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Activating Seniors to Improve Chronic Disease Care

NCT ID: NCT00651495

Last Updated: 2016-11-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2008-11-30

Brief Summary

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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.

Detailed Description

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Conditions

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Healthy

Keywords

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Decision aids Seniors Chronic disease management Advance directives

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Participants receive a $50 financial incentive if they view at least 3 of 5 patient decision aids in a group screening.

Group Type EXPERIMENTAL

Patient decision aids for chronic conditions

Intervention Type BEHAVIORAL

Videos providing comprehensive information about chronic disease management

2

No financial incentive for watching patient decision aids in group screenings

Group Type ACTIVE_COMPARATOR

Patient decision aids for chronic conditions

Intervention Type BEHAVIORAL

Videos providing comprehensive information about chronic disease management

Interventions

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Patient decision aids for chronic conditions

Videos providing comprehensive information about chronic disease management

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Foundation for Informed Medical Decision Making

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dominick L Frosch, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Locations

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Culver City Senior Center

Culver City, California, United States

Site Status

Willowbrook Senior Center

Los Angeles, California, United States

Site Status

Countries

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United States

References

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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.

Reference Type RESULT
PMID: 20662953 (View on PubMed)

Other Identifiers

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FIMDM 0096-1

Identifier Type: -

Identifier Source: secondary_id

G07-09-025

Identifier Type: -

Identifier Source: org_study_id