N/A N=93 Randomized Single-blind Health Services Research

Involving Family to Improve Communication in Primary Care

Cognitive Impairment

Bottom Line

View on ClinicalTrials.gov: NCT02986958 ↗

Enrolled (actual)

Serious AEs

0.0%

Results posted

Oct 2018

Primary outcome: Primary: Ratio of Psychosocial and Socio-emotional Statements Relative to Biomedical Talk and Orientation Statements (Patient-Centered Communication) — 0.86; 0.68 Ratio — p=0.046

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Pre-visit patient-family agenda-setting checklist (Other); Usual care (Other)
Age: Older Adult · 65+ yrs
Sex: All
Sponsor: Johns Hopkins Bloomberg School of Public Health
Primary completion: Aug 2017

Outcome Measures

Outcome	Result	p-value
PRIMARY Ratio of Psychosocial and Socio-emotional Statements Relative to Biomedical Talk and Orientation Statements (Patient-Centered Communication)	0.86; 0.68	0.046 sig
SECONDARY Visit Duration	25.5; 24.8	—
SECONDARY Patient Verbal Activity	.226; .271	—
SECONDARY Companion Verbal Activity	.228; .182	—
SECONDARY Number of Participants for Whom There Was Any Discussion of the Patient's Memory and/or Cognition During the Primary Care Visit	17; 16	—
SECONDARY Number of Patients Who Agree or Strongly Agree With Being Satisfied With the Primary Care Visit	43; 43	—
SECONDARY Number of Companions Who Agree or Strongly Agree With Being Satisfied With the Primary Care Visit	49; 44	—
SECONDARY Number of Primary Care Providers Who Agree or Strongly Agree With Being Satisfied With the Primary Care Visit	46; 43	—

Summary

This study evaluates an agenda-setting checklist for patients with cognitive impairment and their family companions that is completed in the waiting room in advance of a primary care visit. The study team will conduct a two-group randomized trial to examine feasibility of the protocol and to compare medical communication (from visit audiotapes) during visits of patient-companion dyads who complete the checklist (n=50) with patient-companion dyads who receive usual care (n=50)

Eligibility Criteria

Inclusion Criteria

Older adults: 65 years or older, established patient of participating primary care provider, regularly attend medical visits with one or more family member or unpaid friend "companion(s)", agree to allow companion to be contacted and participate in the study, authorize disclosure of Protected Health Information (PHI) in their electronic health record, able to provide informed consent or have a legally authorized representative
Companion: family member (spouse, adult child, parent, adult sibling) or unpaid friend who accompanies older adult participant to medical visits.
Primary care provider: practicing physician, nurse practitioner or physician assistant at a participating primary care practice.

Exclusion Criteria

Older adults: younger than 65 years, no evidence of cognitive impairment, do not attend medical visits with family member or unpaid friend.
Companion: paid non-family member who accompanies patient to visits

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02986958). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.