RECRUITING

Comparing Healthcare Visit Recording and Open Notes to Improve Chronic iLlness Care Experience in Older Adults

Conditions

Diabetes Mellitus Hypertension Audio Recording Patient-centered communication Self-management Older adults Chronic conditions After visit summary Quality of life Multimorbidity

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

CHRONICLE is a randomized trial assessing the comparative effectiveness of providing written visit information via the patient portal (NOTES) versus NOTES plus visit audio recording (AUDIO) to older adult patients with chronic diseases on quality of life and other outcomes. During the trial, the team will also invite caregivers identified by patients to join the project.

Official Title

Comparing Healthcare Visit Recording and Open Notes to Improve the Chronic Illness Care Experience for Older Adults (The CHRONICLE Trial)

Quick Facts

Study Start:2024-01-24

Study Completion:2027-06-14

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT05955339

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion 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	* With no capacity to consent to the project; * With schizophrenia and other psychotic disorders, current substance-use disorders, uncorrected hearing or visual impairment; * Living in skilled nursing homes or hospice, because they engage less in self-management; * With cognitive impairment as identified by a score of ≤3 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).

Inclusion Criteria

Exclusion 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

* With no capacity to consent to the project;
* With schizophrenia and other psychotic disorders, current substance-use disorders, uncorrected hearing or visual impairment;
* Living in skilled nursing homes or hospice, because they engage less in self-management;
* With cognitive impairment as identified by a score of ≤3 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).

Contacts and Locations

Study Contact

Paul J Barr, PhD

CONTACT

603-646-7016

paul.j.barr@dartmouth.edu

Renata W. Yen, PhD

CONTACT

603-646-5670

renata.west.yen@dartmouth.edu

Principal Investigator

Paul J Barr, PhD

PRINCIPAL_INVESTIGATOR

Dartmouth College

Kerri L Cavanaugh, MD

PRINCIPAL_INVESTIGATOR

Vanderbilit University Medical Center

Meredith C Masel, PhD

PRINCIPAL_INVESTIGATOR

University Texas Medical Branch

Study Locations (Sites)

Dartmouth Hitchcock Clinics Manchester

Manchester, New Hampshire, 03104

United States

Vanderbit University Medical Center

Nashville, Tennessee, 37232

United States

University of Texas Medical Branch

Galveston, Texas, 77555

United States

Collaborators and Investigators

Sponsor: Dartmouth-Hitchcock Medical Center

Paul J Barr, PhD, PRINCIPAL_INVESTIGATOR, Dartmouth College
Kerri L Cavanaugh, MD, PRINCIPAL_INVESTIGATOR, Vanderbilit University Medical Center
Meredith C Masel, PhD, PRINCIPAL_INVESTIGATOR, University Texas Medical Branch

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-01-24

Study Completion Date2027-06-14

Study Record Updates

Study Start Date2024-01-24

Study Completion Date2027-06-14

Terms related to this study

Keywords Provided by Researchers

Audio Recording
Diabetes Mellitus
Hypertension
Patient-centered communication
Self-management
Older adults
Chronic conditions
After visit summary
Quality of life
Multimorbidity

Additional Relevant MeSH Terms

Diabetes Mellitus
Hypertension