Recruiting

Healthcare Visit Recording

Sponsor:

Dartmouth-Hitchcock Medical Center

Code:

NCT05955339

Conditions

Diabetes Mellitus

Hypertension

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

NOTES

AUDIO

Study Details

Brief summary:

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.

Conditions

Diabetes Mellitus

Hypertension

Study ID

NCT05955339

Start date

Jan 24, 2024

Status verified date

May, 2026

Completion date

Jun 14, 2027

Anticipated

Primary completion date

Apr 7, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

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 Design

Enrollment

1022 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

active comparator: NOTES

Patients in this arm will receive only the NOTES intervention.

active comparator: NOTES + AUDIO

Patients in this arm will receive both the NOTES and AUDIO intervention.

Interventions

NOTES

The intervention will include: (1) a brief training on using the patient portal to access written visit information with assistance in setting up patient portal accounts where necessary (including strategies to share notes with a caregiver), (2) post-visit reminders to use the patient portal to access written visit information.

AUDIO

The intervention will include: (1) audio recording all visits with the study clinician for six months, (2) training on how to record visits and access visit recordings, and (3) post-visit reminders listen to the visit recordings.

Primary outcome measure

  • Quality of Life - Mental functioning [ Time Frame: 6 months from enrollment ]
  • Quality of Life - Physical functioning [ Time Frame: 6 months from enrollment ]

Central Contacts and Locations

Central contacts

Paul J Barr, PhD

603-646-7016paul.j.barr@dartmouth.edu

Renata W. Yen, PhD

603-646-5670renata.west.yen@dartmouth.edu

Locations

Dartmouth Hitchcock Clinics Manchester

Recruiting

Manchester, New Hampshire, United States, 03104

Contacts

Paul J Bar, PhD

603-646-7016paul.j.barr@dartmouth.edu

Renata W Yen, PhD

603-646-5670renata.west.yen@dartmouth.edu

Vanderbit University Medical Center

Recruiting

Nashville, Tennessee, United States, 37232

Contacts

Kerri L Cavanaugh, MD

615-875-2737kerri.cavanaugh@vumc.org

Sonya Williams

615 875 2737sonya.I.williams@vumc.org

More Information

Sponsor

Dartmouth-Hitchcock Medical Center

Last update posted

May 18, 2026

Last verified

May, 2026

Keywords

  • Audio Recording
  • Diabetes Mellitus
  • Hypertension
  • Patient-centered communication
  • Self-management
  • Older adults
  • Chronic conditions
  • After visit summary
  • Quality of life
  • Multimorbidity

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Dartmouth-Hitchcock Medical Center on 2026-05-18.