Cardiovascular, Cardiovascular Disease, Chronic Kidney Diease, Chronic Obstructive Pulmonary Disease (COPD), Comorbidity, Diabetes, Inflammatory Joint Diseases
Conditions
Keywords
Cardiovascular Diseases, Chronic Kidney Disease, Chronic Obstructive Pulmonary Disease, Patient-Centered Care, Shared Decision Making, Care Coordination, Older Adults, Multiple Chronic Conditions
Brief summary
This is formative evaluation trial guided by the Values Clarification Theory25 and the Cultural Values Theory26, with specific aims to: Aim 1. Develop a culturally appropriate version of the PPC Approach for older AAs with CVCs by assembling a community advisory group of 3 primary care clinicians, 3 older AA patients with CVCs, and 3 AA persons who care for AA patients with CVCs to solicit feedback on the PPC Approach. Aim 2. Determine the acceptability (e.g., program appraisal interviews) and feasibility (e.g., avg. length of program sessions, program participation rate, study completion rate) of the PPC Approach among a sample 20 of under-resourced older southern AA patients with CVCs receiving primary care at Cooper Green Mercy Health Services Authority. Aim 3. Examine the ability of participants to complete pre- and post-test (8 weeks post-baseline) measures of perception of care, treatment burden, shared decision-making, and patient-clinician communication exchange.
Interventions
None listed
Sponsors
University of Alabama at Birmingham
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
50 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* greater than or equal to 50 years old * at least one CVD (i.e., coronary artery disease, hypertension, heart failure, arrhythmias, cardiomyopathy, peripheral artery disease, stroke, and valvular heart disease) * at least one coexisting chronic condition (i.e., inflammatory joint disease, COPD/asthma, diabetes, chronic kidney disease, and cancer one-year post-treatment) * a caregiver of a participant, or a provider who serves this population.
Exclusion criteria
* Axis I psychiatric (schizophrenia, bipolar disorder), dementia, suicidal ideation, * active substance use disorder nursing home or assisted living facility residence.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Older Patient Assessment of Chronic Illness Care (O-PACIC) Score | Baseline and eight weeks post- baseline. | Patient experience with integrated care delivery and self-management support measured using the 10-item Older Patient Assessment of Chronic Illness Care (O-PACIC) questionnaire. Responses to the 10 items will be summed to calculate a total score ranging from 10 to 50. Higher scores indicate more positive perceptions of chronic illness care. Scores will be reported at baseline and 8 weeks post-baseline, along with the change from baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Burden Questionnaire (TBQ) Score | Baseline and eight weeks post- baseline | Perceived treatment burden measured using the 13-item Treatment Burden Questionnaire (TBQ). Each item is rated from 0, indicating not a problem, to 10, indicating a big problem. Item scores will be summed to calculate a total score ranging from 0 to 130. Higher scores indicate greater perceived treatment burden. Scores will be reported at baseline and 8 weeks post-baseline, along with the change from baseline. |
| Perceived Shared Clinical Decision-Making (CollaboRATE Score) | Baseline and eight week post- baseline | Patient perception of involvement in shared decision-making measured using the 3-item CollaboRATE questionnaire. Responses to the three items will be averaged to calculate an overall mean score ranging from 1 to 9. Higher scores indicate greater perceived involvement in shared decision-making. Scores will be assessed at baseline and 8 weeks post-baseline, and change from baseline will be evaluated. |
Countries
United States
Contacts
CONTACTNardakafaria McNeill
PRINCIPAL_INVESTIGATORDeborah Ejem
University of Alabama at Birmingham
Outcome results
None listed