Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Other |
Feasibility assessed by number of CDSS and patient portal use |
To assess the feasibility of the intervention, the investigators will use data logged by the CDSS and patient portal to understand how (often) the CDSS and patient portal are used |
12 months |
|
| Other |
Percentage of physicians attending the CDSS training via a questionnaire |
To assess the feasibility of the intervention, the investigators will look at the percentage of physicians who attended the CDSS training. More specifically, this will be measured by asking physicians whether they attended the CDSS training online, offline or not at all as part of the CDSS user satisfaction questionnaire. |
12 months |
|
| Other |
Correlation of percentage of physicians attending the CDSS training and CDSS user satisfaction |
The correlation between the proportion of a department's staff members who did/did not participate in the CDSS training and user satisfaction regarding the CDSS will be assessed. |
12 months |
|
| Other |
CDSS user satisfaction |
To assess the feasibility of the intervention, the investigators will study the satisfaction regarding the CDSS (i.e. physician evaluations of the CDSS). Agreement with satisfaction statements will be scored on a 7-point Likert scale (1= totally disagree; 7 = totally agree). |
12 months |
|
| Other |
Technology Acceptance Model (TAM) |
The Technology Acceptance Model (TAM) is designed to measure the adoption of a new technology/system based on user attitudes. 6 items aim to measure Perceived Usefulness on a 7-point Likert scale (1=totally disagree; 7 = totally agree), and 6 items aim to measure Perceived Ease of Use on a 7-point Likert scale (1=totally disagree; 7 = totally agree). Intention to use is measured through 1 item on a 7-point Likert scale (1=totally disagree; 7 = totally agree) |
at baseline |
|
| Other |
Website Satisfaction Scale (WSS) |
The Website Satisfaction Scale (WSS) measures satisfaction with comprehensibility, satisfaction with attractiveness, and satisfaction with emotional support through 12 items, for each sub scale using a 7-point Likert response scale, ranging from 1 'totally disagree' to 7 'totally agree'. |
at 3 months |
|
| Other |
Observer OPTION Multiple Chronic Conditions (OPTION-MCC) |
Videotaped consultations will be coded on triadic decision making in older patients with multiple chronic conditions by using the Observer OPTION Multiple Chronic Conditions (OPTION-MCC) coding scheme. Six types of physicians', patients', and caregivers' behaviors are coded. Physicians' behavior is coded on a 5-point scale (0= The behavior is not observed; 4=The behavior is executed to a very high standard), patients' behavior is coded on a 3-point scale (0=No or minimal participation, e.g. only yes or no; 2=Active participation, answers questions and asks questions, brings in own ideas and shares perceptions), and informal caregivers' behavior is coded on a 3-point scale (0=No or minimal participation, e.g. only yes or no; 2=Active participation, answers questions and asks questions, brings in own ideas and shares perceptions) |
12 months |
|
| Other |
Rate of adherence to new medication plan using pharmacy records |
To assess adherence to the medication advice, the investigators will compare a patient's new medication advice with their pharmacy records to determine whether a patient adheres to the new medication advice or whether they (eventually) change back to their old medication |
12 months |
|
| Other |
Number of falls calendar entries |
To assess adherence to the medication advice, the investigators will compare the new medication advice with falls calender entries on medication use to determine whether a patient adheres to the new medication advice or whether they (eventually) change back to their old medication |
12 months |
|
| Other |
iSHARE |
To evaluate how the intervention facilitates SDM, the investigators will use the iSHAREpatient and iSHAREphysician questionnaires. The iSHAREphysician consists of 16 items scored on a 6-point Likert scale (1= did not do this at all; 6 = completely did this). The iSHAREpatient consists of 16 items scored on a 6-point Likert scale (1= did not do this at all; 6 = completely did this). Dimension scores (range, 0-5) and a total score (the sum of the dimension scores; range, 0-30) for both iSHARE questionnaires will be calculated. The investigators will then apply a linear transformation to obtain a 0 to 100 total score ((score/30)*100). Higher dimension and total scores indicate higher levels of SDM. |
12 months |
|
| Other |
Decisional Conflict Scale (DCS; low literacy scale) |
To evaluate how the intervention facilitates SDM, the investigators will use the Decisional Conflict Scale (DCS; low literacy scale). This scale consists of 10 questions, scored on 3 response categories (yes, do not know, no). |
at baseline |
|
| Other |
Preparation for Decision-making scale (PrepDM) |
To evaluate how the intervention facilitates SDM, the investigators will use the Preparation for Decision-making scale (PrepDM). This scale consists of 10 items, scored on a 5-point Likert scale (1= not at all; 5 = a great deal) |
at baseline |
|
| Other |
Netherlands Patient Information Recall Questionnaire (NPIRQ) |
To evaluate how the intervention facilitates SDM, the investigators will use the Netherlands Patient Information Recall Questionnaire (NPIRQ). This questionnaire consists of open questions. |
12 months |
|
| Primary |
Time to first injurious fall |
This concerns the time to the first injurious fall. An injurious fall is defined as a fall resulting in wounds, bruises, sprains, cuts, medically recorded fractures, head or internal injury, requiring medical/health professional examination, accident and emergency treatment, or inpatient treatment. |
12 months |
|
| Secondary |
Number of injurious falls |
This concerns the total number of injuirous falls over the course of 12 months. An injurious fall is defined as a fall resulting in wounds, bruises, sprains, cuts, medically recorded fractures, head or internal injury, requiring medical/health professional examination, accident and emergency treatment, or inpatient treatment. |
12 months |
|
| Secondary |
Total number of falls |
Total number of any fall (I.e. a fall that results in no injuries, or minor, moderate, or severe injuries) |
12 months |
|
| Secondary |
Time to first fall resulting in any injuries |
I.e. a fall that results in minor, moderate, or severe injuries |
12 months |
|
| Secondary |
Total number of falls resulting in any injuries |
I.e. a fall that results in minor, moderate, or severe injuries |
12 months |
|
| Secondary |
Time to first non-injurious fall |
I.e. a fall that results in no injuries |
12 months |
|
| Secondary |
EuroQol-5D-5L (EQ-5D-5L) |
The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension in the EQ-5D-5L has five response levels: no problems (Level 1); slight; moderate; severe; and extreme problems (Level 5). Furthermore, it includes a visual analogue scale (EQ-VAS) which provides a single global rating of self-perceived health and is scored on a 0 (worst health imaginable) to 100 (best health imaginable) scale. |
at baseline, 3 months, 6 months, and 12 months |
|
| Secondary |
The Older Persons and Informal Caregivers Minimum Data Set-Short Form (TOPICS-SF) |
Data as measured by the The Older Persons and Informal Caregivers Minimum Data Set-Short Form (TOPICS-SF) will be analysed based on the preference-weighted score, ranging from 1.90 to 9.78, with higher scores reflecting a better health status, as perceived by the respondent. The TOPICS - Short Form 2017 including Casemix forms were developed in collaboration with the Nederlandse Vereniging voor Klinische Geriatrie (NvKG - Dutch Association for Clinical Geriatrics) to use as a Patient Reported Outcome Measure (PROM) in the Dutch outpatient and clinical daily practice. |
at baseline and 12 months |
|
| Secondary |
iMTA Productivity Cost Questionnaire (iPCQ) |
Direct and indirect costs related to the intervention and care as usual will be assessed using the iMTA Productivity Cost Questionnaire (iPCQ). |
at baseline, 3 months, 6 months, and 12 months |
|
| Secondary |
iMTA Medical Consumption Questionnaire (iMCQ) |
The iMTA Medical Consumption Questionnaire (iMCQ) is an instrument for measuring medical consumption. The iMCQ includes questions related to frequently occurring contacts with health care providers. |
at baseline, 3 months, 6 months, and 12 months |
|
