Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions
NCT ID: NCT06605807
Last Updated: 2025-11-06
Study Results
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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NOT_YET_RECRUITING
NA
150 participants
INTERVENTIONAL
2025-11-30
2026-06-30
Brief Summary
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* 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.
Detailed Description
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Conditions
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Keywords
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Clinician Participants
All clinician participants will undergo the same intervention, an educational session providing a clinical decision framework for managing older adults' chronic conditions during hospitalization.
Clinical Decision Framework for Managing older adults' chronic conditions during hospitalization.
All clinicians will attend an educational session where they will be provided a clinical decision framework for management of chronic conditions in hospitalized older adults, reviewing guiding principles for managing chronic disease in the hospital, and working through case-based hypothetical examples.
Interventions
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Clinical Decision Framework for Managing older adults' chronic conditions during hospitalization.
All clinicians will attend an educational session where they will be provided a clinical decision framework for management of chronic conditions in hospitalized older adults, reviewing guiding principles for managing chronic disease in the hospital, and working through case-based hypothetical examples.
Eligibility Criteria
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Inclusion Criteria
2. Practicing on the general medicine or hospital medicine service. This population may include physicians with training in general internal medicine, hospital medicine, family practice, internal medicine subspecialities, as well as advance practice clinicians.
1. Adult aged 65 years or older who are hospitalized under the care of a participating clinician and discharged home.
2. Eligible patients must recieve at least one cardiometabolic medication change at hospital discharge (can include new medication starts, stops, or dose changes). Cardiometabolic medications include any class of antihypertensive, lipid lowering, anti-platelet, or glucose lowering medications regardless of indication for use.
Exclusion Criteria
2. Less than 4 weeks of inpatient attending service scheduled within 3 months of recruitment
Patient Participants:
1. Incapacity for informed consent / unable to answer survey questions due to cognitive impairment
2. Enrolled in hospice care
18 Years
ALL
No
Sponsors
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National Institute on Aging (NIA)
NIH
University of Pittsburgh
OTHER
Responsible Party
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Timothy Anderson
Assistant Professor of Medicine
Principal Investigators
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Timothy S Anderson, MD, MAS
Role: PRINCIPAL_INVESTIGATOR
University of Pittsburgh
Locations
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University of Pittsburgh
Pittsburgh, Pennsylvania, United States
Countries
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Central Contacts
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Facility Contacts
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Ella Hileman-Kaplan, BA
Role: primary
Other Identifiers
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STUDY24070027
Identifier Type: -
Identifier Source: org_study_id