Ignite Creation Date:
2024-05-05 @ 5:35 PM
Last Modification Date:
2024-10-26 @ 9:33 AM
Study NCT ID:
NCT00481286
Status:
COMPLETED
Last Update Posted:
2020-03-02
First Post:
2007-05-31
Brief Title:
Improving Outcomes Using Collaborative Group Clinics to Empower Older Patients
Sponsor:
Baylor College of Medicine
Organization:
Baylor College of Medicine
Study Overview
Official Title:
Improving Outcomes for Multiple Morbidities Using Collaborative Group Clinics to Empower Older Patients
Status:
COMPLETED
Status Verified Date:
2009-10
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:
EPIC
Brief Summary:
The purpose of this study is to determine if group clinics help older veterans change behaviors with the goal of improving diabetes outcomes
Detailed Description:
Among persons aged 55-84 years over 65 have one to three common medical conditions eg hypertension diabetes arthritis stroke heart disease etc Fortunately large randomized clinical trials have demonstrated the effectiveness of treatment and prevention strategies for many chronic conditions eg dietary modification and medications for hypertension intensive glucose monitoring with diet and medication regimens for diabetes etc Despite the significant findings from numerous clinical trials most older persons continue to suffer from uncontrolled hypertension hyperglycemia and other predictors of poor health outcomes Non-compliance with clinical guidelines by providers ie clinical inertia and non-adherence to doctors recommendations are typically blamed for these unacceptably poor outcomes For older adults with several conditions the processes of patient-clinician collaboration are not well understood Goal-setting behaviors may improve health care by linking desired outcomes ie reduce risk of heart attacks to the goals of care ie salt restriction for hypertension control Furthermore the process of goal-setting may be more effective if patients internalize the importance of a particular goal and prioritize that goal among multiple clinical problems ie hypertension care for patients with diabetes
Effective methods of implementing collaborative goals and training patients to negotiate shared goals and goal-directed behaviors with their clinicians have been developed for diabetes control The effectiveness of these methods may be enhanced through the use of clinics that enroll small groups of subjects with rapid follow-up for several weeks Group clinics have demonstrated improved outcomes for common chronic conditions Evidence demonstrating the synergistic benefit of efficient group clinics and collaborative goal-setting is limited However an approach combining these methodologies may provide an improved method of rapidly controlling multiple chronic conditions and maintaining control of those chronic conditions over a prolonged time period
To address the gap in the implementation of effective and efficient medical care we will develop and test a model of collaborative group clinics that empowers older patients to adopt goal-setting behaviors increases communication with their health care provider and improves their diabetes-related outcomes The objectives are to use a collaborative group clinic to 1 Improve diabetes process of care outcomes over a 3 month time period 2 Significantly improve the maintenance of diabetes process of care improvements over a 12 month time period and 3 Significantly improve use of self-management behaviors for diabetes care
Effective methods of implementing collaborative goals and training patients to negotiate shared goals and goal-directed behaviors with their clinicians have been developed for diabetes control The effectiveness of these methods may be enhanced through the use of clinics that enroll small groups of subjects with rapid follow-up for several weeks Group clinics have demonstrated improved outcomes for common chronic conditions Evidence demonstrating the synergistic benefit of efficient group clinics and collaborative goal-setting is limited However an approach combining these methodologies may provide an improved method of rapidly controlling multiple chronic conditions and maintaining control of those chronic conditions over a prolonged time period
To address the gap in the implementation of effective and efficient medical care we will develop and test a model of collaborative group clinics that empowers older patients to adopt goal-setting behaviors increases communication with their health care provider and improves their diabetes-related outcomes The objectives are to use a collaborative group clinic to 1 Improve diabetes process of care outcomes over a 3 month time period 2 Significantly improve the maintenance of diabetes process of care improvements over a 12 month time period and 3 Significantly improve use of self-management behaviors for diabetes care
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
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 7U18HS016093 | AHRQ | None | httpsreporternihgovquickSearch7U18HS016093 |