Clinical trial NCT05611008: Testing the SNOWDROP Intervention: Using a Clinical Decision Support System and Patient Portal for Falls Prevention Among Older Patients in Primary Care
Official title: Seniors Empowered Via Big Data to Joint-manage Their Medication-related Risk of Falling in Primary Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Fall
Fall Injury
Fall Patients
Accidental Fall
Deprescribing
Lead sponsor: University of Amsterdam
Sponsor class: OTHER
First posted: 2022-11-09
Enrollment: 85
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Falls are a leading cause of injuries among older patients. Medication use is a major risk factor for falls. Because we lack tools to assess individualized risks, general practitioners (GPs) struggle with fall-related medication management for older patients. Furthermore, these older patients are often not properly equipped to engage in the joint management of their medication. A Clinical Decision Support System (CDSS) for GPs and a patient portal for older patients may stimulate shared decision making between GPs and older patients when discussing the medication-related fall risk. The CDSS provides the GP with advice on how to alter medication in such a way that the fall risk decreases, and the patient portal helps the older patient to prepare for a consultation and to engage in the joint management of their medication.


Eligibility criteria: Inclusion Criteria:

* Aged 70 years or older
* High fall risk
* Takes at least 1 Fall Risk Increasing Drug (FRID)

Primary outcomes:
measure: Shared decision making
timeFrame: During consultation
Secondary outcomes:
measure: Technology Acceptance Model (TAM; patient portal)
timeFrame: At baseline & two weeks after consultation
measure: Website Satisfaction Scale (WSS; patient portal)
timeFrame: At baseline & two weeks after consultation
measure: Patient portal usage
timeFrame: At baseline & two weeks after consultation
measure: Beliefs About Medicines Questionnaire (BMQ)
timeFrame: Baseline & two weeks after consultation
measure: Netherlands Patient Information Recall Questionnaire (NPIRQ)
timeFrame: Two weeks after consultation
measure: Decisional Conflict Scale (DCS)
timeFrame: Two weeks after consultation
measure: Changes in medication
timeFrame: Baseline & two weeks after the consultation
measure: Technology Acceptance Model (TAM; CDSS)
timeFrame: After the first consultation (study beginning) and after the last consultation (study completion after +/- 7 months)
measure: The Website Satisfaction Scale (WSS; CDSS)
timeFrame: After the first consultation (study beginning) and after the last consultation (study completion after +/- 7 months)
measure: Evaluation of the consultation
timeFrame: Immediately after each consultation
Other outcomes:
Locations:
city: Amsterdam
country: Netherlands
facility: Huisartsenpraktijken
Study officials:
affiliation: Amsterdam School for Communication Research (ASCoR), University of Amsterdam
name: Julia C.M. van Weert
role: PRINCIPAL_INVESTIGATOR
References: