The Effect of the Patient Activation Measure on Chronic Care

NCT00299468 | Completed Phase 1

• 1 other identifier: 290-00-0013
• Study Type: interventional
• Target: 283
• Locations: 1 country
• Sites: 1

Brief Summary

We will test - in a chronically ill managed long term care population - the effectiveness of an intervention that provides nurse Care Managers with an inventory of evidence-based practices tailored to patients with different levels of knowledge, skills and confidence to engage in self-care management. Specifically, we will develop a "change package" of evidence-based hypertension (HTN) management strategies geared to patients scoring at the four different stages of activation on the Patient Activation Measure (PAM). We will randomly assign a group of interdisciplinary teams in the managed long-term care plan to intervention or control status and will train the Care Managers on the Intervention teams to use the change package in conjunction with a patient's PAM score to design - with the involvement of the patient - an individualized HTN management plan. We then will assess the impact of the intervention on patient activation and outcomes.

Conditions

Hypertension

Keywords

hypertension; home care; patient activation; stages-of-change

Outcome Measures

Primary Outcomes (5)

• changes in patients' PAM scores

  six months

• differences in patients' HTN knowledge

  six months

• adherence to HTN medication and diet recommendations

  six months

• average changes in patients' systolic and diastolic BP

  six months

• percent of patients who maintain BP control, among those with controlled baseline BP

  six months

Interventions

Patient Activation Measure Intervention Package BEHAVIORAL

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• active VNS CHOICE patient on one of the 22 Intervention or Control teams at the start of the intervention period,
• in care for less than or equal to 730 days,
• a formal diagnosis of HTN (using appropriate ICD codes recorded in the patient record), and
• English speaking.

You may not qualify if:

• moderate or severe cognitive impairment as measured by a six-item short portable mental status assessment
• organic brain disease dx in as one of the top 5 dx as measured by information in OASIS, the uniform home care assessment instrument mandated by the Centers for Medicare and Medicaid Services
• End Stage Renal disease dx as one of the top 5 dx as measured by information in OASIS

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead
• Visiting Nurse Service of New York: collaborator

Study Sites (1)

Visiting Nurse Service of New York Center for Home Care Policy & Research

New York, New York, 10001, United States

Location

Related Links

• Visiting Nurse Service of New York
• Weill Medical College of Cornell University

MeSH Terms

Conditions

Hypertension; Patient Participation

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Linda M Gerber, Ph.D.

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: March 2, 2006
• First Posted: March 6, 2006
• Study Start: April 1, 2006
• Primary Completion: March 1, 2007
• Study Completion: March 1, 2007
• Last Updated: March 17, 2008

Record last verified: 2006-05

Locations

US (1)