The Effect of Clinic Visit Audio Recordings for Self-management in Older Adults

Launched by DARTMOUTH-HITCHCOCK MEDICAL CENTER · Apr 19, 2023

Keywords

ClinConnect Summary

This clinical trial is studying whether recording clinic visits can help older adults better manage their health, especially those with diabetes and other ongoing health conditions. The researchers want to see if giving patients an audio recording of their visit, in addition to the usual summary they receive after appointments, makes it easier for them to understand their care and follow their treatment plans.

To participate, you need to be at least 65 years old, have diabetes along with another chronic condition (like arthritis or heart disease), and have had at least two clinic visits in the past year. You should also plan to continue receiving care at the clinic for the next year. Participants will receive audio recordings of their appointments to listen to later, which may help them remember important information discussed during the visit. This study is currently recruiting participants, so if you or someone you know fits the criteria, you might want to consider getting involved!

Gender

ALL

Eligibility criteria

• 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 clinic visit for personal use i the past 6 months.
• Exclusion Criteria:
• • Without capacity to consent to the project;
• • With schizophrenia and other psychotic disorders, substance-use disorders, uncorrectable hearing or visual impairment or a six item screener (SIS) cognitive function score ≤ 4;
• • Living in skilled nursing homes or hospice;
• • Patients who have audio- recorded a clinic visit for their personal use in the previous six months;
• • Patients who do not speak English or Spanish;
• • Patients who lack internet access;
• • Patients who (a) do not have access to a personal email, (b) do not have an email address shared with a family member or patient-identified caregiver, and (c) are not interested in creating an email account between the time they are first contacted by the study team to the time that the study team requires an email address to initiate the online recording software registration.
• Clinician participants:
• Inclusion criteria:
• • Licensed clinician (MD including clinician residents at Dartmouth Health locations, DO, APRN, NP, PA)
• • Are based at the study clinic;
• • Who treat adult patients.
• Exclusion criteria:
• • Are trainees, e.g., fellows, medical students or residents, with the exception of clinician residents at Dartmouth Health;
• • Commonly audio or video record clinic visits for patient's personal use.