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Comparing Healthcare Visit Recording and Open Notes to Improve Chronic iLlness Care Experience in Older Adults

Comparing Healthcare Visit Recording and Open Notes to Improve the Chronic Illness Care Experience for Older Adults (The CHRONICLE Trial)

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years and older
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

  • Time periods mentioned: 6 months

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "The team is comparing changes reported by patients over six months in quality of life, satisfaction, self-management ability, treatment adherence, and visit communication."
Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

CHRONICLE compares written visit notes in an online patient portal with those same notes plus audio recordings of visits. It tests how these options affect quality of life and other outcomes for adults age 65 or older with more than one long-term illness. Caregivers named by patients may also join.

CHRONICLE is a randomized trial assessing the comparative effectiveness of providing written visit information via the patient portal (NOTES) versus NOTES plus visit audio recording (AUDIO) to older adult patients with chronic diseases on quality of life and other outcomes. During the trial, the team will also invite caregivers identified by patients to join the project.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Patients: Age 65 or older.
  • Patients: Have diabetes or high blood pressure, plus at least one other listed illness. Having both diabetes and high blood pressure also qualifies.
  • Other listed illnesses: arthritis, asthma, an uneven heartbeat called atrial fibrillation, Alzheimer's disease or related dementia that is not severe, cancer, long-term lung disease called COPD, depression, heart disease, heart failure, high blood fats, weak bones, kidney disease, or stroke.
  • Patients: Have had at least 2 clinic visits in the past 12 months.
  • Patients: Plan to keep seeing the study clinician at the clinic for the next 6 months.
  • Patients: Have no vision or hearing problems that cannot be corrected.
  • Patients: Have not recorded a clinic visit for personal use in the past 6 months.
  • Caregivers: Age 18 or older, agree to be a caregiver, speak English or Spanish, and can understand and agree to join the study.

Who can't join

  • Patients and caregivers: Cannot understand and agree to join the study.
  • Patients and caregivers: Live in a skilled nursing home or receive hospice care.
  • Patients and caregivers: Have no internet access or do not speak English or Spanish.
  • Patients: Have schizophrenia, another disorder that affects their sense of reality, or a current substance use disorder.
  • Patients: Have hearing or vision problems that are not corrected, with no supports to help them use the study tools or surveys.
  • Patients: Score 4 or lower on a 6-question test of memory and thinking.
  • Patients: Have no usable personal or shared family or caregiver email account and do not want to create a personal email account.
  • Patients: Do not have a patient portal account and do not want to create one.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

PATIENTS: Inclusion Criteria: * ≥ 65 years; * With multimorbidity (diabetes or hypertension plus one of the following: arthritis (osteoarthritis and rheumatoid arthritis), asthma, atrial fibrillation, Alzheimer's disease and related dementia (not severe), cancer, chronic obstructive pulmonary disease, depression, heart disease, heart failure, hyperlipidemia, osteoporosis, kidney disease and stroke. Patients with diabetes plus hypertension are eligible. * Have had two or more clinic visits in the previous 12 months; * Plan on receiving ongoing care at the clinic with the enrolled clinician for the subsequent 6 months; * Do not have vision or hearing problems that cannot be corrected; and * Have not recorded a clinic visit for personal use in the past 6 months Exclusion Criteria: * With no capacity to consent to the project; * With schizophrenia and other psychotic disorders, current substance-use disorders, uncorrected hearing or visual impairment with no adjustments to support accessing the interventions or surveys; * Living in skilled nursing homes or hospice, because they engage less in self-management; * With cognitive impairment as identified by a score of ≤4 on the six-item screener (SIS) * Lacking internet access; * Who do not speak English or Spanish; * Who (i) do not have access to a personal email, (ii) do not have an email address shared with a family member or patient-identified caregiver, and/or (iii) are not interested in creating a personal email as this would prevent them from engaging with the intervention(s); and * Who do not wish to create a patient portal account, if they do not already have one as this would prevent them from engaging with the intervention(s). CAREGIVERS: Inclusion criteria: * Agree to their identified role as a caregiver; * Speak English or Spanish; * Have capacity to consent to research participation; and * ≥ 18 years. Exclusion criteria: * No capacity to consent to the project; * Living in skilled nursing homes or hospice; * Lacking internet access; or * Do not speak English or Spanish

Study sites (3)

NH

TN

TX