Actively Recruiting
Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions
Led by University of Pittsburgh · Updated on 2026-04-14
150
Participants Needed
1
Research Sites
63 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
The goal of this pilot clinical trial is to learn if providing a clinical decision framework for managing older adults chronic conditions during hospitalization to inpatient clinicians improves clinicians' ability to individualize chronic condition prescribing decisions for hospitalized older adults (65 and older). The main questions it aims to answer are: * Will the clinical decision framework lead to clinicians having greater confidence to individualize discharge prescribing? * Will clinicians using the framework discharge make fewer changes to hospitalized older adults with home diabetes and hypertension medications than they did prior to receiving the framework? * Will older adult patients of participating clinicians will report fewer gaps in understanding of medication changes after the clinician is exposed to the framework? Researchers will compare participating clinician survey responses and prescribing records from before and after an educational session presenting the clinical decision framework. Participants will be asked to * Attend a one-time educational session on the clinical decision framework * Complete 2 electronic surveys, one before and one following the educational session. * Agree for researchers to contact their patients, in order for patients to complete a one-time phone survey about changes made to home medications during hospitalization and quality of communication from the hospital team.
CONDITIONS
Official 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 UPMC Presbyterian, Montefiore, Shadyside, Mercy, or Magee-Women's Hospital campuses
- Clinicians may include physicians in internal medicine, hospital medicine, family practice, internal medicine subspecialties, or 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 new starts, stops, or dose changes of antihypertensive, lipid lowering, anti-platelet, or glucose lowering medications
You will not qualify if you...
- Clinicians planning to leave their current 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 give informed consent or answer survey questions due to cognitive impairment
- Patients enrolled in hospice care
AI-Screening
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Trial Site Locations
Total: 1 location
1
University of Pittsburgh
Pittsburgh, Pennsylvania, United States, 15213
Actively Recruiting
Research Team
E
Ella Hileman-Kaplan, BA
CONTACT
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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