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Clinical Decision Framework for Chronic Conditions in Older Adults

N/A

Waitlist Available

Led By Timothy S Anderson, MD, MAS

Research Sponsored by University of Pittsburgh

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Eligible patients must receive 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.

Be older than 18 years old

Must not have

Incapacity for informed consent / unable to answer survey questions due to cognitive impairment

Timeline

Screening 3 weeks

Treatment Varies

Follow Up baseline through two months post-intervention

Awards & highlights

No Placebo-Only Group

Summary

This trial aims to see if providing a clinical decision framework to hospital clinicians can help them better customize medication decisions for older adults with chronic conditions. The trial will assess if using the framework increases clinicians' confidence

Who is the study for?

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.

What is being tested?

The study tests a clinical decision framework aimed at helping clinicians personalize medication plans for elderly hospital patients with multiple chronic illnesses. It measures clinician confidence, changes in patient medications, and patient understanding of these changes.

What are the potential side effects?

Since this trial focuses on a decision-making tool rather than a medical treatment or drug, there are no direct side effects involved. However, indirect impacts could include variations in patient care based on clinician adherence to the framework.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I had a change in my heart or diabetes medication when I left the hospital.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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I am able to understand and provide informed consent.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ baseline and two months post-intervention

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~baseline and two months post-intervention

This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline and two months post-intervention for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Clinician - Change in Prescribing Self-Efficacy

Secondary study objectives

Clinician - Acceptability of Clinical Decision Framework

Clinician - Awareness of Evidence Base

Clinician - Change in Attitudes

+9 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups

Experimental Treatment

Group I: Clinician ParticipantsExperimental Treatment1 Intervention

All clinician participants will undergo the same intervention, an educational session providing a clinical decision framework for managing older adults' chronic conditions during hospitalization.

0 / 2Eligibility criteria met