The Impact of Sharing Audio Recorded Clinic Visits on Self-management in Older Adults

Completed · Not applicable

Conditions studied: Diabetes Mellitus, Hypertension

In brief

The investigators will conduct a multi-site, two-arm, parallel-group, patient-randomized, blocked, controlled, pilot trial with a 3-month follow up in older adults (≥65 years) with diabetes and hypertension. Participants will be randomized to receive AUDIO recordings of their clinic visits (AUDIO) in addition to After Visit Summary (AVS), or their AVS alone (Usual Care (UC). The investigators will recruit 90 adults (30 per site) over the targeted recruitment period of approximately 6 months. The primary outcome of interest is the feasibility of the trial and acceptability of the AUDIO intervention. The investigators will also explore the impact of AUDIO on patients' ability to self-manage care (as well as other exploratory health-related outcomes and healthcare utilization) at regular intervals from enrollment (T1 = 1 week, T2 = 3 months) compared to baseline (T0 = pre-visit) and usual care. The investigators will recruit patients from consented clinicians at three sites: Dartmouth-Hitchcock Primary Care (D-H; Manchester, NH), Vanderbilt University Medical Center (VUMC; Nashville, TN), and University of Texas Medical Branch, (UTMB; Galveston, TX).

Key facts

Study ID

NCT04344301

Run by

Dartmouth-Hitchcock Medical Center

People needed

91

Starts

2020-08-31

Expected to finish

2022-02-14

Last updated by the study team

2025-07-18

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may not qualify if…

• Without the capacity to provide informed consent
• Diagnosis of dementia
• Diagnosis of schizophrenia and other psychotic disorders
• Current substance-abuse use disorder
• Diagnosis of an uncorrectable hearing or visual impairment, with no adjustments to support accessing the interventions or surveys
• Six item screener of cognitive function score 4 or less
• Living in a skilled nursing home or hospice
• Have audio-recorded a clinic visit for personal use within the past six months
• Do not have a personal email, do not have an email address shared with a family member or patient-identified caregiver, and/or are not willing to create an email account between the first contact from the study team and the initiation of online recording software registration

Where it is running

• Dartmouth-Hitchcock Manchester — Manchester, New Hampshire, United States
• Vanderbilt University Medical Center — Nashville, Tennessee, United States
• University of Texas Medical Branch — Galveston, Texas, United States

Full record on ClinicalTrials.gov

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