Effect of Patient Priorities Care Implementation in Older Veterans With Multiple Chronic Conditions

Last updated: January 27, 2025
Sponsor: VA Office of Research and Development
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

N/A

Treatment

Patient Priorities Care

Usual Care

Clinical Study ID

NCT04922320
IIR 20-079
CIN 13-413
1 I01 HX003211-01A1
  • Ages > 65
  • All Genders

Study Summary

The investigators will conduct a randomized control trial enrolling 366 older Veterans with multiple chronic conditions receiving primary care at the Michael E. DeBakey VA Medical Center and VA Connecticut Medical Center to determine if Patient Priorities Care reduces treatment burden, increases priorities-aligned home and community services, and sets shared health outcome goals compared with usual care. The investigators will randomize at the patient level rather than clinic or clinician level to evaluate the effect of identifying patient priorities on clinician decision making and alignment of care with identified priorities.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • 2 encounters in prior 18 months

  • 3 active health problems on active problem list or prescribed 10 medications

Exclusion

Exclusion Criteria:

  • nursing home resident

  • end stage renal disease on dialysis

  • active serious mental illness (psychosis, schizophrenia, etc)

  • active substance use disorder

  • complete hearing loss

  • dementia

  • Non-English speaker (translator required)

  • 4 or more no-show appointments in the last 6 months

  • the investigators will present a list of eligible patients to PCPs prior to chartreview to identify patients who the PCP:

  • a) believes cannot participate independently or provide informed consent due tocognitive impairment

  • b) "would not be surprised if the patient passed away within the next 12months?"

Study Design

Total Participants: 420
Treatment Group(s): 2
Primary Treatment: Patient Priorities Care
Phase:
Study Start date:
September 15, 2022
Estimated Completion Date:
June 30, 2025

Connect with a study center

  • VA Connecticut Healthcare System West Haven Campus, West Haven, CT

    West Haven, Connecticut 06516-2770
    United States

    Site Not Available

  • Michael E. DeBakey VA Medical Center, Houston, TX

    Houston, Texas 77030-4211
    United States

    Site Not Available

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