Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Texas Medical Center Foundation | UNKNOWN |
| University of Houston | OTHER |
| William Marsh Rice University | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
The aim of this study is to test whether participation of low-income patients with health-harming legal needs (HHLNs) in a medical legal partnership (MLP) results in improved mental health, improved quality of life, reduced utilization, and increased resolution of HHLNs.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medical Legal Partnership | Experimental | With the medical legal partnership, lawyers are embedded in clinics, and lawyers consult with patients who are identified as having health-harming legal needs (HHLNs). This arm will also receive usual care, which includes consultation with a social worker and a community health worker. |
|
| Usual Care | Active Comparator | Usual care includes consultation with a social worker and a community health worker. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medical Legal Partnership | Behavioral | With the medical legal partnership, lawyers are embedded in clinics, and lawyers consult with patients who are identified as having health-harming legal needs (HHLNs). This arm will also receive usual care, which includes consultation with a social worker and a community health worker. |
| Measure | Description | Time Frame |
|---|---|---|
| Stress as assessed by the Perceived Stress Scale | The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome. | baseline |
| Stress as assessed by the Perceived Stress Scale | The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome. | 3 months |
| Stress as assessed by the Perceived Stress Scale | The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome. | 6 months |
| Stress as assessed by the Perceived Stress Scale | The perceived stress scale consists of 10 items, with each item ranging from 0-4, for a total score range of 0-40. A higher score indicates a worse outcome. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale | The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome. | baseline |
| Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Winston Liaw, MD, MPH | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jensen Clinic | Houston | Texas | 77093 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37028914 | Derived | Liaw W, Northrup TF, Stotts AL, Bakos-Block C, Suchting R, Chen A, Hernandez A, Finzetto L, Green C, Murphy T. Medical-Legal Partnership Effects on Mental Health, Health Care Use, and Quality of Life in Primary Care: A Randomized Clinical Trial. J Am Board Fam Med. 2023 May 8;36(3):414-424. doi: 10.3122/jabfm.2022.220349R1. Epub 2023 Apr 7. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Usual Care | Behavioral | Usual care includes consultation with a social worker and a community health worker. |
|
The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome. |
| 3 months |
| Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale | The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome. | 6 months |
| Anxiety as assessed by the Generalized Anxiety Disorder 7-item scale | The Generalized Anxiety Disorder scale consists of 7 items, with each item ranging from 0-3, for a total score range of 0-21. A higher score indicates a worse outcome. | 12 months |
| Depression as assessed by the Center for Epidemiologic Studies Depression Scale | The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome. | baseline |
| Depression as assessed by the Center for Epidemiologic Studies Depression Scale | The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome. | 3 months |
| Depression as assessed by the Center for Epidemiologic Studies Depression Scale | The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome. | 6 months |
| Depression as assessed by the Center for Epidemiologic Studies Depression Scale | The Center for Epidemiologic Studies Depression Scale consists of 20 items, with each item ranging from 0-3, for a total score range of 0-60. A higher score indicates a worse outcome. | 12 months |
| Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) | The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome. | baseline |
| Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) | The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome. | 3 months |
| Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) | The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome. | 6 months |
| Quality of life as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) | The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of 29 items, with 28 of the items ranging from 1-5 and 1 item ranging from 0-10, for a total score range of 28-150. A higher score indicates a worse outcome. | 12 months |
| Number of Urgent Care Visits | baseline |
| Number of Urgent Care Visits | 3 months |
| Number of Urgent Care Visits | 6 months |
| Number of Urgent Care Visits | 12 months |
| Number of Emergency Department Visits | baseline |
| Number of Emergency Department Visits | 3 months |
| Number of Emergency Department Visits | 6 months |
| Number of Emergency Department Visits | 12 months |
| Number of Hospital Visits | baseline |
| Number of Hospital Visits | 3 months |
| Number of Hospital Visits | 6 months |
| Number of Hospital Visits | 12 months |
| Percentage of baseline health-harming legal needs that were resolved | baseline |
| Percentage of baseline health-harming legal needs that were resolved | 3 months |
| Percentage of baseline health-harming legal needs that were resolved | 6 months |
| Percentage of baseline health-harming legal needs that were resolved | 12 months |