An interventional study of ET-Text (Laptop) and ET-Voice (Smart System) in Chronic Conditions, Multiple, sponsored by University of Wisconsin, Madison. Completed at 1 site in United States. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.
Sponsored by University of Wisconsin, Madison · Not applicable, Interventional, and Supportive care
Multiple chronic conditions (MCCs) are costly and pervasive among older adults. MCCs account for 90% of Medicare spending, and 65% of Medicare beneficiaries have 3 or more chronic conditions; 23% have 5 or more. MCCs are often addressed in primary care, where time pressures force a focus on medication and lab results rather than self-management skills. Patients often struggle with treatment adherence and the emotional and physical burdens of self-management and health tracking. Chronic conditions reduce quality of life (QOL) and increase loneliness, which exacerbate those conditions.
The primary purpose of this study is to investigate whether a voice-based platform is better for delivering an electronic health intervention to older adults than a text/typing-based platform. Elder Tree (ET) is an evidence-based electronic health intervention that has been shown to improve quality of life, physical and socio-emotional health outcomes for older adults with multiple chronic conditions when delivered via a text/typing-based system. The current project would test whether such patients would benefit even more if ET were delivered via a voice-based system (vs. the text-based system) because they would use it more consistently. ET is an existing intervention providing tools, motivation, and support on a computer platform to help older adults manage their health.
89 studies on the registry are indexed under Multiple Chronic Conditions; 16 are open to participants now.
This study's enrollment of 502 is above the median of 128 across 71 interventional studies indexed under Multiple Chronic Conditions.
Browse Multiple Chronic Conditions studies →University of Wisconsin, Madison is the lead sponsor of 1,188 studies on the registry; 181 are open to participants now.
Of its 157 completed or terminated interventional studies of FDA-regulated products, 118 (75%) have results posted.
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Exclusion Criteria:
Participants will receive ElderTree on a laptop.
Behavioral: ET-Text (Laptop)
Participants will receive ElderTree on a smart system.
Behavioral: ET-Voice (Smart System)
ElderTree (ET) is based on the extensively tested Comprehensive Health Enhancement Support System (CHESS). ET is a "walled garden" free of ads, with design features based on older users' feedback as well as best-practice principles such as uncluttered screens and large type. Like all CHESS systems, ET uses computers to deliver key elements of successful interventions: long duration, ongoing outreach, prompts, monitoring, cognitive reframing, action planning, problem solving, self-tailoring, and peer support. ET-Text arm will access ET on Laptop.
Also known as: ET-LT
ElderTree (ET) is based on the extensively tested Comprehensive Health Enhancement Support System (CHESS). ET is a "walled garden" free of ads, with design features based on older users' feedback as well as best-practice principles such as uncluttered screens and large type. Like all CHESS systems, ET uses computers to deliver key elements of successful interventions: long duration, ongoing outreach, prompts, monitoring, cognitive reframing, action planning, problem solving, self-tailoring, and peer support. ET-Voice arm will access ET on a smart speaker. Voice-activated devices can potentially be easy to use, even by those with limited dexterity or computer experience.
Also known as: ET-SS
Physical Function as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) 29 v2.1
Participant reported measure of overall health and level of physical disability. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Pain Interference as Assessed by the PROMIS-29 v2.1
Participant reported measure of pain interference. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Pain Intensity as Assessed by the PROMIS-29 v2.1
Participant reported measure of pain intensity, this is a single question, with a possible score of 0 to 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Fatigue as Assessed by the PROMIS-29 v2.1
Participant reported measure of fatigue. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Sleep as Assessed by the PROMIS-29 v2.1
Participant reported measure of sleep disturbance. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Anxiety as Assessed by the PROMIS-29 v2.1
Participant reported measure of anxiety. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Depression as Assessed by the PROMIS-29 v2.1
Participant reported measure of depression. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Social Roles as Assessed by the PROMIS-29 v2.1
Participant reported measure of satisfaction with participation in social roles. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
ElderTree Days of Use
Amount of ElderTree (ET) use will be calculated by the number of days.
Time frame: up to 12 months
Physical Function as Assessed by PROMIS-43
Participant reported measure of overall health and level of physical disability. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Pain Interference as Assessed by PROMIS-43
Participant reported measure of pain interference. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Fatigue as Assessed by PROMIS-43
Participant reported measure of fatigue. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Sleep Disturbance as Assessed by PROMIS-43
Participant reported measure of sleep disturbance. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Anxiety as Assessed by PROMIS-43
Participant reported measure of anxiety. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Depression as Assessed by PROMIS-43
Participant reported measure of depression. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Social Roles as Assessed by PROMIS-43
Participant reported measure of satisfaction with participation in social roles. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
Time frame: Baseline, 6, 12, 18 months
Lorig Health Distress Scale Score
Health distress was measured using the 4-item Lorig Health Distress Scale. The items asked participants to answer regarding the past month. The measure was scored by averaging the items; with higher values indicating more health distress. Possible range is 0 to 5.
Time frame: Baseline, 6, 12, 18 months
NIH Toolbox Loneliness Survey Scores
NIH Toolbox Loneliness Survey is a self-report measure that assesses perceptions of loneliness. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate greater perceived loneliness.
Time frame: Baseline, 6, 12, 18 months
Number of Unscheduled Healthcare Visits
Participants report at each survey time point the number of urgent care clinic visits, emergency room visits, and overnight hospital stays in the past month.
Time frame: Baseline, 6, 12, 18 months
Number of Falls in the Previous 6 Months
The number of falls in the last 6 months
Time frame: Baseline, 6, 12, 18 months
| Milestone | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Started | 251 | 251 |
| Completed | 159 | 170 |
| Not completed | 92 | 81 |
| Withdrew: Intervention no longer supported | 63 | 52 |
| Withdrew: Lost to follow-up | 29 | 29 |
Participant reported measure of overall health and level of physical disability. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 41.95 ± 3.15 | 42.54 ± 3.15 |
| 6 months | 42.47 ± 3.19 | 42.33 ± 3.14 |
| 12 months | 42.59 ± 3.22 | 41.78 ± 3.16 |
| 18 months | 42.46 ± 3.22 | 42.60 ± 3.28 |
Participant reported measure of pain interference. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 57.82 ± 2.58 | 57.65 ± 2.55 |
| 6 months | 57.15 ± 2.62 | 56.61 ± 2.73 |
| 12 months | 56.41 ± 2.83 | 56.93 ± 2.58 |
| 18 months | 56.80 ± 2.83 | 57.25 ± 2.61 |
Participant reported measure of pain intensity, this is a single question, with a possible score of 0 to 10. Higher scores indicate worse outcomes.
| score on a scale | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 4.03 ± 2.50 | 4.17 ± 2.43 |
| 6 months | 3.98 ± 2.48 | 3.93 ± 2.48 |
| 12 months | 3.83 ± 2.65 | 4.16 ± 2.52 |
| 18 months | 4.04 ± 2.62 | 4.07 ± 2.56 |
Participant reported measure of fatigue. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 52.92 ± 2.68 | 53.21 ± 2.69 |
| 6 months | 51.04 ± 2.77 | 52.73 ± 2.72 |
| 12 months | 51.44 ± 2.79 | 52.27 ± 2.77 |
| 18 months | 51.64 ± 2.76 | 52.48 ± 2.80 |
Participant reported measure of sleep disturbance. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 52.96 ± 3.60 | 52.99 ± 3.63 |
| 6 months | 52.62 ± 3.61 | 52.39 ± 3.58 |
| 12 months | 52.79 ± 3.56 | 52.66 ± 3.63 |
| 18 months | 52.15 ± 3.63 | 52.14 ± 3.66 |
Participant reported measure of anxiety. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 52.09 ± 3.71 | 52.34 ± 3.84 |
| 6 months | 50.58 ± 3.94 | 51.09 ± 3.97 |
| 12 months | 50.92 ± 3.96 | 50.86 ± 4.10 |
| 18 months | 50.80 ± 4.02 | 50.67 ± 4.14 |
Participant reported measure of depression. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 51.28 ± 3.70 | 52.43 ± 3.53 |
| 6 months | 48.87 ± 4.17 | 50.39 ± 3.87 |
| 12 months | 49.24 ± 4.17 | 50.73 ± 3.92 |
| 18 months | 49.20 ± 4.20 | 50.41 ± 4.01 |
Participant reported measure of satisfaction with participation in social roles. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 48.83 ± 2.83 | 48.27 ± 2.67 |
| 6 months | 49.18 ± 2.77 | 48.57 ± 2.72 |
| 12 months | 49.46 ± 2.91 | 49.28 ± 2.80 |
| 18 months | 48.75 ± 2.84 | 49.35 ± 2.89 |
Amount of ElderTree (ET) use will be calculated by the number of days.
| Days | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Months 1-6 | 30.38 ± 18.99 | 23.40 ± 15.11 |
| Months 7-12 | 21.10 ± 15.99 | 14.17 ± 12.35 |
Participant reported measure of overall health and level of physical disability. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 37.46 ± 3.81 | 37.44 ± 3.85 |
| 6 months | 36.90 ± 3.94 | 37.07 ± 3.84 |
| 12 months | 36.76 ± 3.84 | 36.40 ± 3.88 |
| 18 months | 37.17 ± 3.81 | 36.53 ± 3.84 |
Participant reported measure of pain interference. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 53.88 ± 3.79 | 54.22 ± 3.70 |
| 6 months | 52.83 ± 3.90 | 52.57 ± 3.98 |
| 12 months | 53.14 ± 4.22 | 53.52 ± 3.72 |
| 18 months | 53.26 ± 3.97 | 53.53 ± 3.86 |
Participant reported measure of fatigue. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 52.51 ± 3.78 | 51.87 ± 3.77 |
| 6 months | 51.46 ± 3.88 | 51.10 ± 3.88 |
| 12 months | 51.07 ± 4.02 | 51.79 ± 3.88 |
| 18 months | 51.48 ± 3.94 | 51.37 ± 4.02 |
Participant reported measure of sleep disturbance. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 53.47 ± 5.21 | 51.83 ± 5.27 |
| 6 months | 52.43 ± 5.32 | 52.29 ± 5.20 |
| 12 months | 52.22 ± 5.24 | 52.85 ± 5.26 |
| 18 months | 52.16 ± 5.26 | 51.78 ± 5.28 |
Participant reported measure of anxiety. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 50.60 ± 4.96 | 50.57 ± 4.95 |
| 6 months | 49.12 ± 5.19 | 49.39 ± 5.14 |
| 12 months | 50.28 ± 5.08 | 48.96 ± 5.24 |
| 18 months | 49.58 ± 5.11 | 49.16 ± 5.25 |
Participant reported measure of depression. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 49.43 ± 4.52 | 49.58 ± 4.56 |
| 6 months | 47.88 ± 4.79 | 46.64 ± 4.96 |
| 12 months | 47.55 ± 4.79 | 47.92 ± 4.76 |
| 18 months | 46.62 ± 4.93 | 47.38 ± 4.88 |
Participant reported measure of satisfaction with participation in social roles. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Lower scores indicate worse outcomes.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 50.49 ± 3.82 | 50.78 ± 3.77 |
| 6 months | 50.60 ± 3.76 | 51.30 ± 3.73 |
| 12 months | 51.03 ± 3.88 | 51.51 ± 3.84 |
| 18 months | 51.24 ± 3.92 | 51.20 ± 3.87 |
Health distress was measured using the 4-item Lorig Health Distress Scale. The items asked participants to answer regarding the past month. The measure was scored by averaging the items; with higher values indicating more health distress. Possible range is 0 to 5.
| score on a scale | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 1.93 ± 1.14 | 1.87 ± 1.14 |
| 6 months | 1.63 ± 1.10 | 1.67 ± 1.13 |
| 12 months | 1.61 ± 1.17 | 1.68 ± 1.12 |
| 18 months | 1.66 ± 1.22 | 1.60 ± 1.14 |
NIH Toolbox Loneliness Survey is a self-report measure that assesses perceptions of loneliness. This is scored using the standardized T-scores with a general US population mean of 50 and a standard deviation of 10. Higher scores indicate greater perceived loneliness.
| T-score | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 55.65 ± 3.51 | 54.96 ± 3.62 |
| 6 months | 52.78 ± 3.66 | 53.74 ± 3.70 |
| 12 months | 52.64 ± 3.71 | 53.61 ± 3.70 |
| 18 months | 52.85 ± 3.73 | 52.39 ± 3.84 |
Participants report at each survey time point the number of urgent care clinic visits, emergency room visits, and overnight hospital stays in the past month.
| unscheduled healthcare visits | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 0.33 ± 1.20 | 0.33 ± 1.42 |
| 6 months | 0.46 ± 1.48 | 0.35 ± 0.79 |
| 12 months | 0.36 ± 0.99 | 0.36 ± 0.94 |
| 18 months | 0.33 ± 0.89 | 0.44 ± 2.14 |
The number of falls in the last 6 months
| falls | ElderTree on Laptop (ET-LT) | ElderTree on Smart System (ET-SS) |
|---|---|---|
| Baseline | 1.01 ± 3.93 | 0.58 ± 0.97 |
| 6 months | 0.60 ± 1.33 | 0.53 ± 1.20 |
| 12 months | 0.82 ± 1.80 | 0.60 ± 1.10 |
| 18 months | 0.55 ± 1.17 | 0.59 ± 1.20 |
Collected over From 6 month until 18 month follow-up. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ElderTree on Laptop (ET-LT) | 5/188 (2.7%) | 0/188 (0%) | 0/188 (0%) |
| ElderTree on Smart System (ET-SS) | 2/199 (1%) | 0/199 (0%) | 0/199 (0%) |
| Age, Continuous(years) | ElderTree on Laptop (ET-LT) - Initial Intervention | ElderTree on Smart System (ET-SS) - Initial Intervention | ElderTree on Laptop (ET-LT) - Final | ElderTree on Smart System (ET-SS) - Final | Total |
|---|---|---|---|---|---|
| Mean | 70.08 ± 7.04 | 68.88 ± 6.80 | 70.06 ± 6.86 | 69.68 ± 6.10 | 69.87 ± 6.48 |
| Sex: Female, Male(Participants) | ElderTree on Laptop (ET-LT) - Initial Intervention | ElderTree on Smart System (ET-SS) - Initial Intervention | ElderTree on Laptop (ET-LT) - Final | ElderTree on Smart System (ET-SS) - Final | Total |
|---|---|---|---|---|---|
| Female | 42 | 32 | 127 | 134 | 335 |
| Male | 21 | 20 | 61 | 65 | 167 |
| Race/Ethnicity, Customized(Participants) | ElderTree on Laptop (ET-LT) - Initial Intervention | ElderTree on Smart System (ET-SS) - Initial Intervention | ElderTree on Laptop (ET-LT) - Final | ElderTree on Smart System (ET-SS) - Final | Total |
|---|---|---|---|---|---|
| Ethnicity — Hispanic or Latino origin | 1 | 0 | 3 | 4 | 8 |
| Ethnicity — Non-Hispanic | 62 | 52 | 185 | 195 | 494 |
| Region of Enrollment(participants) | ElderTree on Laptop (ET-LT) - Initial Intervention | ElderTree on Smart System (ET-SS) - Initial Intervention | ElderTree on Laptop (ET-LT) - Final | ElderTree on Smart System (ET-SS) - Final | Total |
|---|---|---|---|---|---|
| United States | 63 | 52 | 188 | 199 | 502 |
| Number of chronic conditions(chronic conditions) | ElderTree on Laptop (ET-LT) - Initial Intervention | ElderTree on Smart System (ET-SS) - Initial Intervention | ElderTree on Laptop (ET-LT) - Final | ElderTree on Smart System (ET-SS) - Final | Total |
|---|---|---|---|---|---|
| Mean | 6.0 ± 1.95 | 6.38 ± 1.76 | 6.85 ± 1.53 | 7.08 ± 1.70 | 6.44 ± 0.05 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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University of Wisconsin, Madison →