The Effect of the Patient Activation Measure on Chronic Care
Completed · Phase 1
Conditions studied: Hypertension
In brief
We will test - in a chronically ill managed long term care population - the effectiveness of an intervention that provides nurse Care Managers with an inventory of evidence-based practices tailored to patients with different levels of knowledge, skills and confidence to engage in self-care management. Specifically, we will develop a "change package" of evidence-based hypertension (HTN) management strategies geared to patients scoring at the four different stages of activation on the Patient Activation Measure (PAM). We will randomly assign a group of interdisciplinary teams in the managed long-term care plan to intervention or control status and will train the Care Managers on the Intervention teams to use the change package in conjunction with a patient's PAM score to design - with the involvement of the patient - an individualized HTN management plan. We then will assess the impact of the intervention on patient activation and outcomes.
Key facts
- Study ID
- NCT00299468
- Run by
- Weill Medical College of Cornell University
- People needed
- 283
- Starts
- 2006-04-01
- Expected to finish
- 2007-03-01
- Last updated by the study team
- 2008-03-17
Who can join
Age: 21 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- active VNS CHOICE patient on one of the 22 Intervention or Control teams at the start of the intervention period,
- in care for less than or equal to 730 days,
- a formal diagnosis of HTN (using appropriate ICD codes recorded in the patient record), and
- English speaking.
You may not qualify if…
- moderate or severe cognitive impairment as measured by a six-item short portable mental status assessment
- organic brain disease dx in as one of the top 5 dx as measured by information in OASIS, the uniform home care assessment instrument mandated by the Centers for Medicare and Medicaid Services
- End Stage Renal disease dx as one of the top 5 dx as measured by information in OASIS
Where it is running
- Visiting Nurse Service of New York Center for Home Care Policy & Research — New York, New York, United States
Full record on ClinicalTrials.gov
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