Clinical trials: Transitions of Care
Stroke
The Missing Link- Development and Feasibility Evaluation of Person-centred Transitions From the Stroke Unit to the Home
The aim is to design, implement and evaluate new person-centred transitions between stroke units and the home. The development of person-centred transition will be performed together by people with stroke, significant others…
- Trial name
- Missing Link (NCT02925871)
- Testing
- Co-designed person-centred care transitions, Current care transitions
- Where
- 2 sites in Sweden
- Volunteers
- 49 people
- Sponsor
- Karolinska Institutet
HIV/AIDS
DHFS for Medication Adherence Support During Hospital Admissions for Person Living With HIV
This study is a prospective single arm open label intervention study over 16 weeks using the DHFS and a telemedicine platform with persons living with HIV who are not virologically suppressed, admitted to UCSD Hillcrest Medical…
- Trial name
- NCT04418037
- Testing
- Digital Health Feedback System(DHFS)
- Where
- United States
- Volunteers
- 16 people
- Sponsor
- University of California, San Diego
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
Adverse Outcomes
Using Health Information Technology (HIT) to Improve Transitions of Complex Elderly Patients From Skilled Nursing Facility (SNF) to Home
The incidence of drug-induced injury is high in the ambulatory geriatric population, especially for elders with complex healthcare needs during high risk transitions to the ambulatory setting.
- Trial name
- RAMPAGEII (NCT01004328)
- Testing
- Intervention 1: Electronic medical record (EMR)-based transitional care intervention
- Where
- United States
- Volunteers
- 626 people, healthy volunteers welcome
- Sponsor
- University of Massachusetts, Worcester
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
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
Hospital Readmission
Aiming to Improve Readmissions Through InteGrated Hospital Transitions
The purpose of this study is to better enhance transitions of care for the highest risk, complex patients, Carolinas HealthCare System (CHS) has designed an Integrated Practice Unit, called Transition Services (CHS-TS).CHS-TS…
- Trial name
- AIRTIGHT (NCT02763202)
- Testing
- CHS Transition Services
- Where
- United States
- Volunteers
- 1,876 people
- Sponsor
- Wake Forest University Health Sciences
Chronic Kidney Disease
Healthy Transitions in Late Stage Kidney Disease
Improve health and outcome for people with late stage chronic kidney disease by providing patient centered nursing services in addition to a Nephrologist's routine patient care.
- Trial name
- NCT02085837
- Testing
- Education, Daily weight measurement and monitoring, Universal Dietary education
- Where
- United States
- Volunteers
- 130 people
- Sponsor
- Northwell Health
Sickle Cell Disease
LCI-HEM-SCD-ST3P-UP-001: The Sickle Cell Trevor Thompson Transition Project (ST3P-UP Study)
This multi-center study will compare the effectiveness of adding virtual peer mentoring (PM) to a structured education-based (STE) transition program for emerging adults with sickle cell disease to determine its effect on…
- Trial name
- ST3P-UP (NCT03593395)
- Testing
- Peer Mentoring [PM], Structured Education Based Transition Program STE
- Where
- 14 sites in United States
- Volunteers
- 291 people
- Sponsor
- Wake Forest University Health Sciences
Stroke
Transitions of Care Stroke Disparity Study (TCSD-S)
The TCSD Study will identify disparities in transitions of stroke care and key factors associated with effective transitions of care through structured telephone interviews to evaluate medication adherence, healthy lifestyle…
- Trial name
- TCSD-S (NCT03452813)
- Where
- 2 sites in United States
- Volunteers
- 1,549 people
- Sponsor
- University of Miami
Clinical Sepsis
Improving Morbidity During Post-Acute Care Transitions for Sepsis
The purpose of this study is to improve transitions of care for the highest risk, complex patients with suspected sepsis. Atrium Health has developed a nurse-navigator facilitated care transition strategy, called the Sepsis…
- Trial name
- IMPACTS (NCT03865602)
- Testing
- Sepsis Transition And Recovery (STAR), Usual care
- Where
- United States
- Volunteers
- 712 people
- Sponsor
- Wake Forest University Health Sciences
Advanced HIV Disease
Advanced HIV Re-engagement in Care
Adults who are hospitalized in Lusaka, Zambia, and found to have advanced HIV disease will be enrolled and randomly assigned to receive the ARC intervention or standard of care.
- Trial name
- ARC (NCT07720128)
- Testing
- ARC
- Where
- Zambia
- Volunteers
- 724 people
- Sponsor
- University of Alabama at Birmingham
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
Sepsis, Sepsis and Septic Shock
Written Sepsis Education for Patients
This pilot feasibility randomized controlled trial (RCT) aims to determine if it feasible to recruit, deliver, and evaluate a written discharge educational material (a brochure) to adult Intensive Care Unit (ICU) patients…
- Conditions
- Sepsis, Sepsis and Septic Shock, Sepsis at Intensive Care Unit
- Trial name
- NCT07415096
- Testing
- Written Discharge Education, Usual Care
- Volunteers
- 30 people
- Sponsor
- McMaster University
Type 2 Diabetes
Transitioning Recently Admitted Patients With Non-Insulin and Insulin-treated Type 2 Diabetes to Innovative Glucose Monitoring
The TRANSITION-CGM trial will evaluate whether starting continuous glucose monitoring (CGM) before hospital discharge improves blood glucose control in adults with type 2 diabetes compared with usual care using finger-stick blood…
- Trial name
- TRANSITION-CGM (NCT07890818)
- Testing
- Continuous glucose monitor
- Where
- United States
- Volunteers
- 218 people
- Sponsor
- University of Cincinnati
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
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
Caregiver Stress
iCare4Me Transitions
The goal of this randomized controlled trial is to examine the effect of a virtual face-to-face health coach intervention to improve self-care among caregivers of hospitalized older adults during care transitions compared to…
- Trial name
- iCare4Me T (NCT06167746)
- Testing
- Digital Health Information (DHI), Virtual Health Coach for You
- Where
- 3 sites in United States
- Volunteers
- 314 people
- Sponsor
- University of Pennsylvania
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.
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