CHRONICLE is a randomized trial assessing the comparative effectiveness of providing written visit information via the patient portal (NOTES) versus NOTES plus visit audio recording (AUDIO) to older adult patients with chronic diseases on quality of life and other outcomes. During the trial, the team will also invite caregivers identified by patients to join the project.
≥ 65 years;
With multimorbidity (diabetes or hypertension plus one of the following: arthritis (osteoarthritis and rheumatoid arthritis), asthma, atrial fibrillation, Alzheimer's disease and related dementia (not severe), cancer, chronic obstructive pulmonary disease, depression, heart disease, heart failure, hyperlipidemia, osteoporosis, kidney disease and stroke. Patients with diabetes plus hypertension are eligible.
Have had two or more clinic visits in the previous 12 months;
Plan on receiving ongoing care at the clinic with the enrolled clinician for the subsequent 6 months;
With no capacity to consent to the project;
With schizophrenia and other psychotic disorders, current substance-use disorders, uncorrected hearing or visual impairment with no adjustments to support accessing the interventions or surveys;
Living in skilled nursing homes or hospice, because they engage less in self-management;
With cognitive impairment as identified by a score of ≤4 on the six-item screener (SIS)
Dartmouth-Hitchcock Medical Center
Lead sponsor
Trustees of Dartmouth College
Sponsor institution
The University of Texas Medical Branch, Galveston
Collaborator
Vanderbilt University Medical Center
Collaborator
Beth Israel Deaconess Medical Center
Collaborator
Patient-Centered Outcomes Research Institute
Collaborator