Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions

Part of paid clinical trials in Pittsburgh, Pennsylvania.

Sponsor
University of Pittsburgh
Study ID
NCT06605807
Status
Recruiting
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Conditions

  • Diabetes
  • Geriatrics
  • Hypertension
  • Multimorbidity
  • Prescribing Decisions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Clinical Decision Framework for Managing older adults' chronic conditions during hospitalization. — OTHER
    All clinicians will attend an educational session where they will be provided a clinical decision framework for management of chronic conditions in hospitalized older adults, reviewing guiding principles for managing chronic disease in the hospital, and working through case-based hypothetical examples.

Study Details

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.

Key Dates

Start date
Nov 13, 2025
Status verified
Sep 2025
Primary completion
Oct 30, 2026
Completion
Jan 30, 2027

Study Design

Enrollment
150 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Clinician Participants
    All clinician participants will undergo the same intervention, an educational session providing a clinical decision framework for managing older adults' chronic conditions during hospitalization.

Primary Outcome Measure

Clinician - Change in Prescribing Self-Efficacy [ Time Frame: Baseline and three months post-intervention ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of PittsburghPittsburghPennsylvania15213
Ella Hileman-Kaplan, BA
[email protected]
206-733-0880
Timothy S Anderson, MD, MAS (PRINCIPAL_INVESTIGATOR)

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By research site
University of Pittsburgh· Pittsburgh, PA

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