Shared Decision Making About Medication Use for People With Multiple Health Problems (NCT05156073) | Clinical Trial Compass
CompletedNot Applicable
Shared Decision Making About Medication Use for People With Multiple Health Problems
United States22 participantsStarted 2023-05-22
Plain-language summary
The Shared Decision Making about Medication Use for People with Multiple Health Problems study will assess the feasibility and acceptability of a deprescribing educational intervention in primary care for patients with mild cognitive impairment or dementia and/or multiple chronic conditions (MCC), the patients' care partners, clinicians, and medical assistants.
The intervention consists of the following strategies: 1) a patient/caregiver component focused on education and activation about deprescribing, and 2) a clinician component focused on increasing clinician awareness about options and processes for deprescribing in the MCI/dementia and/or MCC population. Clinicians will each be asked to participate in a single, 15-minute educational session on deprescribing, and medical residents will receive a 45-minute lecture. Patients, caregivers, clinicians, and medical assistants will participate in a single one-on-one debriefing interview.
Who can participate
Age range65 Years
SexALL
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Inclusion Criteria:
This study has two cohorts: A Mild Cognitive Impairment (MCI)/Dementia cohort and a non-dementia cohort.
MCI/Dementia cohort:
* Age 65 or greater
* Diagnosis of MCI or dementia from International Classification of Diseases ICD-9 and ICD-10 codes
* At least one other chronic condition
* Five or more chronic medications (to include all prescription and over-the-counter medications, both scheduled and as needed)
* Have a primary care physician at the pilot clinic who has enrolled in the study
* Have a routine, scheduled visit with a primary care physician during the pilot study period (not an urgent, acute or pre-op visit)
* Patient must be able to hear well enough to participate in interviews on the telephone.
Non-dementia cohort:
* Age 75 or older
* No MCI or dementia diagnosis
* At least two chronic conditions documented
* 5 or more chronic medications (to include all prescription and over-the-counter medications, both scheduled and as needed)
* Have a primary care physician at the pilot clinic who has enrolled in the study
* Have a routine, scheduled visit with a primary care physician during the pilot study period (not an urgent, acute, or pre-op visit).
* Patient must be able to hear well enough to participate in interviews on the telephone.
Care partners:
* Age 21 years or greater
* Must be able to hear well enough to participate in interviews on the telephone.
Primary care physicians and medical assistants:
• All primary care physicians and m…
What they're measuring
1
Preliminary Efficacy of the Intervention to be Assessed From Primary Care Clinician's Intervention Visit Clinical Notes and EHR