Heart-Related Multiple Chronic Conditions in Primary Care: Behavioral Technology
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 346
- 试验地点
- 2
- 主要终点
- UCLA Loneliness Scale
研究概览
简要总结
Multiple chronic conditions are common and expensive among patients aged ≥65 and are associated with lower quality of life, poorer response to treatment, worse medical and psychiatric outcomes, higher mortality, and higher costs of care.
The primary purpose of this study is to conduct a randomized clinical trial (RCT) to examine the effects of ElderTree --a web-based intervention--on health outcomes and healthcare use among older adults with several chronic health conditions, such as diabetes, high blood pressure, high cholesterol, COPD, BMI over 30, congestive heart failure, chronic kidney disease, arrhythmia/atrial fibrillation, chronic pain, arthritis.
The investigator's hypothesis is that patients assigned to TAU+ElderTree will have better quality of life and fewer primary care visits than those assigned to TAU+Internet.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •are ≥65 years old
- •have been treated in the University of Wisconsin Health clinics for at least the previous 18 months with no plans to leave during the study period
- •have 3 or more of the following chronic conditions: hypertension, hyperlipidemia, diabetes, arthritis, BMI over 30, chronic kidney disease, congestive heart failure, arrhythmia/atrial fibrillation, pulmonary heart disease or pulmonary vascular disease, chronic pain, COPD
- •report no current psychotic disorder that would prevent participation
- •have no acute medical problem requiring immediate hospitalization
- •be able to read and sign the consent form in English
- •have no known terminal illness
- •be willing to share health-related study data and
- •Systolic and diastolic BP
- •pain score
- •lung function
- •health care utilization: number of ER visits, urgent care visits, primary care visits and specialty care visits
- •allow researchers to share information with their primary care physician
排除标准
- 未提供
结局指标
主要结局
UCLA Loneliness Scale
时间窗: Baseline and 12-months
Loneliness is measured using the 8 items from the UCLA Loneliness Scale with the highest factor loadings among older adults. Scores ranged from 8 to 40. Higher scores indicate more loneliness.
PROMIS Global Health Measure Score
时间窗: Measured at baseline and 12 months
Quality of life is assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health measure. For consistency with other measures, the time frame has been modified to refer to the past 2 weeks. Scores are calculated using the HealthMeasures Scoring Service. Scores are a T-score metric with a mean of 50 and a standard deviation of 10 with a range of about 20 to 80. Higher scores indicate better quality of life.
Psychological Flourishing Scale
时间窗: Baseline and 12-months
Psychological well-being is assessed using the Psychological Flourishing Scale. The wording of items has been somewhat modified, including simplifying double-barreled items. For example, "I lead a purposeful and meaningful life" is shortened to "I lead a meaningful life." Scores are a sum of all items with a range from 8 to 40. Higher scores indicate a better well-being.
次要结局
- Medication Adherence(Baseline and 12-months)
- Symptom Distress(Baseline and 12-months)
- Falls(Baseline and 12-months)
- Falls Requiring Medical Attention(Baseline and 12-months)
- Unhealthy Laboratory Scores(12-months)
- Long-term Care(Baseline and 12-months)
- Crisis Health Care Visits(Baseline and 12-months)