Activating Seniors to Improve Chronic Disease Care

Study Description

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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.

Condition or disease	Intervention/treatment	Phase
Healthy	Behavioral: Patient decision aids for chronic conditions	Not Applicable

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	116 participants
Allocation:	Randomized
Intervention Model:	Parallel Assignment
Masking:	Single (Participant)
Official Title:	Activating Seniors to Improve Chronic Disease Care
Study Start Date :	April 2008
Actual Primary Completion Date :	November 2008
Actual Study Completion Date :	November 2008

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
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

Outcome Measures

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Primary Outcome Measures :

1. Decision-making role preferences [ Time Frame: 20 weeks ]
2. Attitudes, perceived social norms and self efficacy for asking questions of a physician [ Time Frame: 20 weeks ]

Secondary Outcome Measures :

1. Health-related quality of life [ Time Frame: 20 weeks ]

Eligibility Criteria

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Additional Information:

Foundation for Informed Medical Decision Making 

Publications of Results:

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.

Responsible Party:	University of California, Los Angeles
ClinicalTrials.gov Identifier:	NCT00651495 History of Changes
Other Study ID Numbers:	G07-09-025; FIMDM 0096-1
First Posted:	April 2, 2008
Last Update Posted:	November 28, 2016
Last Verified:	November 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