Assessing Open Access Audio — OAA  

Hypertension Clinical Trial

Official title: An Assessment of Open Access Audio of the Clinical Encounter on Veterans and Their Care

Status Recruiting

Clinical Trial Summary

The medical encounter can be overwhelming in term of the amount of information discussed, its technical nature, and the anxiety it can generate. Easy access to a secure audio recording from any internet enabled device is an available low cost technology that allows patients to "revisit the visit" either alone or sharing with caretakers and family. It has been introduced and tested outside the VA with evidence that it increases patient recall and understanding and may even improve physician performance. Little is known, however, about whether and to what extent these effects lead to better outcomes, such as improved treatment plan adherence and chronic disease self-management. This study is a randomized controlled trial designed ascertain whether easy access to audio recordings of the medical visit improves patients perception that they understand and can manage their own care, and leads to a variety of improved outcomes, such as better blood pressure and diabetes control, and fewer emergency department visits and hospitalizations.

Clinical Trial Description

The study aims to assess (1) the impact of an open access audio (OAA) program on two behaviors (patient activation, treatment plan adherence), and two chronic condition measures (glycosylated hemoglobin, blood pressure); (2) the impact of open access audio on provider communication and on their attention to patient contextual factors (i.e. individual Veteran's needs and circumstances relevant to planning effective care); and (3) patient, provider, and leadership perceptions of the extent to which the program is safe, not burdensome, and worthwhile at both the start and at two years into the program. A secondary analysis will descriptively measure the effect size of OAA on ED visits and hospital admissions. ;

Related Conditions & MeSH terms

• Diabetes
• Hypertension

• NCT number: NCT04452331
• Study type: Interventional
• Source: VA Office of Research and Development
• Contact: Saul J Weiner, MD
• Phone: (312) 413-2799
• Email: saul.weiner@va.gov
• Status: Recruiting
• Phase: N/A
• Start date: October 5, 2021
• Completion date: July 31, 2024