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CHRONICLE Study: Improving Chronic Illness Care for Older Adults

The CHRONICLE study is looking at ways to improve how older adults with chronic conditions like diabetes or high blood pressure manage their health. This study compares two approaches: one group will get access to their doctor's visit notes through a patient portal (NOTES), and the other group will get both the visit notes and audio recordings of their visits (AUDIO). The goal is to see if these tools can improve your quality of life, satisfaction with care, and ability to manage your health. You can join if you are 65 or older and have diabetes or high blood pressure, plus another chronic condition. The study is currently recruiting 1022 participants.

Study design
This is an interventional study that will enroll 1022 participants. Participants will be randomly assigned to one of two groups.
What's involved
You will receive training on how to use the patient portal or how to record and access visit recordings. You will also receive post-visit reminders to review your visit information.
Compensation
Not stated in the trial record.
Follow-up
Your quality of life will be measured at 6 months from enrollment.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05955339

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

Recruiting
NAAges 18+InterventionalHealth services
Dartmouth-Hitchcock Medical Center
~1,022 participants
Updated 2026-05-18 on ClinicalTrials.gov
What's tested:NOTESAUDIO

At a glance

Recruiting sites
2 of 3 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Quality of Life - Mental functioning
Measured over 6 months from enrollment
+1 more outcome measured

Conditions

Diabetes Mellitus
Hypertension

Explore related trials

Diabetes MellitusHypertension

Where it's being run

3 sites across 3 states
New Hampshire1
Tennessee1
Texas1

Study leadership

  • Paul J Barr, PhD · PRINCIPAL_INVESTIGATOR · Dartmouth College
  • Kerri L Cavanaugh, MD · PRINCIPAL_INVESTIGATOR · Vanderbilit University Medical Center
  • Meredith C Masel, PhD · PRINCIPAL_INVESTIGATOR · University Texas Medical Branch

Who to contact

Paul J Barr, PhD
[email protected]
603-646-7016
Email the study team

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Do you actually qualify for this trial?

Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.

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Eligibility criteria

Inclusion

≥ 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
Agree to their identified role as a caregiver;
Speak English or Spanish;
Have capacity to consent to research participation; and
≥ 18 years.

Exclusion

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).
No capacity to consent to the project;
Living in skilled nursing homes or hospice;
Lacking internet access; or
Do not speak English or Spanish

What this trial measures

  • Quality of Life - Mental functioning6 months from enrollment

    Quality of life using Global PROMIS (Patient-Reported Outcome Measurement Information System) is a 10-item patient reported measure with two domains: mental and physical health. Domain scores range from 4 to 20, with higher scores representing better health.

  • Quality of Life - Physical functioning6 months from enrollment

    Quality of life using Global PROMIS (Patient-Reported Outcome Measurement Information System) is a 10-item patient reported measure with two domains: mental and physical health. Domain scores range from 4 to 20, with higher scores representing better health.