Seniors Empowered Via Big Data to Joint-manage Their Medication-related Risk of Falling in Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 85
- 试验地点
- 1
- 主要终点
- Shared decision making
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged 70 years or older
- •High fall risk
- •Takes at least 1 Fall Risk Increasing Drug (FRID)
排除标准
- 未提供
研究组 & 干预措施
Intervention condition
干预措施: CDSS (Device)
Intervention condition
干预措施: Patient Portal (Device)
Control condition
结局指标
主要结局
Shared decision making
时间窗: During consultation
This concerns the extent to which shared decision making between patient and GP during the consultation. This will be assessed using the Observer OPTION Multiple Chronic Conditions (OPTION-MCC). Consultation are audiotaped and will be coded on shared decision making using this coding scheme.
次要结局
- Technology Acceptance Model (TAM; patient portal)(At baseline & two weeks after consultation)
- Website Satisfaction Scale (WSS; patient portal)(At baseline & two weeks after consultation)
- Patient portal usage(At baseline & two weeks after consultation)
- Technology Acceptance Model (TAM; CDSS)(After the first consultation (study beginning) and after the last consultation (study completion after +/- 7 months))
- Netherlands Patient Information Recall Questionnaire (NPIRQ)(Two weeks after consultation)
- Decisional Conflict Scale (DCS)(Two weeks after consultation)
- Beliefs About Medicines Questionnaire (BMQ)(Baseline & two weeks after consultation)
- Changes in medication(Baseline & two weeks after the consultation)
- Evaluation of the consultation(Immediately after each consultation)
- The Website Satisfaction Scale (WSS; CDSS)(After the first consultation (study beginning) and after the last consultation (study completion after +/- 7 months))
研究者
Julia van Weert
Prof. dr. Julia van Weert
University of Amsterdam