The Effect of Clinic Visit Audio Recordings for Self-management in Older Adults
Dartmouth-Hitchcock Medical Center
Summary
The objective of this study is to conduct a multisite trial evaluating the impact of adding an audio recording of clinic visits (AUDIO) to usual care in older adults with multimorbidity, including diabetes, compared to After Visit Summary (AVS) alone (Usual Care; UC).
Description
The objective of this study is to conduct a multisite trial evaluating the impact of adding an audio recording of clinic visits (AUDIO) to usual care in older adults with multimorbidity, including diabetes, compared to AVS alone (Usual Care; UC). The specific aims are: Aim 1 Conduct a three-site trial in primary care where older patients with multimorbidity including diabetes (n=336) will be randomized to receive an audio recording as well as AVS (AUDIO) versus AVS alone (UC) for all scheduled clinic visits over 12 months; patients will be assessed at baseline, 1 week, 6 months and 12 months.…
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Patients participants: Inclusion Criteria: * Patients who are ≥ 65 years; * Patients with multimorbidity (i.e. patient has diabetes and one or more chronic conditions including: arthritis, asthma, atrial fibrillation, cancer, chronic obstructive pulmonary disease, heart disease, depression, heart failure, hypertension, osteoporosis, kidney disease and stroke); * Have had two or more clinic visits in the previous 12 months; * Plan on receiving ongoing care at the clinic for the subsequent 12 months; * Do not have any vision or hearing problems that cannot be corrected; * Have not recorded a c…
Interventions
- OtherClinic visit audio recordings for self-management in older adults
The intervention is audio-recordings of primary care clinic visits that are shared with participating patients. All scheduled visits with study clinicians will be recorded and shared with patients randomized to the intervention group (AUDIO) for 12 months.
- OtherUsual Care
The Usual Care arm participants will receive After Visit Summaries (AVS) per the standard delivery at each institution
Locations (3)
- Dartmouth-Hitchcook ManchesterManchester, New Hampshire
- Vanderbit University Medical CenterNashville, Tennessee
- University of Texas Medical BranchGalveston, Texas