Patient-centered Precision Medicine Lab Result Communication for Older Adults

NCT06995378 | Not Yet Recruiting

• 1 other identifier: P30AG073104
• Study Type: interventional
• Target: 5
• Locations: 1 country
• Sites: 1

Brief Summary

For adults \>65 years and their providers, the investigators will test the usability and design of a tool to replace standard uniform reporting of lab results to patients and their providers with a new personalized EHR lab result communication tool that: 1) extracts patient-level data from the EHR; 2) calculates individual risk; and 3) for patients with very low risk, communicates the individualized risk information. The investigators will employ a range of user experience research methods to understand how patient and provider users interact with the new lab result communication tool and to assess their comprehension of the lab results.

Conditions

Kidney Disease, Chronic

Keywords

lab result; lab result communication tool

Outcome Measures

Primary Outcomes (1)

• Change in self-reported anxiety about lab results after using the personalized tool

  Participants will complete a structured post-session survey using a 5-point Likert scale titled "Emotional Response to Lab Results". The scale ranges from 1 (Strongly Disagree) to 5 (Strongly Agree). Higher scores indicate lower anxiety and greater emotional reassurance. Survey items will assess their emotional response, including levels of anxiety and reassurance, after viewing lab results through the new tool. Responses will be compared to participants' recalled or expected emotional responses based on past experiences with standard lab result communication formats.

  Immediately after the user experience session

Study Arms (1)

Personalized Lab Result Arm

EXPERIMENTAL

Participants (patients aged 65+ and UCLA Health providers) will engage in a tool integrated into the EHR system to personalize how lab results are communicated to patients aged 65+ and their providers. The tool uses individual risk information and different visual/text formats to display results. Participants will view the tool and access user experience through observation, interviews, and surveys.

Behavioral: Lab Result Communication Tool

Interventions

Lab Result Communication Tool BEHAVIORAL

A behavioral intervention delivered through a personalized EHR-integrated lab result communication tool designed to improve emotional and cognitive responses to lab results among adults aged 65+. The tool applies behavioral science principles such as risk personalization, simplified messaging, and visual framing to reduce patient anxiety, enhance understanding, and support informed decision-making.

Personalized Lab Result Arm

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Enrolled in the patient portal;
• English-speaking (as the language of the tool is currently only in English, and it would be impractical to have validated translations created for all of the potential variations and derivatives of the tool mock-ups); and
• Without dementia or other neurocognitive disease.
• UCLA Health providers who care for large numbers of older adults in outpatient settings.

You may not qualify if:

• Do not have a UCLA PCP;
• Are under the age of 65;
• Are not English speaking (as the tool prototypes are only in English until final verbiage is determined);
• Are not enrolled in the UCLA MyChart patient portal; or
• Are diagnosed with dementia
• Do not care for large numbers of older adults in outpatient settings

Sponsors & Collaborators

• University of California, Los Angeles: lead
• National Institute on Aging (NIA): collaborator

Study Sites (1)

UCLA Health System

Los Angeles, California, 90024, United States

Location

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Katelyn Assistant Clinical Research Coordinator

CONTACT

310-267-5250; katenguyen@mednet.ucla.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Medicine

Study Record Dates

• First Submitted: May 20, 2025
• First Posted: May 29, 2025
• Study Start: October 1, 2025
• Primary Completion: November 1, 2025
• Study Completion: November 1, 2025
• Last Updated: October 3, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)