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Activating Seniors to Improve Chronic Disease Care
This study has been completed.
Sponsor:
University of California, Los Angeles
Collaborator:
Foundation for Informed Medical Decision Making
Information provided by (Responsible Party):
University of California, Los Angeles
ClinicalTrials.gov Identifier:
NCT00651495
First received: March 28, 2008
Last updated: November 23, 2016
Last verified: November 2016
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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 (Participant) |
| 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 ]
- Attitudes, perceived social norms and self efficacy for asking questions of a physician [ Time Frame: 20 weeks ]
Secondary Outcome Measures:
- Health-related quality of life [ Time Frame: 20 weeks ]
| 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 (Adult, Senior) |
| Sexes Eligible for Study: | All |
| 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
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:
Publications:
| Responsible Party: | University of California, Los Angeles |
| 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: | November 23, 2016 |
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 June 23, 2017