Actively Recruiting
Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions: Aim 3
Led by University of Pittsburgh · Updated on 2026-04-14
150
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
Sponsors
U
University of Pittsburgh
Lead Sponsor
N
National Institute on Aging (NIA)
Collaborating Sponsor
AI-Summary
What this Trial Is About
This research aims to find out if providing a clinical decision framework helps hospital doctors manage chronic conditions better in older adults aged 65 and older. It focuses on whether this framework improves doctors' confidence in personalizing medication decisions at discharge, reduces unnecessary medication changes for patients with diabetes and hypertension, and helps patients understand their medication changes better after hospitalization. All participating clinicians will attend a one-time educational session where they learn about the clinical decision framework for managing chronic diseases in hospitalized older adults. The session includes guiding principles and case-based examples. There is no comparison group; all clinicians receive the same intervention. Participants will complete two electronic surveys, one before and one after the educational session. Researchers will also contact patients of participating clinicians for a one-time phone survey about medication changes and communication quality. The main outcome measured is the change in clinician confidence in prescribing decisions from before to three months after the intervention. Additional outcomes include changes in clinician attitudes, prescribing patterns, and patient experiences related to medication changes and hospital care.
CONDITIONS
Brief Title
Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Attending clinicians practicing on general medicine or hospital medicine services at specified UPMC hospital campuses
- Clinicians may include physicians in general internal medicine, hospital medicine, family practice, internal medicine subspecialties, and advanced practice clinicians
- Adult patients aged 65 years or older hospitalized under care of a participating clinician and discharged home
- Patients must have at least one cardiometabolic medication change at hospital discharge, including antihypertensive, lipid lowering, anti-platelet, or glucose lowering medications
You will not qualify if you...
- Clinicians anticipating leaving their clinical position within the next 3 months
- Clinicians with less than 4 weeks of inpatient attending service scheduled within 3 months of recruitment
- Patients unable to provide informed consent or answer survey questions due to cognitive impairment
- Patients enrolled in hospice care
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day
Clinician participants attend an educational session providing a clinical decision framework for managing older adults' chronic conditions during hospitalization.
1 visit (in-person)
Duration - 3 months
Clinicians and patients complete various assessments to measure changes in prescribing self-efficacy, attitudes, prescribing behavior, medication discrepancies, and hospital experience.
Assessments at baseline, 2 months before intervention, and up to 3 months after intervention; 1 patient survey within a week of discharge
Trial Site Locations
Total: 1 location
1
University of Pittsburgh
Pittsburgh, Pennsylvania, United States, 15213
Actively Recruiting
Research Team
E
Ella Hileman-Kaplan, BA
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
1
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