Visit notes with or without audio recordings for older adults with diabetes or hypertension
Compares visit notes alone with notes plus audio recordings in older adults.
Plain-language title generated from the registry record
Registry title: Comparing Healthcare Visit Recording and Open Notes to Improve Chronic iLlness Care Experience in Older Adults
Key facts
- Where
- Galveston, Manchester, and Nashville, United StatesSee the 3 sites
Where in United States
- University of Texas Medical BranchGalveston, United StatesNot yet recruiting
- Dartmouth Hitchcock Clinics ManchesterManchester, United StatesTaking people
- Vanderbit University Medical CenterNashville, United StatesTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Dartmouth-Hitchcock Medical Center
- Trial code
- NCT05955339
- Record updated
- 18 May 2026
- Original description
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.Read full original descriptionShow less
Comparing Healthcare Visit Recording and Open Notes to Improve the Chronic Illness Care Experience for Older Adults (The CHRONICLE Trial)
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.
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 schizophrenia and other psychotic disorders, current substance-use disorders, uncorrected hearing or visual impairment with no adjustments to support accessing the interventions or surveys; With cognitive impairment as identified by a score of ≤4 on the six-item screener (SIS); With no capacity to consent to the project; Living in skilled nursing homes or hospice, because they engage less in self-management; 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:; No capacity to consent to the project; Living in skilled nursing homes or hospice; Lacking internet access; or; Do not speak English or Spanish.
PATIENTS:.