Clinical trials: Transitional Care Planning
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
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
Frailty
Effect of a Transitional Care Intervention
The objective of this study is to evaluate the effect of a transitional care intervention on readmissions among older medical patients. The proportion of older people is rapidly growing.
- Trial name
- NCT04796701
- Testing
- Follow-Home-intervention
- Where
- Denmark
- Volunteers
- 1,266 people
- Sponsor
- University of Aarhus
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
Heart Failure
Factors Influencing Participation in PRADO and Telemedicine Interventions in Heart Failure
Patients with heart failure (HF), after hospitalization, present a marked fragility. Interventions improving the coordination of care actors at the time of discharge from hospitalization have been tested and have shown, in…
- Trial name
- PARTI-PARC (NCT05417490)
- Testing
- PRADO-IC, Remote monitoring
- Where
- France
- Volunteers
- 700 people
- Sponsor
- University Hospital, Montpellier
Chronic Illness
Parents in Transition - a Nurse-led Support and Transfer Education Program
OBJECTIVE To improve chronically ill adolescents' transition to adult care by preparing and supporting the parents. The study aim is to improve parents' (of chronically ill adolescents, 16-18 years) transition readiness by…
- Trial name
- ParTNer-STEPs (NCT04969328)
- Testing
- ParTNer-STEPs
- Where
- Denmark
- Volunteers
- 64 people
- Sponsor
- Glostrup University Hospital, Copenhagen
Alzheimer Disease, Dementia
Connect-Home: Alzheimer's Disease and Related Dementias
This study is a parallel arm, cluster randomized trial (CRT) to test the efficacy of Connect-Home ADRD, a transitional care intervention focusing on Skilled Nursing Facility (SNF) patients with Alzheimer's disease and dementias…
- Trial name
- CH-ADRD (NCT06840587)
- Testing
- Connect-Home ADRD
- Where
- United States
- Volunteers
- 360 people
- Sponsor
- University of North Carolina, Chapel Hill
Hospitalization
Care Transitions Innovation (C-TraIn)
The purpose of this protocol is to evaluate the Care Transitons Innovation, a quality improvement project being implemented at OHSU to improve the transition from hospital to home for uninsured and Medicaid patients admitted to…
- Trial name
- NCT01906645
- Testing
- Care Transitions Innovation (C-TraIn)
- Where
- United States
- Volunteers
- 382 people
- Sponsor
- Oregon Health and Science 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
Stroke, Stroke, Ischemic
Understanding the Need and Feasibility of Transitional Care Training Program Among Family Caregivers of Geriatric Stroke Survivors in Pakistan
The main intention of the study is to understand the need and feasibility of transitional care training program among family caregivers of geriatric stroke survivors in Pakistan
- Conditions
- Stroke, Stroke, Ischemic, Stroke Hemorrhagic
- Trial name
- NCT06341881
- Testing
- Transitional Care Training Program
- Where
- 3 sites in Pakistan
- Volunteers
- 60 people, healthy volunteers welcome
- Sponsor
- Khyber Medical University Peshawar
Liver Diseases
A Trial of Post-Discharge Transitional Care for Patients With Chronic Liver Disease
Patients with complications of advanced liver disease often have difficulties after hospital discharge that result in early hospital readmission.
- Trial name
- TLC (NCT05733832)
- Testing
- Transitional Liver Clinic (TLC)
- Where
- 4 sites in United States
- Volunteers
- 1,000 people
- Sponsor
- Indiana University
CHF - Congestive Heart Failure, COPD
Transitional Care Model Evaluation 2020
The study is a randomized controlled trial to estimate the effects of the transitional care model (TCM) on hospital admissions and patients' experience during the year following the patient's qualifying discharge.
- Conditions
- CHF - Congestive Heart Failure, COPD, Pneumonia
- Trial name
- TCM2020 (NCT04212962)
- Testing
- Transitional care model (TCM), Usual care
- Where
- United States
- Volunteers
- 962 people
- Sponsor
- Mathematica Policy Research, Inc.
Positive Thinking, Psychology, Positive
Three Good Things (3GT) - Intervention for Transitional Care Patients
Researchers are doing this research study to learn how the Three Good Things (3GT) Positive Psychology journaling activity affects symptoms of stress, depression, resilience, and happiness.
- Conditions
- Positive Thinking, Psychology, Positive, Resilience, Psychological
- Trial name
- NCT04970641
- Testing
- Three Good Things (3GT) Positive Psychology journaling activity
- Where
- United States
- Volunteers
- 25 people
- Sponsor
- Mayo Clinic
Surgery, Brain Tumor
Neurosurgical Transitional Care Programme
Readmissions increasingly serve as a metric of hospital performance, inviting quality improvement initiatives in both medicine and surgery.
- Conditions
- Surgery, Brain Tumor, Brain Tumor, Recurrent, Brain Pathology
- Trial name
- TCP (NCT03593330)
- Testing
- Transitional Care Programme
- Where
- United Kingdom
- Volunteers
- 242 people
- Sponsor
- Barts & The London NHS Trust
Geriatric Patients in the Transition From Hospital to Home
Improvement of Transition From Hospital to Home for Older Patients in Germany
The aim of the transsectoral care project TIGER is the reduction of readmission rates of geriatric patients. This aim shall be achieved by improving the hitherto inadequate care process for geriatric patients in the transition…
- Trial name
- TIGER (NCT03513159)
- Testing
- Pathfinder support
- Where
- 2 sites in Germany
- Volunteers
- 252 people
- Sponsor
- University of Erlangen-Nürnberg Medical School
Knee Osteoarthritis, Pain
Effectiveness of the Transitional Care Model in Total Knee Arthroplasty Patients
The aim of this study was to determine the effectiveness of transitional care in patients with total knee arthroplasty on patients' functional status, perceived self-efficacy, and health care use.
- Conditions
- Knee Osteoarthritis, Pain, Self Efficacy, Health Care Utilization
- Trial name
- NCT05525793
- Testing
- Transitional care model
- Where
- Turkey (Türkiye)
- Volunteers
- 70 people
- Sponsor
- Hasan Kalyoncu University
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
Cancer
Early Intervention vs. Standard Palliative Care in Improving End-of-Life Care in Advanced Cancer Patients
RATIONALE: Palliative care may help patients with advanced cancer live more comfortably. PURPOSE: This randomized clinical trial is studying an early intervention palliative care program to see how well it works compared to a…
- Trial name
- NCT00253383
- Testing
- counseling intervention, educational intervention, psychosocial assessment and care
- Where
- 2 sites in United States
- Volunteers
- 329 people
- Sponsor
- Dartmouth-Hitchcock Medical Center
Heart Failure
Patient-centered Care Transitions in Heart Failure: A Pragmatic Cluster Randomized Trial
Heart failure (HF) is the most common cause of hospitalization in older adults. The month after hospital discharge represents a vulnerable period, when patients are at increased risk of death and readmission to hospital.
- Trial name
- PACT-HF (NCT02112227)
- Testing
- PACT-HF Model
- Where
- Canada
- Volunteers
- 3,500 people
- Sponsor
- Population Health Research Institute
Ageing
The OMAGE (Optimization of Medication in AGEd) Transitional Care-Pathway: Impact on Readmissions
Background : The transitional care OMAGE-P combines three best practices recommendations from the French National Authority for Health (HAS) (i) a comprehensive review of diagnosis and treatments (ii) a standardized medical…
- Trial name
- OMAGE-P (NCT02657642)
- Volunteers
- 484 people
- Sponsor
- Assistance Publique - Hôpitaux de Paris