Testing the SNOWDROP Intervention: Using a Clinical Decision Support System and Patient Portal for Falls Prevention Among Older Patients in Primary Care

NCT ID: NCT05611008

Last Updated: 2024-01-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 85 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-11-21
• Study Completion Date: 2023-10-30

Brief Summary

Falls are a leading cause of injuries among older patients. Medication use is a major risk factor for falls. Because we lack tools to assess individualized risks, general practitioners (GPs) struggle with fall-related medication management for older patients. Furthermore, these older patients are often not properly equipped to engage in the joint management of their medication. A Clinical Decision Support System (CDSS) for GPs and a patient portal for older patients may stimulate shared decision making between GPs and older patients when discussing the medication-related fall risk. The CDSS provides the GP with advice on how to alter medication in such a way that the fall risk decreases, and the patient portal helps the older patient to prepare for a consultation and to engage in the joint management of their medication.

Conditions

Fall; Fall Injury; Fall Patients; Accidental Fall; Deprescribing

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Intervention condition

Group Type: EXPERIMENTAL

CDSS

Intervention Type: DEVICE

A Clinical Decision Support System (CDSS) that calculates older patients' personalized fall risk and provides the GP with advice on how to adjust the patient's medication in order to lower the fall risk.

Patient Portal

Intervention Type: DEVICE

A patient portal that provides general information on falls and fall risk to the older patients and helps the patient to prepare for the consultation by filling out a Question Prompt List (QPL). The QPL is a list of possibly relevant questions and topics from which the patient can select those that are important to him/her. These will already be sent to the GP before the consultation takes place.

Control condition

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

CDSS

A Clinical Decision Support System (CDSS) that calculates older patients' personalized fall risk and provides the GP with advice on how to adjust the patient's medication in order to lower the fall risk.

Intervention Type: DEVICE

Patient Portal

A patient portal that provides general information on falls and fall risk to the older patients and helps the patient to prepare for the consultation by filling out a Question Prompt List (QPL). The QPL is a list of possibly relevant questions and topics from which the patient can select those that are important to him/her. These will already be sent to the GP before the consultation takes place.

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Aged 70 years or older
• High fall risk
• Takes at least 1 Fall Risk Increasing Drug (FRID)

• Minimum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Amsterdam

OTHER

Sponsor Role: lead

Responsible Party

Julia van Weert

Prof. dr. Julia van Weert

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Julia C.M. van Weert

Role: PRINCIPAL_INVESTIGATOR

Amsterdam School for Communication Research (ASCoR), University of Amsterdam

Locations

Huisartsenpraktijken

Amsterdam, , Netherlands

Countries

Netherlands

Other Identifiers

2022-PC-15274

Identifier Type: -

Identifier Source: org_study_id