Clinical trials: Transitional Care
Health Care, Pediatrics
Hospital-to-Home Transitional Care Interventions (H2H-TCI) Children/Youth With Special Health Care Needs (CYSHCN)
Aim 1: Compare the effectiveness of focused dose vs extended dose hospital-to-home Transitional Care Interventions (H2H-TCI) on health service use and parent-reported confidence for hospitalized CYSHCN.
- Conditions
- Health Care, Pediatrics, Transitional Care, Comparative Effectiveness
- Trial name
- H2H-CYSHCN (NCT06428175)
- Testing
- Focused Dose Hospital-to-Home Transitional Care Interventions, Extended Dose Hospital-to-Home Transitional Care Interventions
- Where
- 2 sites in United States
- Volunteers
- 480 people
- Sponsor
- Duke University
Children With Complex Care Needs, Chronic Conditions
Feasibility of the Implementation of the SPARKLe Nurse-led Integrated Transitional Care Model for Children With Complex Care Needs
Children with complex care needs often experience fragmented care during transitions from hospital to home, leading to unmet needs and increased burden on families.
- Conditions
- Children With Complex Care Needs, Chronic Conditions, Care Coordination, Transitional Care
- Trial name
- SPARKLe (NCT07801911)
- Testing
- SPARKLe model
- Where
- Switzerland
- Volunteers
- 6 people
- Sponsor
- University Children's Hospital, Zurich
Heart Failure, Self Care
Effect and Cost Effectiveness of a Dyadic Empowerment-based Heart Failure Management Program for Self-care
Global population aging has drastically increased healthcare spending worldwide, with the greatest portion going to hospital and community health services.
- Conditions
- Heart Failure, Self Care, Empowerment, Transitional Care
- Trial name
- NCT05806606
- Testing
- Dyadic empowerment based heart failure management program, Dyadic education program
- Where
- Hong Kong
- Volunteers
- 232 people
- Sponsor
- The University of Hong Kong
Transitional Care, Remote Patient Monitoring (RPM)
New Care Pathways for Supporting TRANSitional CARE From Hospital to Home Using AI and Personalized Digital Assistance
The objective of the TRANSCARE study is to evaluate the use of a digital remote monitoring system to reduce the risk of 30-day readmission in multimorbid elderly patients.
- Conditions
- Transitional Care, Remote Patient Monitoring (RPM), Geriatric Multimorbidity
- Trial name
- TRANSCARE (NCT07731126)
- Testing
- TRANSCARE Digital Remote Monitoring Ecosystem
- Where
- 3 sites in Italy, Norway and 1 more
- Volunteers
- 210 people
- Sponsor
- Istituto Nazionale di Ricovero e Cura per Anziani
Heart Failure and Reduced Ejection Fraction, Transitional Care
Effects of a Transitional Care Program on Depression, Self-Efficacy, and Self-Care in Patients With Heart Failure
This randomized controlled trial aims to evaluate the effects of a structured transitional care program on depression, self-efficacy, and self-care behaviors in patients with heart failure.
- Trial name
- NCT07660237
- Testing
- Structured Transitional Care Program, Usual Care
- Where
- Taiwan
- Volunteers
- 130 people
- Sponsor
- Chang Gung Memorial Hospital
Stroke, Stroke Rehabilitation
Volunteer Facilitated Discharge Assistance and Supports at Home (DASH) for People With Stroke
The goal of this clinical trial is to learn if a home visit by a trained volunteer can improve stroke recovery after a stroke survivor is discharged home from the hospital. The main questions it aims to answer are: 1.
- Conditions
- Stroke, Stroke Rehabilitation, Transitional Care
- Trial name
- DASH (NCT07590076)
- Testing
- Discharge Assistance and Supports at Home (DASH)
- Where
- 6 sites in Canada
- Volunteers
- 840 people
- Sponsor
- Bruyère Health Research Institute.
Heart Failure, Self-care
mHealth Intervention to Support Self-care During the Hospital to Home Transition in Individuals With Heart Failure
This study is a pilot randomized controlled trial designed to evaluate the feasibility, acceptability, usability, and preliminary efficacy of a mobile health (mHealth) educational self-management intervention for individuals with…
- Conditions
- Heart Failure, Self-care, Transitional Care
- Trial name
- HF-mHealth (NCT07478081)
- Testing
- mHealth Educational Self-Management Application, Usual transitional care
- Where
- Colombia
- Volunteers
- 30 people
- Sponsor
- Universidad de la Sabana
Transitional Care
Pharmacist-Led Transition of Care Program in the Emergency Department (Pharm TOC-ED): A Pilot Trial
When patients leave the emergency department, mistakes with their medications are common and can lead to complications or hospital readmissions.
- Trial name
- PharmTOC-ED (NCT07310199)
- Testing
- Multi-faceted pharmacist-led transition of care (ToC) program
- Where
- Qatar
- Volunteers
- 82 people
- Sponsor
- Dr. Muhammad Abdul Hadi
Transitional Care Model, Coronary Heart Disease
Medication Adherence and Lipid Management in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention: Application of the Transitional Care Model
Patients with coronary heart disease (CHD) require long-term medication and lifestyle modification following percutaneous coronary intervention (PCI).
- Conditions
- Transitional Care Model, Coronary Heart Disease, Medication Adherence, Self-efficacy
- Trial name
- NCT07346664
- Testing
- routine nursing care group, TCM intervention group
- Where
- China
- Volunteers
- 108 people
- Sponsor
- Qing Wang
Transitional Care, Mental Disorder in Adolescence
Psychiatry of Transition in a World in Transition
This clinical study evaluates risk and protective factor to develop psychopathology in transitional age youth. 300 patients will be recruited at the age of 17 years old and assessed at baseline and 2 years later.
- Conditions
- Transitional Care, Mental Disorder in Adolescence, Mental Health
- Trial name
- Transition_psy (NCT04333797)
- Testing
- Risk and Protective Factors Assessment
- Where
- 4 sites in Belgium
- Volunteers
- 252 people, healthy volunteers welcome
- Sponsor
- Queen Fabiola Children's University Hospital
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
Transitional Care
TRAJ : Transition in Rheumatology, From Adolescence to Adulthood
This study evaluates the impact of the CAPAdJA transition support program on care continuity for young patients with chronic rheumatic diseases at Bordeaux University Hospital.
- Trial name
- TRAJ (NCT07079943)
- Testing
- Self-questionnaire : satisfaction and quality of life, Self-reported questionnaire : educational or professional
- Where
- France
- Volunteers
- 100 people
- Sponsor
- University Hospital, Bordeaux
Transitional Care
Enhancing Timely Access to Medication Changes: The Role of Pharmacists in Overcoming Transitions of Care Challenges
Objective: Among patients discharged from the hospital with changes in maintenance prescription medication, how does experiencing a medication access gap compared to a no medication access gap impact the time to first unplanned…
- Trial name
- NCT07018232
- Testing
- Unplanned healthcare encounter
- Where
- United States
- Volunteers
- 104 people
- Sponsor
- The Guthrie Clinic
Ischemic Stroke, Transitional Care
Transitional Care Program in Stroke Patients With Hemiplegia.
This study examines the effects of a transitional care program in stroke patients on self-care behavior, quality of life, and hospital readmission.
- Conditions
- Ischemic Stroke, Transitional Care, Hemiplegia
- Trial name
- NCT06242366
- Testing
- Intervention group
- Where
- Thailand
- Volunteers
- 60 people
- Sponsor
- Mahidol University
Brain Injuries, Traumatic, Transitional Care
Enhancing the Transition From Hospital to Home for Patients With Traumatic Brain Injury and Families
Despite high risks of readmission and complex medical needs, there are no transitional care standards in the U.S. for patients with moderate-to-severe traumatic brain injury (TBI) discharged home from acute hospital care without…
- Conditions
- Brain Injuries, Traumatic, Transitional Care, Family Members, Patients
- Trial name
- R03 (NCT04584554)
- Testing
- BETTER Transitional Care Intervention
- Where
- United States
- Volunteers
- 31 people
- Sponsor
- Duke University
Transitional Care, Multimorbidity
AdvantAGE: Implementation and Evaluation of an Interprofessional Tranistional Care Model for Frail Older Adults
This clinical trial at the University Department of Geriatric Medicine FELIX Platter in Basel, Switzerland, is designed to evaluate a new transitional care model aimed at helping frail older adults after they get discharged from…
- Conditions
- Transitional Care, Multimorbidity, Geriatric Care
- Trial name
- AdvantAGE (NCT06190288)
- Testing
- Transitional care model
- Where
- Switzerland
- Volunteers
- 250 people
- Sponsor
- Thekla Brunkert
Transitional Care, Frail Elderly
Making Health Care Safer for Older Adults Receiving Skilled Home Health Care Services After Hospital Discharge
Care transitions are the movement of a person from one healthcare setting to another. Older adults who require skilled home health care ("home health") services (e.g., home-based nursing) after hospital discharge are at high risk…
- Conditions
- Transitional Care, Frail Elderly, Home Health Care
- Trial name
- NCT05182060
- Testing
- Transition Intervention
- Where
- United States
- Volunteers
- 761 people, healthy volunteers welcome
- Sponsor
- Johns Hopkins University
Congenital Heart Disease in Adolescence, Transitional Care
Evaluation of Transition With a Heart, a Transition Program for Adolescents With Congenital Heart Disease and Parents
The department of Congenital Heart Disease of the Ghent University Hospital (Belgium) developed a transition program dedicated to adolescents with congenital heart disease (CHD): 'Transition With a Heart´ (TWAH).
- Trial name
- NCT05479630
- Testing
- Transition With a Heart (TWAH)
- Where
- Belgium
- Volunteers
- 81 people
- Sponsor
- University Hospital, Ghent
Transitional Care Coordination, Home Visits
Collaborative Home Visits to Reduce Hospital Readmissions and Improve Medication Use During Transitions of Care
The primary objective is to develop a sustainable practice model emphasizing home visits by a collaborative physician and pharmacist team to decrease unplanned emergency department visits and hospital readmissions at 30 and 90…
- Trial name
- NCT02087072
- Testing
- Collaborative visit with provider and pharmacist
- Where
- United States
- Sponsor
- Ohio State University
Preterm Infant, Parents
Transition Model-Based Discharge Training in Parents of Preterm Infants
Infant and Child Monitoring Protocol prepared by the General Directorate of Mother and Child Health and Family Planning of the Ministry of Health regarding the monitoring of postpartum processes in our country.
- Conditions
- Preterm Infant, Parents, Premature Birth, Randomized Controlled Trial
- Trial name
- TRAMPRE (NCT05525624)
- Testing
- TRAMPRE, Control Group
- Where
- 2 sites in Turkey (Türkiye)
- Volunteers
- 200 people, healthy volunteers welcome
- Sponsor
- Suleyman Demirel University