Clinical trials: Transitions of Care
Blood Pressure, Transitions of Care
Role of Wrist Based Blood Pressure Monitoring in Clinical Practice
This is a pilot clinical study to test the overarching hypothesis that frequent and longitudinal blood pressure monitoring with FDA approved consumer wrist based device during the patient transition from inpatient to home to the…
- Trial name
- NCT03862742
- Where
- United States
- Sponsor
- Scripps Translational Science Institute
Diabetes Mellitus, Type 2, Insulin Dependent Diabetes
Diabetes Toolkit at Discharge
The purpose of this randomized clinical trial is to implement the DM Discharge Toolkit into hospital discharge and assess the effect of the DM Discharge Toolkit on patients newly requiring insulin.
- Trial name
- NCT05663931
- Testing
- DM Discharge Toolkit
- Where
- United States
- Volunteers
- 120 people
- Sponsor
- Northwestern University
Advanced Cancer, Home Care, Hospital-Based
Care Transition Intervention for Patients With Cancer
This research study is investigating an intervention called CONTINUity of care Under Management by Video visits (CONTINUUM-V). CONTINUUM-V involves a video visit with an oncology nurse practitioner within three business days of…
- Trial name
- NCT04640714
- Testing
- CONTINUity of care Under Management by Video visits (CONTINUUM-V)
- Where
- United States
- Volunteers
- 58 people
- Sponsor
- Massachusetts General Hospital
Care Transition, Communication
Care Transition Patient Experience Study With Electronic Tool
Patients being admitted to hospital are becoming more complex and they often require a team of health professionals (doctors from different disciplines, nurses, and allied health professionals) working together to meet their…
- Trial name
- NCT03970174
- Testing
- Care Connector care transition module
- Where
- Canada
- Volunteers
- 240 people
- Sponsor
- Trillium Health Partners
LTC-to-hospital Transfer Decision-making
Evaluation of the STEP Intervention for Long-Term Care Residents Facing Hospital Transfer Decisions
This trial will evaluate whether the Supporting Transitions and Empowering Preferences (STEP) toolkit can improve decision-making about hospital transfers in long-term care residents and their substitute decision-makers and…
- Trial name
- STEP (NCT07153341)
- Testing
- STEP Decision Support Toolkit
- Where
- 2 sites in Canada
- Volunteers
- 200 people
- Sponsor
- Bruyère Health Research Institute.
Lung Cancer
The Transitions Project: Efficacy Trial
The aim of this study is to evaluate the efficacy of a brief psychoeducational intervention to improve quality of life in patients with lung cancer who are transitioning from active treatment to surveillance.
- Trial name
- NCT05087251
- Testing
- Five Psycho-educational Session(s), One Psycho-educational Session(s)
- Where
- 2 sites in United States
- Volunteers
- 100 people
- Sponsor
- Massachusetts General Hospital
Medication Reconciliation, Patient Safety
Medication Reconciliation Process in Clinical Practice
This study looks at how reviewing and confirming a patient's medications during a hospital stay can help reduce problems after they go home.
- Conditions
- Medication Reconciliation, Patient Safety, Geriatrics, Hospital Readmission
- Trial name
- NCT07001137
- Where
- France
- Volunteers
- 386 people
- Sponsor
- Centre Hospitalier de Saint-Denis
Substance Use Disorders, Infection, Soft Tissue
Anchoring Sequential Intermittent Long Acting Antimicrobials With Medication for Opioid Use Disorder (MOUD) for Invasive Infections Related to Opioid Use
Standard of care for patients with opioid use disorder and complicated infections is discharge to subacute nursing facilities on IV antibiotics until completion of treatment course.
- Conditions
- Substance Use Disorders, Infection, Soft Tissue, Bacteremia, Osteomyelitis Acute
- Trial name
- AIM-STOP (NCT05521880)
- Testing
- Oritavancin
- Where
- United States
- Volunteers
- 1 people
- Sponsor
- University of Maryland, Baltimore
Diabetes Mellitus Type 2, Social Determinants of Health (SDOH)
Re-Engineered Discharge for Diabetes Care Transitions
The goal of this project is to test a novel bedside SDOH screening intervention coupled with post-discharge navigation for hospitalized patients with a diabetes diagnosis to reduce unmet social needs, compared to usual care.
- Conditions
- Diabetes Mellitus Type 2, Social Determinants of Health (SDOH), Hospital Readmission
- Trial name
- REDDCAT2 (NCT06869057)
- Testing
- REDDCAT2 Post-Discharge Navigation, Treatment as Usual (TAU)
- Where
- United States
- Volunteers
- 412 people
- Sponsor
- University of Massachusetts, Worcester
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
Brain Injuries, Acute, Brain Tumor Adult
PIRe 2.0: A Stepped-Care Model for Involving Relatives Across Sectors
Serious brain diseases and injuries affect not only the person who becomes ill or injured, but also their family. Relatives of people with acquired brain injury (ABI) or malignant brain tumor (MBT) often take on a major role in…
- Conditions
- Brain Injuries, Acute, Brain Tumor Adult, Brain (Nervous System) Cancers, Traumatic Brain Injuries
- Trial name
- PIRe (NCT07590726)
- Testing
- Supportive Care
- Where
- Denmark
- Volunteers
- 160 people
- Sponsor
- Copenhagen University Hospital, Rigshospitalet
Psychotic Disorder
Mobile After-Care Support App: Pilot RCT
The overall aim of this program of research is to refine and test the feasibility and acceptability of a newly developed mobile device-delivered app, called Mobile After-Care Support (MACS), to improve patients' coping and…
- Trial name
- MACS-RCT (NCT03955250)
- Testing
- Mobile After-Care Support (MACS) app, Mobile app attention control
- Where
- United States
- Volunteers
- 42 people
- Sponsor
- Butler Hospital
Heart Failure With Preserved Ejection Fraction
Transitions of Care Clinic (TOCC)
The transition period from hospital to home is a time of heightened risk for patients to experience adverse events, medication errors, and readmission to the hospital.
- Trial name
- NCT06937827
- Testing
- HF Kit and Follow-ups
- Where
- United States
- Volunteers
- 69 people
- Sponsor
- Hackensack Meridian Health
Stroke, Transient Ischemic Attack
Improving Coordination and Transitions of Care in Stroke Patients
This study will examine if the attending nurse model will enhance critical patient-centered elements of care that will in turn improve patient education and shared decision-making, medication adherence, stroke-related health…
- Trial name
- NCT02642744
- Testing
- Nursing care model
- Where
- United States
- Volunteers
- 670 people
- Sponsor
- University of Pennsylvania
Patient Navigation
Empowering Families of Migrant Children and Youth with Special Healthcare Needs
The goal of this randomized controlled trial is to test if a patient navigator program improves healthcare experiences and outcomes for migrant families caring for a child or youth with special healthcare needs (i.e.
- Trial name
- MiNav (NCT06373588)
- Testing
- Patient Navigator
- Where
- 3 sites in Canada
- Volunteers
- 324 people
- Sponsor
- McGill University Health Centre/Research Institute of the McGill University Health Centre
Stroke, Ischemic Stroke
Transitions of Care for Stroke Patients
For stroke patients, early initiation of therapy typically yields the best functional outcomes. Rehabilitation of stroke patients immediately after hospitalization minimizes deleterious effects of immobility and facilitates…
- Conditions
- Stroke, Ischemic Stroke, Intracerebral Hemorrhage
- Trial name
- NCT06011720
- Testing
- Improved transition of care.
- Where
- United States
- Volunteers
- 3,000 people
- Sponsor
- Deviyani Mehta, MD
Care Transitions
Testing the Efficacy of a Post-discharge Call Program on the Rate of Readmission
NYU Langone Health patients receive a call from a clinical care coordinator after they are discharged from the hospital (within 1-3 days). The current study is testing the efficacy of this program.
- Trial name
- NCT03683797
- Testing
- Post-discharge call
- Where
- United States
- Volunteers
- 3,267 people
- Sponsor
- NYU Langone Health
Type II Diabetes, Cardiovascular Disease
Intensive Discharge Intervention in Diabetes
The goal of this study is to design and implement an intensive discharge intervention for inpatients with type 2 diabetes and cardiovascular disease, and determine the effects of the intervention on post-discharge insulin…
- Trial name
- IDID (NCT02122926)
- Testing
- Intensive discharge intervention
- Where
- United States
- Volunteers
- 180 people
- Sponsor
- Brigham and Women's Hospital
Acute Kidney Injury
Enhanced Kidney Follow-up for AKI Survivors in Care Transitions
The purpose of this study is to assess the ability of education and outpatient kidney care follow-up in order to improve patient knowledge about acute kidney injury (AKI).
- Trial name
- NCT04505891
- Testing
- Education, Education and follow-up
- Where
- United States
- Volunteers
- 49 people
- Sponsor
- Mayo Clinic
Medication Adherence
Electronic Medication Adherence Reporting and Feedback During Care Transitions
Patients often have problems with their medications after leaving the hospital and going back home. The goals of this study are to provide a special electronic pill-box with pre-filled weekly medication trays that can alert…
- Trial name
- NCT03475030
- Testing
- pre-filled medication trays, automated medication reminders
- Where
- United States
- Volunteers
- 207 people
- Sponsor
- Brigham and Women's Hospital