Care Planning for Older Persons With Multiple Conditions: Encouraging a Tailored Approach (COMET): Stage II

Yale University1 site in 1 country128 target enrollmentApril 2014

ConditionsPolypharmacy

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Polypharmacy
Sponsor: Yale University
Enrollment: 128
Locations: 1
Primary Endpoint: Patient Assessment of Care for Chronic Conditions (PACIC)
Status: Completed
Last Updated: 9 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

The purpose of the proposed project is to pilot-test in the clinic setting a computer-based clinical decision support system (CDSS) designed to optimize medication prescribing for older persons with multiple chronic conditions and polypharmacy.

Registry

clinicaltrials.gov

Start Date

April 2014

End Date

May 2016

Last Updated

9 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Yale University

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Veterans age 65 years and older.
•Patients should be diagnosed with diabetes and hypertension and be prescribed five or more medications.
•Patients receiving primary care at the West Haven campus of VA Connecticut Healthcare System.

Exclusion Criteria

•Unable to manage own medications because of cognitive impairment.
•Medications prescribed by physician outside of the VA.
•Severe vision or hearing impairment.

Outcomes

Primary Outcomes

Patient Assessment of Care for Chronic Conditions (PACIC)

Time Frame: Immediately following the primary care visit at which the patient is enrolled in the study

A modified version of the Patient Assessment of Care for Chronic Conditions (PACIC) will be used. The original tool is a 20 item instrument (100 points total) designed to assess a patients perception of one's health care (for chronic conditions). A higher score indicates a more favorable rating.

Secondary Outcomes

Number of changes made to the medication regimen(3 Month Follow Up)
Coding of audiotapes of primary care visit(The primary care visit at which the patient is enrolled in the study)