My Life, My Healthcare
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.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Kentucky
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Hazard, Kentucky, United States, 41701
- Primary Care Centers of East Kentucky
-
Vanceburg, Kentucky, United States, 41179
- Lewis County Primary Care Center, Inc.
-
-
Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
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Springfield, Minnesota, United States, 56087
- Mayo Health System - Springfield
-
-
North Carolina
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Belhaven, North Carolina, United States, 27810
- Vidant Multispecialty Clinic Belhaven
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Charlotte, North Carolina, United States, 28207
- Elizabeth Family Medicine
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Charlotte, North Carolina, United States, 28208
- CMC- Union Family Medicine
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Chocowinity, North Carolina, United States, 28717
- Vidant Family Medicine Chocowinity
-
-
Wisconsin
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La Crosse, Wisconsin, United States, 54601
- Mayo Clinic Health System La Crosse
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention
Sites randomized to intervention will be expected to implement the My Life, My Healthcare Discussion Aid in their practice for at least a 6-month period.
|
The My Life, My Healthcare instrument is a conversational tool designed to help patients and clinicians discuss capacity in clinical conversations of primary care.
|
|
No Intervention: Control
Sites randomized to control will not be expected to implement the My Life, My Healthcare Discussion Aid in practice.
They will be expected to practice chronic care as usual.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient Assessment of Chronic Illness Care (PACIC)
Time Frame: 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."
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Illness Intrusiveness Scale
Time Frame: 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?"
|
6 months
|
|
General Self-Rated Health
Time Frame: 6 months
|
"In general, would you say your health is: Excellent, Very Good, Good, Fair, Poor?"
|
6 months
|
|
Communicate with Physician Self-Efficacy Subscale
Time Frame: 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?"
|
6 months
|
|
Consultation Care Measure
Time Frame: 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
|
6 months
|
|
Self-efficacy to Manage Disease in General Subscale
Time Frame: 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?"
|
6 months
|
|
Treatment Burden Questionnaire (TBQ)
Time Frame: 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)."
|
6 months
|
|
Relational Coordination of Care Team
Time Frame: 6 months
|
assesses seven domains of coordinated teams: frequent, timely, accurate, and problem-solving communication, shared goals, shared knowledge, and mutual respect.
|
6 months
|
|
Care Team Assessment of Chronic Illness Care (ACIC)
Time Frame: 6 months
|
Measures clinician, coach, and clinical team satisfaction with care delivery.
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Kasey R. Boehmer, MPH, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 16-007340
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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