N/A
N=264
Patient Priority Care for Older Adults With Multiple Chronic Conditions
Multiple Chronic Conditions
Bottom Line
View on ClinicalTrials.gov: NCT04510948 ↗Enrolled (actual)
264
Serious AEs
0.0%
Results posted
May 2025
Primary outcome: Primary: Treatment Burden — 11.9; 11.6; 12.7; 17.9 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Patient Priorities Care (Behavioral)
- Age
- Older Adult · 66+ yrs
- Sex
- All
- Sponsor
- The Cleveland Clinic
- Primary completion
- Jan 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Treatment Burden |
11.9; 11.6; 12.7; 17.9 | — |
| PRIMARY Achievement of Desired Activities |
21.9; 21.6 | — |
| PRIMARY Health Care Utilization Defined by Healthcare Contact Days |
0.7; 0.7; 8.7; 13.4 | — |
| SECONDARY Shared Decision Making and Goal Ascertainment |
46.3; 47.7; 58.5; 61.9 | — |
Summary
Healthcare for older adults with multiple chronic conditions (MCCs) is burdensome and of uncertain benefit, resulting in unwanted and unhelpful care. Patient Priorities Care (PPC) aligns care with patients' health priorities (i.e. the health outcomes most desired given the healthcare each is willing and able to receive). The aim of this project is to test, using a parallel group design involving 2 matched primary care sites, whether PPC decreases patient treatment burden and unwanted and unnecessary health care as well as assess what the value of this program is for patients.
Eligibility Criteria
Inclusion Criteria
- Age 66 and older
- In the Cleveland Clinic patient population
- In the clinician practices selected as intervention or usual care practice sites
- Clinically identified by: Those who meet any of several criteria i. 3 chronic conditions (See appendix 0 for the complete list) ii. 10 medications iii. >2 ED visits over the past year iv. >1 hospitalization (or >10 days in hospital) v. receive any care coordination services vi. 2 specialists over past year
Exclusion Criteria
- In hospice or meeting hospice criteria for any condition
- Advanced dementia or moderate to profound intellectual disabilities
- Not English speaking
- Nursing home resident
Data sourced from ClinicalTrials.gov (NCT04510948). 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.