Optimizing Care for Older Adults Through Thyroid Hormone Deprescribing
NCT06629272 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 900
Last updated 2026-02-13
Summary
The proposed study focuses on testing a novel adapted evidence-based multilevel intervention, Deprescribing Thyroid Hormone In Older Adults (D-THIO), to support thyroid hormone deprescribing (dose de-escalation and/or discontinuation) in older adults with thyroid hormone overtreatment and/or misuse and reduce patient harm. Findings from this study will lay the groundwork for broad implementation of D-THIO and serve as a model for deprescribing inappropriate medications for other endocrine conditions and conditions with biochemical monitoring.
Conditions
Interventions
- BEHAVIORAL
-
D-THIO (Deprescribing Thyroid Hormone In Older Adults)
D-THIO consists of evidence-based pharmaceutical opinion letters to providers advising deprescribing for their patients 65 years and older with thyroid hormone overtreatment/misuse and EMPOWER ("Eliminating Medications through Patient Ownership of End Results") brochures to their patients.
- BEHAVIORAL
-
Enhanced usual care
American Thyroid Association \[ATA\] provider guidelines, ATA patient brochure
Sponsors & Collaborators
-
National Institute on Aging (NIA)
collaborator NIH - lead OTHER
Principal Investigators
-
Maria Papaleontiou · University of Michigan
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-12-02
- Primary Completion
- 2029-04-30
- Completion
- 2029-04-30
Countries
- United States
Study Locations
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