Patient Priorities Care for Multiple Chronic Conditions
(PPC Trial)
Trial Summary
What is the purpose of this trial?
The investigators will conduct a randomized control trial enrolling 366 older Veterans with multiple chronic conditions receiving primary care at the Michael E. DeBakey VA Medical Center and VA Connecticut Medical Center to determine if Patient Priorities Care reduces treatment burden, increases priorities-aligned home and community services, and sets shared health outcome goals compared with usual care. The investigators will randomize at the patient level rather than clinic or clinician level to evaluate the effect of identifying patient priorities on clinician decision making and alignment of care with identified priorities.
Do I have to stop taking my current medications for the trial?
The trial protocol does not specify if you need to stop taking your current medications. However, since the trial involves patients with multiple chronic conditions who are prescribed 10 medications, it seems likely that you can continue your current medications.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems likely that you can continue your current medications, as the trial focuses on aligning care with patient priorities.
What data supports the idea that Patient Priorities Care for Multiple Chronic Conditions is an effective treatment?
The available research shows that Patient Priorities Care (PPC) is effective for older adults with multiple chronic conditions. In a study involving 119 older adults, 77% returned to their primary care provider after having their priorities identified, and in 46% of these visits, clinicians documented discussions about patient priorities. This suggests that PPC helps align healthcare with what matters most to patients, making it a feasible and beneficial approach compared to usual care, which often doesn't focus on patient priorities.12345
What data supports the effectiveness of the treatment Patient Priorities Care for Multiple Chronic Conditions?
Patient Priorities Care (PPC) helps align healthcare with what matters most to older adults with multiple chronic conditions, making care less burdensome and more focused on their personal goals. Studies show that PPC is feasible to implement and can improve care by ensuring that healthcare decisions reflect patients' priorities.12345
What safety data exists for Patient Priorities Care for multiple chronic conditions?
The provided research does not directly address safety data specific to Patient Priorities Care (PPC) for multiple chronic conditions. The studies focus on the feasibility and implementation of aligning care with patient priorities and the general importance of patient safety in healthcare. However, they do not provide specific safety outcomes or data related to PPC.12678
Is Patient Priorities Care safe for people with multiple chronic conditions?
Is Patient Priorities Care a promising treatment for people with multiple chronic conditions?
How is the Patient Priorities Care treatment different from other treatments for multiple chronic conditions?
Patient Priorities Care (PPC) is unique because it focuses on aligning healthcare decisions with what matters most to the patient, especially older adults with multiple chronic conditions. This approach involves identifying and documenting patient priorities in their electronic health records, ensuring that care is tailored to their individual goals and preferences.124910
Research Team
Lilian N. Dindo, PhD
Principal Investigator
Michael E. DeBakey VA Medical Center, Houston, TX
Eligibility Criteria
This trial is for older veterans with multiple chronic conditions who have had at least two medical appointments in the past 18 months, are on ten or more medications, and have three active health issues. They must be able to give informed consent and not be expected to pass away within a year. Those with severe mental illness, dementia, substance abuse, complete hearing loss, frequent no-shows for appointments, nursing home residents or those needing a translator are excluded.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Patient Priorities Care Facilitation
A facilitator conducts a structured assessment to establish patient priorities and goals before the PCP visit.
Treatment
PCPs align care with patients' priorities using established decisional strategies.
Follow-up
Participants are monitored for treatment burden, home and community services use, shared decision making, and goal setting.
Treatment Details
Interventions
- Patient Priorities Care
- Usual Care
Patient Priorities Care is already approved in United States for the following indications:
- Multiple Chronic Conditions
- Geriatric Care
Find a Clinic Near You
Who Is Running the Clinical Trial?
VA Office of Research and Development
Lead Sponsor