Improving chronic illness care experience for older adults through visit notes and audio recordings

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This trial evaluates the effectiveness of providing older adults with access to their healthcare visit notes and audio recordings to enhance their management of chronic conditions like diabetes and hypertension. Participants aged 65 and older will be randomly assigned to receive either written visit notes or both notes and audio recordings of their visits. The study aims to assess changes in quality of life, satisfaction, self-management, treatment adherence, and communication over six months. Caregivers will also be involved to evaluate their preparedness and burden in providing care.

Why it matters

Who can join: the full rules

PATIENTS:

Inclusion Criteria:

* ≥ 65 years;
* With multimorbidity (diabetes or hypertension plus one of the following: arthritis (osteoarthritis and rheumatoid arthritis), asthma, atrial fibrillation, Alzheimer's disease and related dementia (not severe), cancer, chronic obstructive pulmonary disease, depression, heart disease, heart failure, hyperlipidemia, osteoporosis, kidney disease and stroke. Patients with diabetes plus hypertension are eligible.
* Have had two or more clinic visits in the previous 12 months;
* Plan on receiving ongoing care at the clinic with the enrolled clinician for the subsequent 6 months;
* Do not have vision or hearing problems that cannot be corrected; and
* Have not recorded a clinic visit for personal use in the past 6 months

Exclusion Criteria:

* With no capacity to consent to the project;
* With schizophrenia and other psychotic disorders, current substance-use disorders, uncorrected hearing or visual impairment with no adjustments to support accessing the interventions or surveys;
* Living in skilled nursing homes or hospice, because they engage less in self-management;
* With cognitive impairment as identified by a score of ≤4 on the six-item screener (SIS)
* Lacking internet access;
* Who do not speak English or Spanish;
* Who (i) do not have access to a personal email, (ii) do not have an email address shared with a family member or patient-identified caregiver, and/or (iii) are not interested in creating a personal email as this would prevent them from engaging with the intervention(s); and
* Who do not wish to create a patient portal account, if they do not already have one as this would prevent them from engaging with the intervention(s).

CAREGIVERS:

Inclusion criteria:

* Agree to their identified role as a caregiver;
* Speak English or Spanish;
* Have capacity to consent to research participation; and
* ≥ 18 years.

Exclusion criteria:

* No capacity to consent to the project;
* Living in skilled nursing homes or hospice;
* Lacking internet access; or
* Do not speak English or Spanish

Where it's running

• Dartmouth Hitchcock Clinics Manchester
  Manchester, New Hampshire, United States Recruiting
• Vanderbit University Medical Center
  Nashville, Tennessee, United States Recruiting
• University of Texas Medical Branch
  Galveston, Texas, United States Not yet recruiting

Study contacts

• Principal investigator: Paul J Barr, PhD — Dartmouth College
• Study coordinator: Paul J Barr, PhD
• Email: paul.j.barr@dartmouth.edu
• Phone: 603-646-7016

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.