Activating Seniors to Improve Chronic Disease Care

This study has been completed.
Sponsor:
Collaborator:
Foundation for Informed Medical Decision Making
Information provided by:
University of California, Los Angeles
ClinicalTrials.gov Identifier:
NCT00651495
First received: March 28, 2008
Last updated: December 3, 2008
Last verified: December 2008
  Purpose

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.


Condition Intervention
Healthy
Behavioral: Patient decision aids for chronic conditions

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Official Title: Activating Seniors to Improve Chronic Disease Care

Resource links provided by NLM:


Further study details as provided by University of California, Los Angeles:

Primary Outcome Measures:
  • Decision-making role preferences [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]
  • Attitudes, perceived social norms and self efficacy for asking questions of a physician [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Health-related quality of life [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]

Enrollment: 116
Study Start Date: April 2008
Study Completion Date: November 2008
Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
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
Videos providing comprehensive information about chronic disease management
Active Comparator: 2
No financial incentive for watching patient decision aids in group screenings
Behavioral: Patient decision aids for chronic conditions
Videos providing comprehensive information about chronic disease management

  Eligibility

Ages Eligible for Study:   55 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

  • Not willing to provide consent
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00651495

Locations
United States, California
Culver City Senior Center
Culver City, California, United States, 90232
Willowbrook Senior Center
Los Angeles, California, United States, 90061
Sponsors and Collaborators
University of California, Los Angeles
Foundation for Informed Medical Decision Making
Investigators
Principal Investigator: Dominick L Frosch, Ph.D. University of California, Los Angeles
  More Information

Additional Information:
No publications provided

Responsible Party: Dominick Frosch, Principal Investigator, UCLA
ClinicalTrials.gov Identifier: NCT00651495     History of Changes
Other Study ID Numbers: G07-09-025, FIMDM 0096-1
Study First Received: March 28, 2008
Last Updated: December 3, 2008
Health Authority: United States: Institutional Review Board

Keywords provided by University of California, Los Angeles:
Decision aids
Seniors
Chronic disease management
Advance directives

Additional relevant MeSH terms:
Chronic Disease
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on August 28, 2014