New program aims to close ethnic gap in spine pain rehab
NCT ID NCT06835439
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study tested a program called STEPPT to see if it could reduce ethnic disparities in physical therapy referrals and attendance for spine pain. The program included educating clinic staff, updating electronic health records to automate referrals, and providing patient navigation support. Researchers studied 144 patients and clinic feedback to see if the approach was feasible and acceptable, with the goal of informing a larger future trial.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Behavioral intervention: provider education, EHR modifications, and patient health navigation
- What this could lead to
- If successful, this could point toward a practical way to reduce ethnic disparities in access to physical therapy for spine pain.
- What could go wrong
- This is a small, completed pilot study at a single clinic, so results may not apply elsewhere. It assesses feasibility, not whether the intervention improves pain outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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144 people
The number who actually took part.
- Started
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Nov 2024
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age: 18 years or older. * Patients seeking care within the designated Federally Qualified Health System Adult or Adult Walk-in primary care clinic * Ethnicity/Race: Participants must identify as either Hispanic or Non-Hispanic White ethnicity/race. * Consent: Participants must have signed a broad consent for the use of de-identified health information for research. * Spine Pain: Participants must meet one of the following: * New Spine Pain Problem: A new ICD code for neck or back pain added to the problem list during a visit with a primary care physician. * Existing Spine Pain Diagnosis: 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. Exclusion Criteria: * Non-Musculoskeletal Spine Pain: Participants with spine pain due to a non-musculoskeletal etiology (e.g., infection, cancer, urological disorders, pregnancy) are excluded. * Urgent Medical Conditions: Patients requiring urgent medical intervention (e.g., fracture, cauda equina syndrome) are excluded. * Patients with a physical therapy referral external to the healthcare system are excluded from the analysis of physical therapy adherence
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Family Health Centers of San Diego
San Diego, California, 92102, United States
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