Activating Seniors to Improve Chronic Disease Care

NCT00651495 | Completed

• 2 other identifiers: G07-09-025FIMDM 0096-1
• Study Type: interventional
• Target: 116
• Locations: 1 country
• Sites: 2

Brief 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.

Conditions

Healthy

Keywords

Decision aids; Seniors; Chronic disease management; Advance directives

Outcome Measures

Primary Outcomes (2)

• Decision-making role preferences

  20 weeks

• Attitudes, perceived social norms and self efficacy for asking questions of a physician

  20 weeks

Secondary Outcomes (1)

• Health-related quality of life

  20 weeks

Study Arms (2)

1

EXPERIMENTAL

Participants receive a $50 financial incentive if they view at least 3 of 5 patient decision aids in a group screening.

Behavioral: Patient decision aids for chronic conditions

2

ACTIVE COMPARATOR

No financial incentive for watching patient decision aids in group screenings

Behavioral: Patient decision aids for chronic conditions

Interventions

Patient decision aids for chronic conditions BEHAVIORAL

Videos providing comprehensive information about chronic disease management

1; 2

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• At least 55 years old.
• Able to ambulate
• Able to complete self-administered surveys
• Able to speak and read English

You may not qualify if:

• Not willing to provide consent

Sponsors & Collaborators

• University of California, Los Angeles: lead
• Foundation for Informed Medical Decision Making: collaborator

Study Sites (2)

Culver City Senior Center

Culver City, California, 90232, United States

Location

Willowbrook Senior Center

Los Angeles, California, 90061, United States

Location

Related 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. Epub 2010 Jul 19.

  PMID: 20662953 RESULT

Study Officials

• Dominick L Frosch, Ph.D.

  University of California, Los Angeles

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 28, 2008
• First Posted: April 2, 2008
• Study Start: April 1, 2008
• Primary Completion: November 1, 2008
• Study Completion: November 1, 2008
• Last Updated: November 28, 2016

Record last verified: 2016-11

Locations

US (2)