Clinical trials: Transitional Care Planning
Palliative Care, Transitional Care
Technology-enhanced Transitional Care for Rural Palliative Care Patients: A Pilot Study
The purpose of this pilot study is to develop and test a technology-enhanced transitional palliative care (TPC) intervention for patients and caregivers living in rural locations.
- Trial name
- TPC (NCT01934413)
- Testing
- Technology-Enhanced Transitional Palliative Care, Usual Standard of Care
- Where
- United States
- Volunteers
- 17 people
- Sponsor
- Mayo Clinic
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
Stroke, Ischemic
Transitional Care Program to Improve Risk Factors in Stroke Survivors
The goal of this clinical trial is to evaluate whether our transitional care program helps stroke survivors better manage their risk factors for stroke to lower the risk of a repeat stroke.
- Trial name
- NCT06657235
- Testing
- Transitional Care Program
- Where
- United States
- Volunteers
- 224 people
- Sponsor
- Syntrillo, Inc
Chronic Disease
Home Based Care Transitions Tailored by Cognition and Patient Activation
There is overwhelming evidence that patients with multiple chronic illnesses need better self-management skills. Discharge from the hospital may not be the most opportune time to be teaching patients these self-management skills.
- Trial name
- NCT02045147
- Testing
- Grp 1a Low Cognition, Low Activation Intervention, Grp 2a Low Cognition, High Activation Intervention, Grp 3a Normal Cognition, Low Activation Intervention
- Where
- United States
- Volunteers
- 263 people
- Sponsor
- University of Nebraska
Traumatic Brain Injury, Caregiver Burden
m-Health Supportive Care Transition Program in Improving Post-Discharged Outcomes
This intervention study aims to investigate the effects of the m-Health supportive care transition program on response patterns (transition stress and the burden of caregiving) among traumatic brain injury (TBI) caregivers and…
- Conditions
- Traumatic Brain Injury, Caregiver Burden, Stress
- Trial name
- NCT05951335
- Testing
- m-Health Transition Care Program
- Where
- Thailand
- Volunteers
- 74 people, healthy volunteers welcome
- Sponsor
- Prince of Songkla University
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
Stroke
Optimizing Hospital-to-home Transitions for Older Adults With Stroke and Multimorbidity
Stroke is the leading cause of death and adult disability in Canada. Sixty percent of these older adults (> 65 years) will return to their homes after a stroke and will require ongoing rehabilitation.
- Trial name
- NCT04278794
- Testing
- Transitional Care Stroke Intervention (TCSI)
- Where
- 2 sites in Canada
- Volunteers
- 90 people
- Sponsor
- McMaster University
HIV, Hepatitis C
Criminal Justice Coordinated Transitional Care
This project aims to enroll 220 incarcerated individuals living with HIV, Hepatitis C (HCV), or history of substance misuse preparing for release into a pilot implementation study to test the feasibility and acceptability of an…
- Conditions
- HIV, Hepatitis C, Substance Use Disorders
- Trial name
- CJC-TraC (NCT05376371)
- Testing
- CJC-TraC
- Where
- 2 sites in United States
- Volunteers
- 219 people
- Sponsor
- University of Wisconsin, Madison
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
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
Hypertension, Blood Pressure
Monitoring Blood Pressure at Home and Pharmacy Telehealth
The overall goal of this project is to determine if measuring blood pressure at home and staying in contact with a team of pharmacists and physicians to manage participants' blood pressure is useful.
- Trial name
- REMAP-BP (NCT07623291)
- Testing
- Remote Blood Pressure Monitoring + Telehealth
- Where
- United States
- Volunteers
- 420 people
- Sponsor
- University of Alabama at Birmingham
Hospital Readmissions of Elderly Patients
Geriatric Transitional Care for Older Patients Discharged From the Emergency Department: Impact on Early Readmissions
Elderly adults have high rates of emergency department (ED) visits. Specificities of this population challenge organizations of care in the ED, and older adults are at risk of pejorative outcomes after an ED stay.
- Trial name
- LASUITE (NCT05814328)
- Testing
- Transitional Care
- Where
- France
- Volunteers
- 1,322 people
- Sponsor
- Assistance Publique - Hôpitaux de Paris
Surgery--Complications
Transitional Care Study 3
In this study patients with elective surgery will wear two devices (HealthDot and Elan) after surgery in hospital and after discharge at home for up to 2 weeks (HealthDot) or 3 weeks (Elan).
- Trial name
- TRICA (NCT03923127)
- Testing
- Elan and HealthDot
- Where
- Netherlands
- Volunteers
- 350 people
- Sponsor
- Philips Clinical & Medical Affairs Global
Chronic Disease
A Pharmacist-led Transitions of Care Program
This study was to show the value of pharmacists in providing transitions of care to and improving health outcomes of uninsured populations.
- Trial name
- NCT04556786
- Testing
- Transitions of care
- Where
- United States
- Volunteers
- 88 people
- Sponsor
- Auburn University
Chronic Diseases
A Randomised Control Trial of a Transitional Care Model in Singapore General Hospital
To find out if a transitional care model can reduce the rate of unscheduled readmission to the Department of Internal Medicine (DIM) in SGH
- Trial name
- NCT02351648
- Testing
- a transitional care model, Control
- Where
- Singapore
- Volunteers
- 840 people
- Sponsor
- Singapore General Hospital
Type 1 Diabetes Mellitus
Let's Empower and Prepare Young Adults With Type 1 Diabetes
In Los Angeles County, the most populous county in the United States, there are an estimated 8,000 children under the age of 21 with type 1 diabetes.
- Trial name
- LEAP (NCT02807155)
- Testing
- Transition Empowerment Program, Transition Empowerment Program (TEP) + Diabetes Wellness Council (DWC), Online Transition Empowement Program Access
- Where
- United States
- Volunteers
- 104 people
- Sponsor
- University of Southern California
Dementia
A Trial of the C-TraC Intervention for Dementia Patients
The goal of the project is to conduct a prospective, randomized-controlled clinical trial to determine the extent to which the Coordinated-Transitional Care (C-TraC) program impacts transitional care quality, patient…
- Trial name
- NCT02388711
- Testing
- C-TraC Intervention
- Where
- United States
- Volunteers
- 584 people
- Sponsor
- University of Wisconsin, Madison
Critical Illness, Stress, Psychological
Virtual Reality-Based Transitional Care for ICU Survivors
This study aims to evaluate the effectiveness of a virtual reality (VR)-based transitional care program for adult survivors of intensive care unit (ICU) care.
- Conditions
- Critical Illness, Stress, Psychological, Intensive Care Units
- Trial name
- VRICU (NCT07482722)
- Testing
- Virtual Reality-Based Transitional Care
- Where
- 2 sites in Taiwan
- Volunteers
- 150 people
- Sponsor
- Mackay Memorial Hospital
Pediatric Cancer
Nurse-led Transitional Care to Improve Symptom Management in Childhood Cancer Survivors
This study aims to evaluate the feasibility and preliminary effectiveness of a nurse-facilitated interdisciplinary transitional care programme, based on the Omaha system, for Chinese childhood cancer survivors (CCSs) and their…
- Trial name
- NCT07273682
- Testing
- Counseling based on Omaha system, Usual Care
- Volunteers
- 68 people
- Sponsor
- The Hong Kong Polytechnic University
Breast Cancer, Breast Cancer and Rehabilitation
Cancer Patient Navigation and Readiness
This study evaluated whether Cancer Patient Navigation (CPN) services could improve readiness for the transition from breast cancer diagnosis to treatment.
- Conditions
- Breast Cancer, Breast Cancer and Rehabilitation, Transition Care, Breast Cancer - Female
- Trial name
- CPN Readiness (NCT07892157)
- Testing
- Cancer Patient Navigation Services
- Where
- Indonesia
- Volunteers
- 64 people
- Sponsor
- Universitas Muhammadiyah Semarang