Activating Seniors to Improve Chronic Disease Care

Study Overview
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Brief Summary
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Chronic diseases are the primary cause of morbidity and mortality for older Americans. Active patient participation in treatment decision-making has the potential to significantly improve outcomes in chronic disease care, but interventions to increase participation remain underused. Some studies have found that older individuals are less interested in participating in clinical decision-making, but other studies find that exposing patients to decision aids (PtDAs) increases their desire to take an active role in making decisions with their physicians. The present study targets hard-to-reach seniors by showing decision aids focused on chronic disease management in senior centers. Decision aids will be made available in two senior centers through a lending library and by conducting group screenings of the decision aids followed by moderated discussion of the content with participants. A randomized encouragement design will be used to test the effectiveness of a modest financial incentive on increasing seniors' participation in group screenings. The investigators will evaluate the effects of the intervention on seniors' decision-making role preferences, attitudes, perceived social norms and self efficacy for asking questions of their physician, health-related quality of life, physical activity, and changes in prescribed treatment regimens and self-care.

Official Title
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Activating Seniors to Improve Chronic Disease Care

Conditions
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Healthy

Intervention / Treatment
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* Behavioral: Patient decision aids for chronic conditions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: At least 55 years old. Able to ambulate Able to complete self-administered surveys Able to speak and read English Exclusion Criteria: Not willing to provide consent

Ages Eligible for Study
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Minimum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>Participants receive a $50 financial incentive if they view at least 3 of 5 patient decision aids in a group screening. | Behavioral: Patient decision aids for chronic conditions<br>* Videos providing comprehensive information about chronic disease management<br>|
| Active Comparator: 2<br>No financial incentive for watching patient decision aids in group screenings | Behavioral: Patient decision aids for chronic conditions<br>* Videos providing comprehensive information about chronic disease management<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decision-making role preferences |  | 20 weeks | 
| Attitudes, perceived social norms and self efficacy for asking questions of a physician |  | 20 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health-related quality of life |  | 20 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Decision aids, Seniors, Chronic disease management, Advance directives