Clinical trials: Transitional Care Planning
Pulmonary Disease, Chronic Obstructive, Heart Failure
Improving Medication Adherence Through a Transitional Care Pharmacy Practice Model
The purpose of this pilot study is to determine if medication adherence is improved by a transitional care pharmacy practice model designed to integrate hospital and community pharmacists in the care and education of patients…
- Trial name
- NCT02047448
- Testing
- Pharmacist Counseling
- Where
- United States
- Volunteers
- 180 people
- Sponsor
- Wilkes University
Post-cardiac Surgery
Effectiveness of Transitional Care Services
The National University Hospital System has designed and is piloting an improved post-discharge care programme called CareHub for patients undergoing cardiac surgery.
- Trial name
- NCT03353155
- Testing
- Usual Care, CareHub
- Where
- Singapore
- Volunteers
- 270 people
- Sponsor
- Johns Hopkins University
Cancer
Palliative Care Yields Cancer Wellbeing Support
The goal of this study is to evaluate the effectiveness of a programme for transitional palliative cancer care (Pal-Cycles) in seven countries (the Netherlands, Germany, United Kingdom, Hungary, Poland, Romania and Portugal) and…
- Trial name
- Pal-Cycles (NCT06259136)
- Testing
- A transitional palliative care intervention
- Where
- Netherlands
- Volunteers
- 515 people
- Sponsor
- Radboud University Medical Center
Alzheimer Disease, Parkinson Disease
Telephone Call From Acute Care Physicians to Long Term Care Physicians: Impact on Transitional Care of Elderly Patients
A telephone call from a physician taking care of a patient in the hospital to a physician in the long term care setting at the time of discharge can improve transitional care for elderly patients.
- Conditions
- Alzheimer Disease, Parkinson Disease, Dysphagia
- Trial name
- NCT00281749
- Testing
- TELEPHONE CALL
- Where
- 2 sites in United States
- Sponsor
- Maimonides Medical Center
Lumbar Disc Surgery
Telenursing and Transitional Care
Post-operative care for Lumbar Disc Herniation (LDH) is important to reduce postoperative complications. The transition from hospital to home after discharge is important for LDH patients, as the transition process is flawless…
- Trial name
- NCT06770387
- Testing
- mhealth
- Where
- 4 sites in Turkey (Türkiye)
- Volunteers
- 107 people
- Sponsor
- Hasan Kalyoncu University
Cancer
Standard Follow-up Compared With Extended Follow-up in Treating Patients Who Have Undergone Stem Cell Transplantation for Cancer
RATIONALE: Telephone counseling by trained counselors may enhance the well-being and quality of life of patients who have undergone stem cell transplantation for cancer.
- Trial name
- NCT00049465
- Testing
- fatigue assessment and management, management of therapy complications, psychosocial assessment and care
- Where
- 9 sites in United States
- Sponsor
- Fred Hutchinson Cancer Center
Dementia, Dementia, Vascular
Enhancing Care Coordination: Hospital to Home for Cognitively Impaired Older Adults and Their Caregivers
Aim 1. To compare across three hospital sites the effects on health and cost outcomes observed by the following three interventions, each designed to enhance adaptation and improve outcomes of hospitalized cognitively impaired…
- Conditions
- Dementia, Dementia, Vascular, Alzheimer Disease, Delirium, Dementia, Amnestic, Cognitive Disorders
- Trial name
- NCT00294307
- Testing
- Augmented Standard Care (ASC), Resource Nurse Care (RNC), Advanced Practice Nurse Care (APNC)
- Where
- 3 sites in United States
- Volunteers
- 814 people
- Sponsor
- University of Pennsylvania
Early-stage Breast Cancer, Breast Cancer Female
The ConnectedCancerCare Pilot Study (CCC)
This study is an NCI-funded, randomized control pilot trial to evaluate: (1) the feasibility and acceptability of a web-based, personalized navigation tool (ConnectedCancerCare) and (2) explore whether the tool improves delivery…
- Conditions
- Early-stage Breast Cancer, Breast Cancer Female, Survivorship, Cancer Survivors
- Trial name
- CCC (NCT03618017)
- Testing
- CCC website, Static care plan
- Where
- United States
- Volunteers
- 66 people
- Sponsor
- University of Michigan Rogel Cancer Center
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.
Transitional Care, Caregivers
Connect-Home Clinical Trial
This study will test whether transitional care targeting care needs of seriously ill, skilled nursing facility (SNF) patients and their caregivers will help to improve SNF patient outcomes (preparedness for discharge, quality of…
- Conditions
- Transitional Care, Caregivers, Patient Discharge, Aging
- Trial name
- NCT03810534
- Testing
- Connect-Home
- Where
- United States
- Volunteers
- 654 people
- Sponsor
- University of North Carolina, Chapel Hill
Intensive Care Unit Syndrome, Disabilities Multiple
Post-Intensive Care Transitional Care, Rehabilitation, and Family-Support
The goal of this randomized control trial is to test an intervention designed to improve patient and family outcomes after critical illness compared to usual care.
- Conditions
- Intensive Care Unit Syndrome, Disabilities Multiple, Critical Illness, Caregiver Burden
- Trial name
- PIC-TRFS (NCT06501365)
- Testing
- Post Intensive Care Transitions Rehabilitation and Family Support (PIC-TRFS), Enhanced Usual Care Control
- Where
- United States
- Volunteers
- 2 people
- Sponsor
- University of Pittsburgh
Neurofibromatosis 1
iCanCope With NF: Innovating an Efficacious Digital Self-management and Transitional Care Program for Adolescents With Neurofibromatosis
Neurofibromatosis Type 1 (NF1) often significantly impairs the mental health, social life, self-esteem, and quality of life of adolescent patients. These impacts can be made worse with the experience of NF1-related pain.
- Trial name
- NCT07077408
- Testing
- iCanCope-NF Youth app, iCanCope-NF Youth app + CM
- Volunteers
- 60 people
- Sponsor
- The Hospital for Sick Children
End Stage Heart Disease, Heart Failure
Transitional Palliative Care in End-stage Heart Failure
Palliative care for end-stage organ failure patients has been included as one of the key programs to be implemented in 2011-2012 in the Hospital Authority, Hong Kong.
- Trial name
- NCT02086305
- Testing
- Transitional Care Model, Usual care
- Where
- 3 sites in Hong Kong
- Volunteers
- 84 people
- Sponsor
- The Hong Kong Polytechnic University
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
Cardiac Failure, Congestive Heart Failure
Heart Failure Management Program Versus Usual Care
Heart Failure (HF) patients discharged to Skilled Nursing Facilities have higher rehospitalization rates and mortality than patients discharged to home.
- Trial name
- NCT01822912
- Testing
- Heart Failure Disease Management Program, Heart Failure Usual Care
- Where
- United States
- Volunteers
- 713 people
- Sponsor
- University of Colorado, Denver
Aging
Study Human Digital Support Transitional Care
The purpose of the study is to compare the effectiveness of Divomed in organising complex hospital discharges with a conventional organisation.
- Trial name
- SUNH-ST (NCT06354166)
- Testing
- Unscheduled hospital admissions
- Where
- France
- Volunteers
- 150 people
- Sponsor
- Divoluci
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
Stress
The Impact of a Transitional Care Management Programme on the Migration Stress of Family Members of Patients
This study investigated the impact of the establishment and application of the "health care-family-environment" linkage mechanism on the level of migration stress, coping styles and care satisfaction of families of patients…
- Trial name
- NCT05834387
- Testing
- EICU Transfer Routine Care, Implementing interventions based on a 'health care-family-environment' linkage
- Where
- China
- Volunteers
- 30 people, healthy volunteers welcome
- Sponsor
- Zunyi Medical College
Nursing Care, Quality of Life
Nurse Led Transitional Care Model in Cardiac Surgery
To evaluate the effectiveness of Nurse Led Transitional Care Model (TCM) on the functional autonomy, quality of life and rehospitalization rates of elderly patients undergoing open heart surgery.
- Conditions
- Nursing Care, Quality of Life, Transitional Care
- Trial name
- NCT04384289
- Testing
- Nursing care based on the Transitonal Care Model
- Where
- Turkey (Türkiye)
- Volunteers
- 66 people, healthy volunteers welcome
- Sponsor
- Abant Izzet Baysal University
Cancer
Teens Taking Charge: Managing Cancer Online
Cancer is the most common potentially fatal disease of adolescence and the Internet represents an ideal means to deliver education, self-monitoring capabilities, and social support to enhance disease self-management by…
- Trial name
- NCT02299219
- Testing
- Taking Charge: Managing Cancer Online, Standard Medical Care and Cancer Resource Center
- Where
- 3 sites in Canada
- Volunteers
- 73 people
- Sponsor
- The Hospital for Sick Children