NCT06605807

Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions

Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions: Aim 3

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 150 (estimated)
• Sponsor: University of Pittsburgh · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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

• Prescribing Decisions
• Diabetes
• Multimorbidity
• Hypertension
• Geriatrics

Interventions

Type	Name	Description
OTHER	Clinical Decision Framework for Managing older adults' chronic conditions during hospitalization.	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.

Timeline

• Start date: 2025-11-13
• Primary completion: 2026-10-30
• Completion: 2027-01-30
• First posted: 2024-09-20
• Last updated: 2026-04-14

Locations

1 site across 1 country: United States