Patient-Centered Outcomes Research Institute (PCORI): Telehealth to Optimize Management of Multiple Chronic Conditions among Vulnerable Populations in Primary Care

This Targeted PCORI Funding Announcement is soliciting applications that respond to the following question: What is the comparative clinical effectiveness of different approaches to incorporating access to and use of telehealth to optimize management of multiple chronic conditions in primary care, particularly among vulnerable populations?

Applications should focus on community-dwelling individuals with multiple chronic conditions and should be powered to allow for conclusions regarding one or more vulnerable populations of interest. Potential comparisons may include studying the comparative clinical effectiveness of telehealth modalities to optimize care delivery (e.g., utilizing telehealth to augment evidence-based models of care delivery for chronic disease management), engaging support personnel to facilitate telehealth use (e.g., strategies involving the use of interpreters), or comparing different state-level public policy regarding telehealth (e.g., regulatory changes involving payment parity across states that directly influence access to care and health outcomes). The focal setting should be primary care, but studies can incorporate home-based care and include specialty care as appropriate.

Applicants are encouraged to propose multisite individual, or cluster randomized clinical trials or natural experiments and are strongly encouraged to assess issues of intervention implementation with an aim of facilitating widespread uptake of findings after completion of the study. Toward that end, hybrid type I and hybrid type II designs may also be considered appropriate. Applicants are also encouraged to conduct analyses to evaluate the relative clinical effectiveness by telehealth modality as appropriate (e.g., audio-only versus video).

Please contact Gwen Allouch if you are interested in applying to this opportunity.