Seniors Empowered Via Big Data to Joint-manage Their Medication-related Risk of Falling in Primary Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fall
- Sponsor
- University of Amsterdam
- Enrollment
- 85
- Locations
- 1
- Primary Endpoint
- Shared decision making
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Julia van Weert
Prof. dr. Julia van Weert
University of Amsterdam
Eligibility Criteria
Inclusion Criteria
- •Aged 70 years or older
- •High fall risk
- •Takes at least 1 Fall Risk Increasing Drug (FRID)
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Shared decision making
Time Frame: 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.
Secondary Outcomes
- 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))