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New tool aims to connect patients with housing and food resources

NCT ID NCT05574699

Knowledge-focused Sponsor: Johns Hopkins University Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 26, 2026 · Last updated Jul 16, 2026 · Updated 2 times

Summary

This study tested a clinical decision support tool that helps doctors identify social needs—like food, housing, or transportation—in African American patients with chronic diseases such as diabetes or heart failure. The tool uses a social risk score to flag patients who may need help and then refers them to community organizations. Researchers compared this approach to standard care in 251 patients to see if it improved how well social needs were addressed.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Social risk score and clinical decision support tool
What this could lead to
If successful, this tool could help doctors better connect patients with community resources to address social needs like food or housing, potentially improving chronic disease management.
What could go wrong
This is a small pilot study with 251 participants, so results may not apply broadly. The tool only identifies needs—it does not guarantee that patients will receive help.

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

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

251 people

The number who actually took part.

Started

Apr 2023

Finished

May 2025

Lead sponsor

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

18 years and older

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show 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: * Adult (18+ years old) African-American patients with low income at each clinic Exclusion Criteria: * Children are excluded from this study. Individuals with high levels of income, and those with race other than African American

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Conditions

The condition(s) this trial relates to.

Chronic Disease congestive heart failure diabetes mellitus heart failure hypertensive disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Chronic disease Congestive heart failure Diabetes mellitus Hypertension

Contacts and locations

Locations

  • Johns Hopkins Bayview Medical Center - Comprehensive Care Practice

    Baltimore, Maryland, 21224, United States

  • Johns Hopkins Community Physicians - EBMC

    Baltimore, Maryland, 21202, United States

  • Johns Hopkins Community Physicians - Remington

    Baltimore, Maryland, 21211, United States

  • Johns Hopkins GreenSpring Station

    Baltimore, Maryland, 21093, United States

  • Johns Hopkins JHOC-GIM Clinic

    Baltimore, Maryland, 21287, United States

More trials for these conditions

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