Skip to main content
OpenTrials
Completed

NCT Number: NCT02501967

Care Planning for Older Persons With Multiple Conditions: Encouraging a Tailored Approach (COMET): Stage II

The purpose of the proposed project is to pilot-test in the clinic setting a computer-based clinical decision support system (CDSS) designed to optimize medication prescribing for older persons with multiple chronic conditions and polypharmacy.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Polypharmacy Chronic Disease Disease Attributes Multiple Chronic Conditions Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

VA Connecticut Healthcare

West Haven, Connecticut, 06516, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Veterans age 65 years and older.
  • Patients should be diagnosed with diabetes and hypertension and be prescribed five or more medications.
  • Patients receiving primary care at the West Haven campus of VA Connecticut Healthcare System.

Exclusion criteria

  • Unable to manage own medications because of cognitive impairment.
  • Medications prescribed by physician outside of the VA.
  • Severe vision or hearing impairment.

Treatment and study plan

COMET

Other

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.

Primary outcomes

  1. 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.

Secondary outcomes

  1. 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.

  2. 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.

Sponsors and collaborators

Lead sponsor

Yale University

Other

Collaborators

  • VA Connecticut Healthcare System

Registry information

Acronym: COMET

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Jul 17, 2015
Registry last updated
Aug 24, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.