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NCT Number: NCT07553559

Evaluating an Artificial Intelligence-Based Diagnostic Support Tool for Older Adults in Primary Care

Older adults commonly experience diagnostic errors that may lead to direct harms and increased healthcare costs. Older adults are especially at risk because of higher rates of comorbidity burden, medical complexity, frailty, and cognitive impairment. An artificial intelligence (AI) clinical decision support system (CDSS) offer a promising approach to promote diagnostic excellence for older adults.

The purpose of this study is to assess the acceptability and feasibility of a new AI CDSS for older adults in primary care. The goal of this AI CDSS is to provide diagnostic support during primary care visits (i.e., help make timely and accurate diagnoses) and support communication amongst patients, doctors, and caregivers about the patient's health.

In this study, participants will use the AI CDSS in a primary care visit and review its suggestions for diagnoses and tests. Afterwards, they will complete a feedback survey and interview where they share their thoughts about and experience using the AI CDSS.

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Key information

Conditions

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pennsylvania

Philadephia, Pennsylvania, 19104, United States

Location contact

Clinical Research Coordinator

CONTACT

[email protected]

215-746-3080

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Clinicians

  • Work in the University of Pennsylvania Health System
  • Work in a primary care setting (i.e., Internal Medicine, Geriatric Medicine, Family Medicine, and Penn Primary Care)
  • Actively treat adult patients who are 65 years old or older

Patients

  • 65 years of age or older
  • Have an upcoming encounter with a participating primary care clinician
  • Indicate a new or worsening health concern that they wish to discuss at the upcoming encounter

Caregivers

  • 18 years old or older
  • Accompanying the participating patient during the encounter with the AI CDSS
  • Identified by the patient as a caregiver

Exclusion criteria

An individual who meets any of the following criteria will be excluded from participation in this study:

  • Under the age of 18 years old
  • Unable to provide informed consent in the opinion of the investigator
  • Has a "Research Do Not Contact" status in the electronic health record

Treatment and study plan

Artificial intelligence-based clinical decision support tool for diagnostic support

Other

INTERLACE is an artificial intelligence-based clinical decision support tool. It uses a patient's medical history, vital signs, and current symptoms to make suggestions for diagnoses and tests. These suggestions can be considered and discussed amongst patients, caregivers, and clinicians during primary care visits to help find a good diagnosis for the patient's symptoms.

Primary outcomes

  1. Feasibility of embedding the AI CDSS into a primary care visit

    Time frame: From enrollment to the end of the study interview, up to two weeks

    Participants will complete a Feasibility of Intervention Measure (FIM) via feedback survey following the primary care visit. Responses are measured on a 5-point Likert scale.

  2. Feasibility of embedding the AI CDSS into a primary care visit

    Time frame: From enrollment until the end of the study interview, up to two weeks

    Feasibility will also be assessed through brief survey questions asking whether participants experienced any barriers to using INTERLACE, whether it was useful during the visit, and how long it was used (all measured on a 7-point Likert scale), as well as open-ended questions in a semi-structured interview.

  3. Acceptability of embedding the AI CDSS into a primary care visit

    Time frame: From enrollment until the end of the study interview, up to two weeks

    Participants will complete the Acceptability of Intervention Measure (AIM) via feedback survey after the primary care visit. Responses to the AIM are measured on a 5-point Likert scale.

  4. Acceptability of embedding the AI CDSS into a primary care visit

    Time frame: From enrollment until the end of the study interview, up to two weeks

    Participants will also complete a modified version of the Technology Acceptance model (TAM). Responses to the TAM are measured on a 7-point Likert scale.

  5. Acceptability of embedding the AI CDSS into a primary care visit

    Time frame: From enrollment until the end of the study interview, up to two weeks

    Participants will complete a Net Promoter Score assessing the likelihood that they would recommend the AI CDSS to others at the end of the survey. This will be measured on a 10-point scale.

  6. Acceptability of embedding the AI CDSS into a primary care visit

    Time frame: From enrollment until the end of the study interview, up to two weeks

    Acceptability will also be assessed through brief survey questions assessing whether INTERLACE caused distress (measured on a 7 point Likert scale), as well as open-ended questions in a semi-structured interview.

Study contacts

Contact information is provided by the study sponsor or research team.

Alyssa M Sliwa, BA

CONTACT

[email protected]

215-746-3080

Nicholas Bishop, BA

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Collaborators

  • National Academy of Medicine (NAM)
  • Penn Artificial Intelligence and Technology (PennAITech) Collaboratory for Healthy Aging

Registry information

Official study title

Advancing Diagnostic Excellence For Older Adults Through Collective Intelligence And Imitation Learning

Acronym: INTERLACE

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Apr 28, 2026
Registry last updated
Jul 10, 2026

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.