Clinical trials: Care Transitions
Heart Failure
Mobile Integrated Health in Heart Failure
The purpose of this study is to compare how two different types of care after a hospitalization reduce hospital readmissions and symptom burden.
- Trial name
- NCT04662541
- Testing
- Mobile Integrated Health (MIH), Transitions of care coordinator (TOCC)
- Where
- 3 sites in United States
- Volunteers
- 2,005 people
- Sponsor
- Columbia University
Gestational Diabetes, Gestational Diabetes Mellitus in Pregnancy
Clinic to Community Connections - Broader Distribution
This study addresses education needs in gestational diabetes care and followup at the staff and patient levels. In the initial phase, nurses and community health workers will complete specific training modules on gestational…
- Trial name
- NCT04474795
- Testing
- Staff -Educational training
- Where
- United States
- Volunteers
- 85 people, healthy volunteers welcome
- Sponsor
- Washington University School of Medicine
Hospital Readmissions
Enhancing the Care Transitions Intervention With Peer Support to Reduce Disparities
Unplanned hospital readmissions are extremely costly to patients and our healthcare system. Being readmitted to the hospital also leads to increased risk of health complications for patients including infections and impairments…
- Trial name
- NCT04981977
- Testing
- Care Transitions Intervention, Care Transitions Intervention and Peer Support, Usual Care
- Where
- United States
- Volunteers
- 483 people, healthy volunteers welcome
- Sponsor
- University of South Florida
Asthma, Asthma in Children
Hospital to Home Study: Trial to Optimize Transitions and Address Disparities in Asthma Care
Caregiver-child dyads will be recruited during child's hospital admission for asthma exacerbation. Recruitment sites will be mainly Children's National Hospital Sheikh Zayed campus, as well as regional partners: Holy Cross…
- Trial name
- H2H (NCT05991115)
- Testing
- Hospital to Home Transition (H2H)
- Where
- United States
- Volunteers
- 340 people
- Sponsor
- Kavita Parikh
Study Focus: 30-day Rehospitalizations Among At-risk Older Adults Randomized to a Social Work-driven Care Transitions Intervention, Heart Disease
Social Work Intervention Focused on Transitions
In response to Program Announcement (PA)-09-164, "NIH Exploratory/Developmental Research Grant Program (R21) a randomized pilot study testing the efficacy of SWIFT: Social Work Intervention Focused on Transitions among at-risk…
- Conditions
- Study Focus: 30-day Rehospitalizations Among At-risk Older Adults Randomized to a Social Work-driven Care Transitions Intervention, Heart Disease, Diabetes, Hypertension
- Trial name
- SWIFT (NCT02232126)
- Testing
- SWIFT home intervention
- Where
- 2 sites in United States
- Volunteers
- 181 people, healthy volunteers welcome
- Sponsor
- University of Southern California
Geriatrics
Impact of a Transitional Care Program on 30-Day Hospital Readmissions for Elderly Patients Discharged From a Short Stay Geriatric Ward
In France, it has be estimated that the hospital readmission rate within 30 days of patients aged 75 or older is 14% (IC95% [12.0-16.7]), nearly a quarter being avoidable.
- Trial name
- PROUST (NCT02421133)
- Testing
- Transitional care program., standard care program
- Where
- 9 sites in France
- Volunteers
- 630 people
- Sponsor
- Hospices Civils de Lyon
Post-intensive Care Syndrome, Transitional Care
Pilot Testing PICTURE-THIS
This is a single-center pilot study examining the feasibility and acceptability of a transitional rehabilitation intervention, PICTURE-THIS, among critical illness survivors and their families.
- Conditions
- Post-intensive Care Syndrome, Transitional Care, Critical Care, Health Services
- Trial name
- NCT06086301
- Testing
- PICTURE-THIS, Enhanced Usual Care, Run-In Phase
- Where
- United States
- Volunteers
- 42 people
- Sponsor
- University of Pittsburgh
Care Transitions
Implementation and Evaluation of A Health Innovation to Support Medicaid-Insured Individuals Following Hospitalization
The goal of this stepped wedge pragmatic trial is to compare referral patterns and post discharge outcomes in Medicaid insured individuals discharge following a hospitalization].
- Trial name
- NCT05714605
- Testing
- THRIVE Intervention
- Where
- United States
- Volunteers
- 267 people
- Sponsor
- University of Pennsylvania
Intensive Care Admission
The Impact of Clinical Pharmacists Role in Transition of Care From Other Departments to Critical Care Units in Alexandria Main University Hospital.
Transition of care between hospital departments is an important step in patient care. Every patient may need to be transmitted either for case deterioration, improvement or interventions purposes.
- Trial name
- NCT06903572
- Testing
- the clinical pharmacists interventions about medication related information during transition of care
- Where
- Egypt
- Volunteers
- 126 people
- Sponsor
- Alexandria University
Asthma, Coronary Artery Disease
Care Transitions for Complex Patient - Cycle 1 and Cycle 2
The purpose of this study is to improve patient care and safety while decreasing ED visit rates by sending specific information about care transitions related to hospital admission and discharge and emergency department and…
- Conditions
- Asthma, Coronary Artery Disease, Diabetes, Hypertension
- Trial name
- NCT01039324
- Testing
- Reports, Reports and Notices, Usual care
- Where
- United States
- Volunteers
- 8,422 people
- Sponsor
- Duke University
Transitions of Care, Patient Portals
Interactive Digital Health Tools to Improve Patient Safety in Acute Care
Study 1: The goal of this study is to implement and evaluate an interactive patient-centered discharge toolkit (PDTK) to engage patients and care partners in discharge preparation and communication with providers after discharge.
- Conditions
- Transitions of Care, Patient Portals, General Medicine, Discharge Checklist
- Trial name
- NCT03116074
- Testing
- Interactive Digital Health Tools
- Where
- United States
- Volunteers
- 750 people, healthy volunteers welcome
- Sponsor
- Brigham and Women's Hospital
Communication Research
Adapted Hospital Discharge Intervention: the CONNECT Pilot
Hospital discharge is a dangerous time for patients: one in five will suffer an adverse event, such as a medication error, and nearly 25% will be readmitted within 30 days.
- Trial name
- CONNECT (NCT07032818)
- Testing
- Additional post discharge phone call
- Where
- United States
- Volunteers
- 60 people
- Sponsor
- Boston Medical Center