Improving Decision Help for Older Adults Facing Carotid Artery Narrowing
Official title: Improving Shared Decision Making for Older Adults with Carotid Artery Stenosis
Funded at Dartmouth-Hitchcock Clinic · NIH-11265891 · Data updated 2026-11-12
A patient-friendly project to create a decision aid to help older adults decide the best way to treat carotid artery stenosis with input from doctors and patients.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Dartmouth-Hitchcock Clinic NIH-funded |
| Lab location | 1 site (Lebanon, United States) |
| Project start | June 18, 2026 |
| Project end | March 31, 2031 |
| Funding year | 2026 |
| Award (this year) | $235,391 |
| NIH project number | 1P20GM161873-01 |
| Project ID | NIH-11265891 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults 65 years and older who have carotid artery stenosis and are facing treatment decisions.
✕Less likely to help
Patients without carotid artery stenosis or those not involved in shared decision making may not directly benefit.
What this research studies
This project aims to develop a decision aid to support shared decision making for adults aged 65 and older who have carotid artery stenosis. It will compare medical therapy alone versus medical therapy plus one of three procedures, taking into account up-to-date evidence, risks, and recovery. The team will involve patients and clinicians to ensure the tool reflects real-world preferences and information needs. The goal is to help patients make well-informed choices aligned with their values during the care process.
Why it matters
Potential benefit: If successful, patients will have clearer, personalized guidance to choose treatments that fit their goals and health circumstances.
How similar studies have gone: Past decision aids improved patient knowledge and satisfaction, but this project seeks to incorporate contemporary treatment options.
Where this research is happening
-
Dartmouth-Hitchcock Clinic
Lebanon, United States Active
Researchers
- Principal investigator: Columbo, Jesse a — Dartmouth-Hitchcock Clinic
- Study coordinator: Columbo, Jesse a
Related research
Other NIH-funded projects on the same topics.
-
Understanding how octopuses integrate sensory information and make decisions
This study is exploring how octopuses use their arms to grip things by looking closely at their nervous system and movements, which could help us understand their amazing abilities better.
-
NoviGuide for Newborn Care in Pakistan
A small NIH grant to test a pocket-sized decision support tool for nurses and doctors to improve newborn care in Pakistan.
-
Understanding how aging and Alzheimer’s affect how people make tough choices
This NIH grant studies how aging and Alzheimer’s risk change how people decide between immediate and delayed rewards and risky options, with the goal of helping older adults stay financially and healthwise safer.
-
Shared decision-making to prevent cancer in South Africa
A multi-level, school-based program in South Africa helps families, teachers, and health workers make informed choices to prevent cervical and related cancers, especially where HIV is common.
-
Improving contraception decisions for women with substance use disorders after childbirth
A patient-centered decision tool called MyPath aims to help postpartum women with substance use disorders choose and keep effective contraception after giving birth.
-
Alcohol use and suicidal thoughts: how decision-making affects risk
This project looks at how acute alcohol use and people’s decision-making patterns relate to suicidal thoughts and behaviors in adults.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.