No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Health Services Research
Participants needed
150 (estimated)
Sponsor
University of Pittsburgh · Other
Who this trial is looking for
This trial is looking for older adults who are hospitalized and need changes to their medications. Participants will be asked to answer surveys about their experience with medication changes and communication during their hospital stay.
Are You a Good Fit for This Trial?
You may be able to join if
I am 65 years or older
I am currently hospitalized
I will be discharged home
I will have at least one medication change at discharge
You may not be able to join if
I cannot give informed consent due to cognitive impairment
I am enrolled in hospice care
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
The goal of this pilot clinical trial is to learn if providing a clinical decision framework for managing older adults chronic conditions during hospitalization to inpatient clinicians improves clinicians' ability to individualize chronic condition prescribing decisions for hospitalized older adults (65 and older). The main questions it aims to answer are:
* Will the clinical decision framework l…
The goal of this pilot clinical trial is to learn if providing a clinical decision framework for managing older adults chronic conditions during hospitalization to inpatient clinicians improves clinicians' ability to individualize chronic condition prescribing decisions for hospitalized older adults (65 and older). The main questions it aims to answer are:
* Will the clinical decision framework lead to clinicians having greater confidence to individualize discharge prescribing?
* Will clinicians using the framework discharge make fewer changes to hospitalized older adults with home diabetes and hypertension medications than they did prior to receiving the framework?
* Will older adult patients of participating clinicians will report fewer gaps in understanding of medication changes after the clinician is exposed to the framework?
Researchers will compare participating clinician survey responses and prescribing records from before and after an educational session presenting the clinical decision framework.
Participants will be asked to
* Attend a one-time educational session on the clinical decision framework
* Complete 2 electronic surveys, one before and one following the educational session.
* Agree for researchers to contact their patients, in order for patients to complete a one-time phone survey about changes made to home medications during hospitalization and quality of communication from the hospital team.
Trial Locations
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City
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Status
Eligibility Criteria
Clinician Participants:
Inclusion Criteria:
1. Attending clinicians who practice on the general medicine or hospital medicine service at UPMC Presbyterian, UPMC Montefiore, UPMC Shadyside, UPMC Mercy, or UPMC Magee-Women's Hospital campuses.
2. Practicing on the general medicine or hospital medici…
Clinician Participants:
Inclusion Criteria:
1. Attending clinicians who practice on the general medicine or hospital medicine service at UPMC Presbyterian, UPMC Montefiore, UPMC Shadyside, UPMC Mercy, or UPMC Magee-Women's Hospital campuses.
2. Practicing on the general medicine or hospital medicine service. This population may include physicians with training in general internal medicine, hospital medicine, family practice, internal medicine subspecialities, as well as advance practice clinicians.
Exclusion Criteria:
1. Anticipating leaving current clinical position within next 3 months
2. Less than 4 weeks of inpatient attending service scheduled within 3 months of recruitment
Patient Participants:
Inclusion Criteria:
1. Adult aged 65 years or older who are hospitalized under the care of a participating clinician and discharged home.
2. Eligible patients must recieve at least one cardiometabolic medication change at hospital discharge (can include new medication starts, stops, or dose changes). Cardiometabolic medications include any class of antihypertensive, lipid lowering, anti-platelet, or glucose lowering medications regardless of indication for use.
Exclusion Criteria:
1. Incapacity for informed consent / unable to answer survey questions due to cognitive impairment
2. Enrolled in hospice care
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