Clinical trials: Care Transitions
Heart Failure, Congestive Heart Failure
Care Transitions App for Patients With Multiple Chronic Conditions
The objective of this study is to widely implement and evaluate the Care Transitions App in a randomized controlled trial. The app the investigators designed for patients with multiple chronic conditions has four envisioned…
- Conditions
- Heart Failure, Congestive Heart Failure, Diabetes, Diabetes Mellitus
- Trial name
- NCT06051058
- Testing
- Care Transitions App
- Where
- United States
- Volunteers
- 798 people, healthy volunteers welcome
- Sponsor
- Brigham and Women's Hospital
Cerebral Palsy
Respiratory Exacerbation Plans for Action and Care Transitions for Children With Severe CP
This study will pilot test a just-in-time (JIT) adaptive intervention to reduce severe respiratory illness, for children with severe cerebral palsy (CP).
- Trial name
- RE-PACT (NCT05292365)
- Testing
- RE-PACT Intervention
- Where
- 2 sites in United States
- Volunteers
- 60 people
- Sponsor
- University of Wisconsin, Madison
Acute Kidney Injury
UPTAKE - Virtual Care: Virtual Home Hospital With Remote Monitoring to Reduce Acute Care Hospitalization
Method: Randomized Controlled Trial Study Duration: 3 Years Study Centre(s) University of Calgary and University of Alberta Objectives: To fill care gaps by implementing strategies to reduce length of hospital stay, readmission…
- Trial name
- UPTAKE-VC (NCT06537453)
- Testing
- Virtual Care
- Where
- 2 sites in Canada
- Volunteers
- 354 people
- Sponsor
- University of Calgary
Pediatric Hospitalization
Pediatric Ward Discharge Quality Improvement
This study will utilize an iterative quality improvement process to identify and address delays in the pediatric hospital discharge process.
- Trial name
- NCT03153722
- Testing
- Pediatric discharge process interventions
- Where
- United States
- Volunteers
- 5,478 people
- Sponsor
- University of California, Davis
Acute Kidney Injury
UPTAKE: Using Personalized Risk and Digital Tools to Guide Transitions Following Acute Kidney Events
Nearly one in ten people who are hospitalized in Canada develop a complication with sudden loss of kidney function, called acute kidney injury (AKI).
- Trial name
- UPTAKE-1 (NCT05806645)
- Testing
- Risk-guided transition of care intervention delivered through an integrated digital health strategy
- Where
- 2 sites in Canada
- Volunteers
- 6,046 people
- Sponsor
- University of Alberta
Opioid Use Disorder
Pilot of Mailing Buprenorphine
This pilot study evaluates the feasibility, acceptability, and preliminary effectiveness of mailing buprenorphine to individuals with opioid use disorder (OUD) following medical hospitalization.
- Trial name
- NCT07421102
- Testing
- strategy of mailing buprenorphine
- Where
- 2 sites in United States
- Volunteers
- 20 people
- Sponsor
- Medical University of South Carolina
Acute Disease
Improving Safety of Transitions to Skilled Nursing Care Using Videoconferencing
This prospective cohort study seeks to determine if the ECHO-CT program, a healthcare videoconferencing program, can improve clinical outcomes while reducing cost and resource utilization when expanded to a community hospital…
- Trial name
- ECHO-CT (NCT03832257)
- Testing
- ECHO CT Intervention, Matched Non-Participating Facilities
- Where
- United States
- Volunteers
- 10,708 people
- Sponsor
- Beth Israel Deaconess Medical Center
Osteoporosis, Lower Limb Fracture
OsteoPorotic fracTure preventION System (OPTIONS) Research Study
Osteoporosis is a disease that weakens bones so the bones may break easily. The risk for osteoporosis increases with age in both women and men. Osteoporosis affects 10 million older adults in the US.
- Trial name
- OPTIONS (NCT06731608)
- Testing
- OPTIONS, Enhanced usual care
- Where
- 2 sites in United States
- Volunteers
- 1,344 people
- Sponsor
- Brigham and Women's Hospital
Health Care Transition, Care Coordination
Improving Health Care Transition for Youth With Special Needs
Special opportunities exist in vulnerable populations with chronic conditions to better understand what life course factors can facilitate attainment of optimal health and development.
- Trial name
- NCT03312621
- Testing
- Health Care Transition Care Coordination
- Volunteers
- 209 people
- Sponsor
- Lisa Tuchman
Hospital Inpatients
An Electronic Multimedia Discharge Application
The purpose of this study is to determine whether the addition of a mobile or web based multimedia discharge application (eDischarge) to the discharge process is effective in improving patient experience, engagement, and clinical…
- Trial name
- NCT02752321
- Testing
- eDischarge
- Where
- United States
- Volunteers
- 117 people
- Sponsor
- Northwell Health
Anorectal Malformations, Transition
Transition of Care for Patients With Hirschsprung Disease and Anorectal Malformations
Transition from paediatric to adult health care is crucial for preventing deterioration of chronic diseases. At present, transitional care (TC) is not established for patients with the Hirschsprung disease (H) and Anorectal…
- Conditions
- Anorectal Malformations, Transition, Quality of Life, Hirschsprung Disease
- Trial name
- NOHARM (NCT04106947)
- Testing
- Questionnaires
- Where
- Norway
- Volunteers
- 1,000 people
- Sponsor
- Oslo University Hospital
Patient Safety, Adverse Drug Event
Partnering With Patients for Improving Medication Safety During Transitions of Care: Implications for Work System Design
This project is to develop, implement, pilot evaluate, and disseminate a medication safety program (HomeTeam) that consolidates strategies to help patients by partnering with patients and their informal caregivers during…
- Trial name
- NCT03544034
- Testing
- HomeTeam Toolkit
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- Johns Hopkins University
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
Care Transitions, Dementia
CAPABLE Transitions: A Home Health-Based Intervention for the Hospital or Post-Acute Care Facility-to-Home Transition
This clinical study is designed to test the feasibility of a new intervention, CAPABLE Transitions. CAPABLE Transitions is based on the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) intervention designed…
- Trial name
- NCT04460742
- Testing
- CAPABLE Transitions, Home Health Agency Care
- Where
- United States
- Volunteers
- 31 people
- Sponsor
- University of Rochester
Acute Kidney Injury
A Study of Acute Kidney Injury in Care Transitions
This research is being done to develop materials and processes that will help facilitate education and kidney care coordination for AKI survivors.
- Trial name
- NCT05184894
- Testing
- AKI in Care Transitions (ACT) program
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- Mayo Clinic
Stroke
Adaptive Dance Activities for People With Stroke
The project will investigate the effects of a novel 12-week Movement Improvisation Skill-building and Adaptive Dance Intervention (MDI) on participation, balance, mobility, balance confidence, psychological well-being, and…
- Trial name
- MDI (NCT07591272)
- Testing
- Movement Improvisation Skill-building and Adaptive Dance Intervention
- Where
- Hong Kong
- Volunteers
- 160 people
- Sponsor
- Chinese University of Hong Kong
Colorectal Surgery, Care Transition
Optimizing Care Transition Process for Older Colorectal Surgery Patients
The goal of this study to test if a care transition intervention designed for older colorectal surgery patients would improve outcomes after discharge. It will assess the feasibility of the intervention.
- Conditions
- Colorectal Surgery, Care Transition, Older Adults (65 Years and Older)
- Trial name
- NCT06752031
- Testing
- OSCAR-S Care Transition Model
- Where
- United States
- Volunteers
- 30 people
- Sponsor
- Massachusetts General Hospital
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
Inflammatory Bowel Disease, Crohn Disease
Improving OutcoMes in the Pediatric to Adult Care Transition in Inflammatory Bowel Disease
The transition from pediatric to adult IBD care can be stressful and wrought with challenges including access to care and establishment of new physician-patient relationships.
- Conditions
- Inflammatory Bowel Disease, Crohn Disease, Colitis, Ulcerative
- Trial name
- IMPACT-IBD (NCT02085083)
- Testing
- Telephone and email correspondence with an Inflammatory Bowel Disease Nurse, Minimal Intervention Arm
- Where
- 3 sites in Canada
- Volunteers
- 150 people
- Sponsor
- Mount Sinai Hospital, Canada
Transitions of Care, General Medicine
PREventing Adverse Events Post-Discharge Through Proactive Identification, Multidisciplinary Communication, and Technology
The goal of this study is to expand the use of previously developed patient safety dashboards and patient-centered discharge checklists to three general medicine units in an affiliated community hospital.
- Conditions
- Transitions of Care, General Medicine, Discharge Checklist, Adverse Event
- Trial name
- PREDICT (NCT05232656)
- Testing
- Pre-Discharge Checklist and Patient Safety Dashboard
- Where
- United States
- Volunteers
- 268 people, healthy volunteers welcome
- Sponsor
- Brigham and Women's Hospital