Multiple Chronic Conditions Clinical Trial
— PPCOfficial title:
Patient Priorities Care for Older Adults With Multiple Chronic Conditions Achieved Through Primary and Specialty Care Alignment: Patient Priorities Care (PPC)
Verified date | July 2019 |
Source | Yale University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Patient Priorities Care aligns healthcare decision-making and care by all clinicians with patients' own health priorities. Patient Priorities Care involves not only the health outcome goals that patients want to achieve, but also their preferences for healthcare. This approach is about aligning what outcomes patients want from their healthcare with what they are willing and able to do to achieve these outcomes. The approach begins with a member of the healthcare team helping patients identify their health outcome goals and their care preferences and preparing them to interact with their clinicians around these goals and preferences. The goals and preferences are transmitted to the patient's clinicians who use them in decision-making and communication with the patient and other clinicians.
Status | Completed |
Enrollment | 414 |
Est. completion date | August 31, 2018 |
Est. primary completion date | August 31, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 66 Years and older |
Eligibility |
Inclusion Criteria: - Age >65 years - Member of Pro-Health Practice for >=3 years - Determined to be an appropriate candidate evidenced by ANY of the following: - Multiple Chronic Conditions (presence of >3 active health problems) - >10 medications - = 1 hospitalization over the past year - = 2 emergency department visits over the past year - Seen by >2 specialists (excluding GYN and eye) over the past year Exclusion Criteria: - End stage renal disease - Unable to consent (e.g. dementia) - In hospice or meeting hospice criteria - Nursing home resident - Not English speaking |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Yale University | Gordon and Betty Moore Foundation, Patient-Centered Outcomes Research Institute, Robert Wood Johnson Foundation, The John A. Hartford Foundation |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Treatment Burden Questionnaire (TBQ) | Measure to assess treatment burden among patients with one or more chronic conditions. Summary score is 0-150 with lower numbers indicating less burden. This is an exploratory study and the investigators will compare the intervention to control group to determine if the intervention group scores are lower on the TBQ (i.e. less burden). | 6-12 Months | |
Primary | Older Patient Assessment of Care for Chronic Conditions (O-PACIC) | Measure to assess chronically-ill patients' perceptions of the degree to which health care delivery is integrated and coordinated. Summary score is 1-5 with higher score indicated greater integration. This is an exploratory study and the investigators will compare the intervention to control group to determine if the intervention group scores higher on O-PACIC (i.e. greater integration). | 6-12 Months | |
Primary | CollaboRATE | Measure of shared decision making in clinical encounters. Summary score is 0-100 with higher score indicated greater shared decision making. This is an exploratory study and the investigator will compare the intervention to control group to determine if the intervention group scores higher on CollaboRATE (i.e. greater shared decision-making). | 6-12 Months | |
Primary | Health Care Utilization | Measures of changes in health care utilization drawn from review of patient medical records | 6-12 months | |
Secondary | Older Patient Assessment of Care for Chronic Conditions (O-PACIC) subscales | Sub-scales within the O-PACIC including patient activation (sub-scores range from 1-5 with higher score indicating greater activation), delivery system design/support (sub-scale score ranges from 1-5 with higher scores indicating greater system design/support), goal setting (sub-scale scores range from 1-5 with higher scores indicating improved goal setting), problem-solving/contextual counseling (sub-scale scores range from 1-5 with higher scores indicating improved problem-solving/contextual counseling), and follow-up/coordination (sub-scale scores range from 1-5 with higher scores indicating greater follow-up/coordination). | 6-12 Months | |
Secondary | Combined items from the Treatment Burden Questionnaire (TBQ) that appear to measure similar constructs. | Items that assess self-management tasks (3 items that range from 0-30 with lower scores indicating less self-management burden), medical visits (2 items that range from 0-20 with lower scores indicating less burden from doctor visits), laboratory tests and other examinations (1 item that ranges from 0-10 with lower scores indicating less burden from lab exams), relationships with providers (1 item with scores ranging from 0-10 with lower scores indicating less burden from relationships with providers), medications (4 items with scores ranging from 0-40 with lower scores indicating less burden from medications). | 6-12 Months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05345041 -
Church-based Intervention to Improve Physical Function in African Americans
|
N/A | |
Completed |
NCT03537053 -
An Approach to "Move a Little & Often" With Health Conditions
|
N/A | |
Recruiting |
NCT03885401 -
Enhanced Care Planning for Patients With Multiple Chronic Conditions
|
N/A | |
Recruiting |
NCT04922320 -
Effect of Patient Priorities Care Implementation in Older Veterans With Multiple Chronic Conditions
|
N/A | |
Completed |
NCT04056663 -
Health-circuit Evaluation as a Digital Support for the Management of Patients at Risk of Hospitalization
|
N/A | |
Active, not recruiting |
NCT03474692 -
Virta Health Registry
|
||
Completed |
NCT04566107 -
Self-Management Interventions Using Mobile Health for the Multimorbid
|
N/A | |
Completed |
NCT04568382 -
Diabetes Communication and Treatment Burden
|
N/A | |
Recruiting |
NCT05708768 -
Digital, Innovative, Sustainable, and Knowledge-based Acute Municipal Healthcare Services Illness and Trauma
|
||
Recruiting |
NCT05778630 -
Emotions and Cognitions in Pediatric Chronic Physical Conditions
|
N/A | |
Recruiting |
NCT05877846 -
Precision Medicine and Physical Function
|
N/A | |
Recruiting |
NCT05600465 -
Behavioral Activation + Occupational Therapy: An Innovative Intervention for Empowered Self-Management of Multiple Chronic Conditions
|
N/A | |
Active, not recruiting |
NCT05303194 -
Patient Priorities Care for Hispanics With Dementia
|
N/A | |
Completed |
NCT05156073 -
Shared Decision Making About Medication Use for People With Multiple Health Problems
|
N/A | |
Recruiting |
NCT04188470 -
Optimising Drug Therapy in Polymedicated Patients According to the Person-centered Care Model
|
N/A | |
Terminated |
NCT04595851 -
Pharmacists Coordinated Care Oncology Model (PCOM) for Patients Taking Oral Anti-cancer Medications
|
N/A | |
Recruiting |
NCT06044571 -
Optimizing Telehealth-delivery of a Weight Loss Intervention in Older Adults
|
N/A | |
Completed |
NCT03745703 -
MOCHA Moving Forward: a CBPR Investigation of Chronic Disease Prevention in Older, Low-income African-American Men
|
N/A | |
Recruiting |
NCT05913206 -
Understanding Factors in Decision Making for Children With Medical Complexity
|
N/A | |
Completed |
NCT04492527 -
Student-delivered Telehealth Program for COVID-19 Education and Health Promotion
|
N/A |