# Implementation and Evaluation of Patient Priorities Care-North Carolina for Older Adults with Multiple Chronic Conditions

> **NIH NIH R01** · UNIV OF NORTH CAROLINA CHAPEL HILL · 2021 · $577,775

## Abstract

Project Summary/Abstract
The long-term goal of this research is to re-engineer clinical decision-making for older adults with multiple
chronic conditions (MCC) to center within the health priorities of patients. The overall objective of this Research
Project Grant Program (R01) study is to implement and evaluate a Patient priorities care (PPC) intervention in
primary care practices in North Carolina (NC) using a hybrid effectiveness-implementation design. Guided by
the Minimally Disruptive Medicine model, our central hypothesis is that clinical decision-making guided by
patients' priorities will result in less burdensome care for patients and their families, increase patient goal
setting, facilitate patient-provider shared decision-making, and improve patient quality of life and satisfaction
with care. As the prevalence, costs, and treatment burden of MCC continue to rise, new approaches to care
are urgently needed in this growing population. Findings from this study will inform practical approaches for
aligning clinical decision-making in older adults with MCC with their health priorities. This project is highly
relevant to priorities of the National Institute on Aging (NIA) which call for research to develop and evaluate
health care models and approaches aligned with patient values, preferences, and goals in older adults with
MCC.

## Key facts

- **NIH application ID:** 10225354
- **Project number:** 5R01AG062686-03
- **Recipient organization:** UNIV OF NORTH CAROLINA CHAPEL HILL
- **Principal Investigator:** CRYSTAL WILEY CENE
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $577,775
- **Award type:** 5
- **Project period:** 2019-09-15 → 2024-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10225354

## Citation

> US National Institutes of Health, RePORTER application 10225354, Implementation and Evaluation of Patient Priorities Care-North Carolina for Older Adults with Multiple Chronic Conditions (5R01AG062686-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10225354. Licensed CC0.

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