT)
Behavioral: Primary Care Provider training (Provider Intervention - STEPPT)
Behavioral: Provider feedback on PT referral and adherence (Provider Intervention - STEPPT)
Behavioral: Referral Specialist Training (System Intervention - Usual Care)

Who may be eligible

Ages: 18 Years to no maximum
Sex: All
Healthy volunteers accepted: No

ClinicalTrials.gov lists the following eligibility criteria.

Inclusion Criteria * 18 years or older. * Identify as either Hispanic or Non-Hispanic ethnicity, inclusive of all races. * Seeking care for spine pain at an Adult or Adult Walk-in primary care clinic within the participating Federally Qualified Health Center (FQHC). * New or existing spine pain problem: A new spine pain problem is defined by a new ICD code for neck or back pain added to the problem list during a visit with a primary care physician. An existing spine pain problem is defined by an existing ICD code for neck or back pain on the problem list that is associated with a physician referral for any service during the visit related to the neck or back pain problem. * Signed a broad consent for the use of de-identified health information for research at the participating FQHC. Exclusion Criteria: * Spine pain associated with a non-musculoskeletal etiology (e.g., infection, cancer, urological disorders, pregnancy, etc.) * Patients requiring urgent medical intervention (e.g., fracture, cauda equina syndrome, etc) * Active physical therapy referral for spine pain at the time of the index encounter. * Previously referred to physical therapy through the STEPPT Care Pathway. * Physical therapy referrals external to the FQHC will be excluded from the analysis of physical therapy adherence

Study locations

1 study location is listed.

Recruiting site status is explicitly provided for 1 location; 1 is listed as Recruiting.

Countries: United States

California, United States: 1

Sample of listed locations

Family Health Centers of San Diego — San Diego, California, 92182, United States — Recruiting

Study details

Start date: December 1, 2025
Primary completion date: August 31, 2028
Completion date: February 28, 2029
First posted: December 18, 2025
Collaborators: Family Health Centers of San Diego, National Institute on Minority Health and Health Disparities (NIMHD)

Source and update information

Source: ClinicalTrials.gov
NCT ID: NCT07290361
Registry last updated: August 14, 2026
QualifiedStudies registry data refreshed: October 5, 2026
QualifiedStudies record fetched: October 5, 2026

View NCT07290361 on ClinicalTrials.gov

Trial information can change. Confirm current study details with the study team or the registry.

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