Elderly Clinical Trial - Improving Quality of Care for Elderly Patients in

Status Completed

Clinical Trial Summary

This is a multi-center exploratory study (each site got local IRB approval) of the impact of an educational toolkit combined with a practice-performance self-evaluation instrument (ABIM Care of the Vulnerable Elderly Practice Improvement Module) on trainee knowledge, skills, and attitudes about practice-based learning and improvement and systems-based practice in the care of elderly patients.

Clinical Trial Description

This is a longitudinal quasi-experimental study. Programs will be randomly assigned to either the comparison or intervention group, stratified based on program size, affiliation, geographic location, and presence of a geriatrics fellowship program.

Faculty will be trained in use of the CoVE PIM and in the development and implementation of a quality improvement plan. Residents in the intervention group will perform the medical record audit portion of the CoVE PIM. Patient surveys will be distributed by the residency clinics. The goal will be to audit the medical records of patients who complete the patient survey. Residents in intervention groups will participate in completing the practice system survey as a group. Finally, the residents in the intervention group will use the data from the medical record audit, patient survey, and practice system survey, working with faculty, to develop a quality improvement project to improve care for their geriatric patients.

Local medical record abstractors will be trained to perform a separate medical record audit of a random sample of the same patients identified by the residents for both the intervention and comparison groups. The abstractors will perform both a baseline and follow-up audit and will target the same patients who are still living from the baseline period. The follow-up audit will occur 12 months after completion of the initial PIM data collection phase, or approximately 18 months after the initiation of the study.

Evaluation of study outcomes will occur on the program, resident, and patient level. ;

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator)

Related Conditions & MeSH terms

Elderly

Clinical Trial Details

NCT number	NCT01080235
Study type	Interventional
Source	American Board of Internal Medicine
Contact
Status	Completed
Phase	N/A
Start date	October 2006
Completion date	December 2008

View Details

See also
Status	Clinical Trial	Phase
Not yet recruiting	`NCT05531396` - Agility Training on Physical Performance, Cognitive Function and Brain Activities in Elderly	N/A
Completed	`NCT03580447` - The Effect of Citrus Extract on Oxidative Stress	N/A
Recruiting	`NCT04096547` - Rivaroxaban in Elderly NVAF Patients With or Without Renal Impairment
Completed	`NCT03339791` - Sleeve Versus Bypass in Older Patients: a Randomized Controlled Trial	N/A
Completed	`NCT03566719` - Effect of an Exercise Program on Risk of Fall in a Community Dwelling Older Adults	N/A
Completed	`NCT02138968` - Clinical and Economic Assessment of a Pre-frail Screening Program	N/A
Completed	`NCT01368029` - Safety of Lactobacillus Rhamnosus GG Vs. Placebo in Elderly Subjects Receiving Trivalent Inactivated Influenza Vaccine	Phase 1
Not yet recruiting	`NCT01182961` - The Use of Virtual Reality for the Gait Training of Elderly Fallers	N/A
Completed	`NCT00961012` - The Big Squeeze (Lessening the Big Squeeze: The Effect of the Trunk Release on Interface Pressures of Individuals Seated in a High Fowler's Positions)	N/A
Completed	`NCT01899586` - Mechanisms and Functional Outcomes of Exercise Progression Models in the Elderly	N/A
Completed	`NCT00748683` - Development of an Integrated Health Care Environment for Elderly With RFID Technology	Phase 0
Completed	`NCT00533065` - Effects of Donepezil on Deficits Associated With Age-Related Decrease of Growth Hormone	N/A
Completed	`NCT00324701` - Telepsychology-Service Delivery for Depressed Elderly Veterans	N/A
Completed	`NCT00798668` - The Body's Response to Food Intake in Trained, Older Adults	N/A
Completed	`NCT00217113` - An Intervention to Preserve Functional Status and Independence Among Community Dwelling Elderly	N/A
Completed	`NCT03666793` - Comprehensive Management of Drug Prescriptions Throughout the Elderly Person's Hospital Care	N/A
Recruiting	`NCT06030804` - Perioperative Dexmedetomidine and Long-term Survival After Cancer Surgery	N/A
Recruiting	`NCT05014750` - Frailty of Elderly With Valvular Heart Disease and the Short Term Adverse Events
Completed	`NCT05021432` - Virtual Reality And Task Oriented Circuit Training Among Elderly Population	N/A
Active, not recruiting	`NCT04132492` - AGNES - Aging Nephropathy Study, a Prospective Observational Cohort of Chronic Kidney Disease in Elderly Patients

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Improving Quality of Care for Elderly Patients in the Educational Setting — MacyCoVE

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms