Ignite Creation Date:
2024-05-05 @ 4:42 PM
Last Modification Date:
2024-10-26 @ 9:23 AM
Study NCT ID:
NCT00299468
Status:
COMPLETED
Last Update Posted:
2008-03-17
First Post:
2006-03-02
Brief Title:
The Effect of the Patient Activation Measure on Chronic Care
Sponsor:
Weill Medical College of Cornell University
Organization:
Weill Medical College of Cornell University
Study Overview
Official Title:
Using the Patient Activation Measure PAM to Improve Patient Self-Management of Hypertension
Status:
COMPLETED
Status Verified Date:
2006-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
We will test - in a chronically ill managed long term care population - the effectiveness of an intervention that provides nurse Care Managers with an inventory of evidence-based practices tailored to patients with different levels of knowledge skills and confidence to engage in self-care management Specifically we will develop a change package of evidence-based hypertension HTN management strategies geared to patients scoring at the four different stages of activation on the Patient Activation Measure PAM We will randomly assign a group of interdisciplinary teams in the managed long-term care plan to intervention or control status and will train the Care Managers on the Intervention teams to use the change package in conjunction with a patients PAM score to design - with the involvement of the patient - an individualized HTN management plan We then will assess the impact of the intervention on patient activation and outcomes
Detailed Description:
The three main aims of the project are to
1 Determine whether the PAM-driven intervention increases patients knowledge and self-management skills measured by both generic PAM scores and HTN-specific measures developed by the research team
2 Determine whether the PAM-driven intervention improves HTN patients systolic and diastolic blood pressure BP measured in three ways
Average percent reduction in systolic and diastolic BP
Percent of patients who achieve BP control defined as 140 systolic and 90 diastolic BP or 130 systolic and 80 diastolic for patients with diabetes or renal disease
Percent of patients with controlled HTN who maintain control
3 Conduct an analysis to examine implementation of the intervention by trainers and Care Managers in the Intervention group and to understand the barriers and facilitators affecting the implementation process
In addition we will conduct a feasibility study with a subset of Care Managers to determine how the Visual Scan Assessment of Patient Activation might be incorporated into routine assessment and care planning procedures Therefore the fourth aim of the project is to
4 Assess the feasibility and perceived usefulness of the Visual Scan Assessment as a tool to increase feedback to Care Managers on how well they are supporting patient self-care management
1 Determine whether the PAM-driven intervention increases patients knowledge and self-management skills measured by both generic PAM scores and HTN-specific measures developed by the research team
2 Determine whether the PAM-driven intervention improves HTN patients systolic and diastolic blood pressure BP measured in three ways
Average percent reduction in systolic and diastolic BP
Percent of patients who achieve BP control defined as 140 systolic and 90 diastolic BP or 130 systolic and 80 diastolic for patients with diabetes or renal disease
Percent of patients with controlled HTN who maintain control
3 Conduct an analysis to examine implementation of the intervention by trainers and Care Managers in the Intervention group and to understand the barriers and facilitators affecting the implementation process
In addition we will conduct a feasibility study with a subset of Care Managers to determine how the Visual Scan Assessment of Patient Activation might be incorporated into routine assessment and care planning procedures Therefore the fourth aim of the project is to
4 Assess the feasibility and perceived usefulness of the Visual Scan Assessment as a tool to increase feedback to Care Managers on how well they are supporting patient self-care management
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None