Chronic Disease
Conditions
Brief summary
This study is designed to answer the following questions: Is the My Life, My Healthcare Discussion Aid feasible for use in primary care? Does it positively impact patient and healthcare teams' care experience and communication, while reducing patient treatment burden? Through implementation of the My Life, My Healthcare Discussion Aid for patients with chronic conditions, the study team hypothesizes that it will be feasible to implement in routine primary care practice and positively impact patient and healthcare teams experience of chronic care, while reducing patient treatment burden.
Interventions
OTHERMy Life, My Healthcare Discussion Aid
The My Life, My Healthcare instrument is a conversational tool designed to help patients and clinicians discuss capacity in clinical conversations of primary care.
Sponsors
Gordon and Betty Moore Foundation
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
InclusionCriteria: Particpant population will include patients 18 years of age or older who have one or more chronic conditions and do not have any barriers to consent (such as major cognitive disabilities) will be eligible for enrollment. Clinicians who treat patients with chronic conditions at participating sites are eligible for enrollment.
Exclusion criteria
Patients who do not have a chronic condition, or have barriers to consent such as cognitive impairment will be excluded from the study. Health professionals who do not treat patients with chronic conditions will not be included.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Assessment of Chronic Illness Care (PACIC) | 6 months | The 20-item scale measures goal setting, coordination of care, decision support, problem solving, and patient activation, and prompts the patient to reflect with items such as: Over the past 6 months, when I received care for my chronic conditions, I was: helped to make a treatment plan that I could carry out in my daily life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| General Self-Rated Health | 6 months | In general, would you say your health is: Excellent, Very Good, Good, Fair, Poor? |
| Communicate with Physician Self-Efficacy Subscale | 6 months | This 3-item scale has been used in work by Lorig et al. for chronic disease, and asks questions such as How confident are you that you can discuss openly with your doctor any personal problems that may be related to your illness? |
| Consultation Care Measure | 6 months | This 20-item scale is a valid and discriminating tool to measure communication and partnership, personal relationship, health promotion, positive and clear approach to the problem, and interest in effect of healthcare on patient's life within a single pat |
| Illness Intrusiveness Scale | 6 months | This identifies the extent to which the treatment regimen interferes with life by asking How much does your illness and/or its treatment interfere with... things like your work, including job, house work, chores, or errands? |
| Treatment Burden Questionnaire (TBQ) | 6 months | The questionnaire measures the perceived burden of taking medications, self-monitoring and other self-management activities by asking participants to rate the impact of these tasks on a scale from 1-10 with items such as: The taste, shape or size of your tablets and/or the annoyances caused by your injections (e.g., pain, bleeding, bruising or scars). |
| Relational Coordination of Care Team | 6 months | assesses seven domains of coordinated teams: frequent, timely, accurate, and problem-solving communication, shared goals, shared knowledge, and mutual respect. |
| Care Team Assessment of Chronic Illness Care (ACIC) | 6 months | Measures clinician, coach, and clinical team satisfaction with care delivery. |
| Self-efficacy to Manage Disease in General Subscale | 6 months | asks questions such as How confident are you that you can do all the things necessary to manage your condition on a regular basis? |
Countries
United States
Outcome results
None listed