Care Planning for Older Persons With Multiple Conditions: Encouraging a Tailored Approach (COMET): Stage II
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- Patient Assessment of Care for Chronic Conditions (PACIC)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (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
- 否
入选标准
- •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.
排除标准
- •Unable to manage own medications because of cognitive impairment.
- •Medications prescribed by physician outside of the VA.
- •Severe vision or hearing impairment.
研究组 & 干预措施
COMET
The intervention consists of completion of the tool (COMET) by means of a 30 minute telephone interview prior to the primary care visit and provision of the tool's output to the patient and primary care physician. The COMET tool takes information about the patient's medications and chronic conditions from the electronic health record, and then supplements this with information obtained by a telephone interview assessing the patient's cognition, social supports, medication adherence, home medication regimen, medication side effects, and health status. In addition, there is a chart review screen to record renal function, blood pressure, and hemoglobin A1C. All of this information is run through a set of algorithms to identify medication reconciliation errors and potentially inappropriate medications.
干预措施: COMET (Other)
Usual Care
结局指标
主要结局
Patient Assessment of Care for Chronic Conditions (PACIC)
时间窗: 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.
次要结局
- 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)