Activating Seniors to Improve Chronic Disease Care

Healthy Clinical Trial

Official title:

Activating Seniors to Improve Chronic Disease Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00651495
• Other study ID #: G07-09-025
• Secondary ID: FIMDM 0096-1
• Status: Completed
• Phase: N/A
• First received: March 28, 2008
• Last updated: November 23, 2016
• Start date: April 2008
• Est. completion date: November 2008

Study information

• Verified date: November 2016
• Source: University of California, Los Angeles
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Chronic diseases are the primary cause of morbidity and mortality for older Americans. Active patient participation in treatment decision-making has the potential to significantly improve outcomes in chronic disease care, but interventions to increase participation remain underused. Some studies have found that older individuals are less interested in participating in clinical decision-making, but other studies find that exposing patients to decision aids (PtDAs) increases their desire to take an active role in making decisions with their physicians. The present study targets hard-to-reach seniors by showing decision aids focused on chronic disease management in senior centers. Decision aids will be made available in two senior centers through a lending library and by conducting group screenings of the decision aids followed by moderated discussion of the content with participants. A randomized encouragement design will be used to test the effectiveness of a modest financial incentive on increasing seniors' participation in group screenings. The investigators will evaluate the effects of the intervention on seniors' decision-making role preferences, attitudes, perceived social norms and self efficacy for asking questions of their physician, health-related quality of life, physical activity, and changes in prescribed treatment regimens and self-care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 116
• Est. completion date: November 2008
• Est. primary completion date: November 2008
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 55 Years and older

Eligibility

Inclusion Criteria:

• At least 55 years old.

• Able to ambulate

• Able to complete self-administered surveys

• Able to speak and read English

Exclusion Criteria:

• Not willing to provide consent

Study Design

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

Related Conditions & MeSH terms

• Chronic Disease
• Healthy

Intervention

Behavioral:
• Patient decision aids for chronic conditions
Videos providing comprehensive information about chronic disease management

Locations

Country	Name	City	State
United States	Culver City Senior Center	Culver City	California
United States	Willowbrook Senior Center	Los Angeles	California

Sponsors (2)

Lead Sponsor	Collaborator
University of California, Los Angeles	Foundation for Informed Medical Decision Making

Country where clinical trial is conducted

United States, 

References & Publications (1)

Frosch DL, Rincon D, Ochoa S, Mangione CM. Activating seniors to improve chronic disease care: results from a pilot intervention study. J Am Geriatr Soc. 2010 Aug;58(8):1496-503. doi: 10.1111/j.1532-5415.2010.02980.x. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Decision-making role preferences		20 weeks	No
Primary	Attitudes, perceived social norms and self efficacy for asking questions of a physician		20 weeks	No
Secondary	Health-related quality of life		20 weeks	No

External Links

•   Foundation for Informed Medical Decision Making