Patient-centered Precision Medicine Lab Result Communication for Older Adults

University of California, Los Angeles (UCLA)

Status: Not yet enrolling

Conditions: Kidney Disease, Chronic

Treatments: Behavioral: Lab Result Communication Tool

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06995378

P30AG073104 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

For adults >65 years and their providers, the investigators will test the usability and design of a tool to replace standard uniform reporting of lab results to patients and their providers with a new personalized EHR lab result communication tool that: 1) extracts patient-level data from the EHR; 2) calculates individual risk; and 3) for patients with very low risk, communicates the individualized risk information. The investigators will employ a range of user experience research methods to understand how patient and provider users interact with the new lab result communication tool and to assess their comprehension of the lab results.

Enrollment: 5 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patient Inclusion Criteria: Older adults (aged >65 years) with a UCLA primary care provider who are:

• Enrolled in the patient portal;
• English-speaking (as the language of the tool is currently only in English, and it would be impractical to have validated translations created for all of the potential variations and derivatives of the tool mock-ups); and
• Without dementia or other neurocognitive disease.

Provider Inclusion Criteria:

-UCLA Health providers who care for large numbers of older adults in outpatient settings.

Exclusion criteria

Patient Exclusion Criteria:

• Have lab results outside of the defined inclusion ranges;
• Do not have a UCLA PCP;
• Are under the age of 65;
• Are not English speaking (as the tool prototypes are only in English until final verbiage is determined);
• Are not enrolled in the UCLA MyChart patient portal; or
• Are diagnosed with dementia

Provider Exclusion Criteria:

-Do not care for large numbers of older adults in outpatient settings

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

5 participants in 1 patient group

Personalized Lab Result Arm

Experimental group

Description:

Participants (patients aged 65+ and UCLA Health providers) will engage in a tool integrated into the EHR system to personalize how lab results are communicated to patients aged 65+ and their providers. The tool uses individual risk information and different visual/text formats to display results. Participants will view the tool and access user experience through observation, interviews, and surveys.

Treatment:

Behavioral: Lab Result Communication Tool