Care Planning for Older Persons With Multiple Conditions: Encouraging a Tailored Approach (COMET): Stage II (COMET)
|ClinicalTrials.gov Identifier: NCT02501967|
Recruitment Status : Completed
First Posted : July 17, 2015
Last Update Posted : August 24, 2016
|Condition or disease||Intervention/treatment||Phase|
|Polypharmacy||Other: COMET||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||128 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Primary Purpose:||Health Services Research|
|Official Title:||Care Planning for Older Persons With Multiple Conditions: Encouraging a Tailored Approach (COMET): Stage II|
|Study Start Date :||April 2014|
|Actual Primary Completion Date :||April 2016|
|Actual Study Completion Date :||May 2016|
The intervention consists of completion of the tool (COMET) by means of a 30 minute telephone interview prior to the primary care visit and provision of the tool's output to the patient and primary care physician. The COMET tool takes information about the patient's medications and chronic conditions from the electronic health record, and then supplements this with information obtained by a telephone interview assessing the patient's cognition, social supports, medication adherence, home medication regimen, medication side effects, and health status. In addition, there is a chart review screen to record renal function, blood pressure, and hemoglobin A1C. All of this information is run through a set of algorithms to identify medication reconciliation errors and potentially inappropriate medications.
The intervention consists of completion of the tool by means of a telephone interview prior to the primary care visit and provision of the tool's output to the patient and PCP.
|No Intervention: Usual Care|
- Patient Assessment of Care for Chronic Conditions (PACIC) [ Time Frame: Immediately following the primary care visit at which the patient is enrolled in the study ]A modified version of the Patient Assessment of Care for Chronic Conditions (PACIC) will be used. The original tool is a 20 item instrument (100 points total) designed to assess a patients perception of one's health care (for chronic conditions). A higher score indicates a more favorable rating.
- Number of changes made to the medication regimen [ Time Frame: 3 Month Follow Up ]A chart review will be completed of the 3 months following the clinic appointment at which the patient is enrolled in the study to document any changes that were made to the medication regimen.
- Coding of audiotapes of primary care visit [ Time Frame: The primary care visit at which the patient is enrolled in the study ]The Active Patient Participation Coding Scheme (APPC) is a validated instrument to assess indicators and facilitators of patient participation. Audio recordings will also be coded for evidence of providers' partnership building in the form of verbal encouragement to ask questions, express opinions, talk about their feelings, and participate in decision making.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02501967
|United States, Connecticut|
|VA Connecticut Healthcare|
|West Haven, Connecticut, United States, 06516|
|Principal Investigator:||Terri R Fried, MD||Yale School of Medicine|