Clinical Decision Framework for Chronic Conditions in Older Adults
Trial Summary
Do I need to stop my current medications for this trial?
The trial does not specify if you need to stop your current medications. However, it involves changes to cardiometabolic medications (like those for blood pressure or diabetes) at hospital discharge, so discuss with your doctor.
What data supports the effectiveness of the treatment Clinical Decision Framework for Managing older adults' chronic conditions during hospitalization?
How does this treatment for chronic conditions in older adults differ from other treatments?
This treatment is unique because it uses a clinical decision framework specifically designed for older adults with multiple chronic conditions, focusing on patient-centered care by aligning medical decisions with the patient's health priorities and preferences, rather than a one-size-fits-all approach.678910
What is the purpose of this trial?
The goal of this pilot clinical trial is to learn if providing a clinical decision framework for managing older adults chronic conditions during hospitalization to inpatient clinicians improves clinicians' ability to individualize chronic condition prescribing decisions for hospitalized older adults (65 and older). The main questions it aims to answer are:* Will the clinical decision framework lead to clinicians having greater confidence to individualize discharge prescribing?* Will clinicians using the framework discharge make fewer changes to hospitalized older adults with home diabetes and hypertension medications than they did prior to receiving the framework?* Will older adult patients of participating clinicians will report fewer gaps in understanding of medication changes after the clinician is exposed to the framework?Researchers will compare participating clinician survey responses and prescribing records from before and after an educational session presenting the clinical decision framework.Participants will be asked to* Attend a one-time educational session on the clinical decision framework* Complete 2 electronic surveys, one before and one following the educational session.* Agree for researchers to contact their patients, in order for patients to complete a one-time phone survey about changes made to home medications during hospitalization and quality of communication from the hospital team.
Research Team
Timothy S Anderson, MD, MAS
Principal Investigator
University of Pittsburgh
Eligibility Criteria
This trial is for inpatient clinicians treating hospitalized older adults (65+) with chronic conditions like diabetes and high blood pressure. Clinicians must be willing to attend an educational session, complete surveys before and after the session, and allow researchers to survey their patients.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Educational Session
Participants attend a one-time educational session on the clinical decision framework
Survey Completion
Participants complete 2 electronic surveys, one before and one following the educational session
Follow-up
Participants are monitored for changes in prescribing practices and patient understanding post-intervention
Treatment Details
Interventions
- Clinical Decision Framework for Managing older adults' chronic conditions during hospitalization
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Pittsburgh
Lead Sponsor
National Institute on Aging (NIA)
Collaborator