Adapted Hospital Discharge Intervention: the CONNECT Pilot
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Additional post discharge phone call.
- Who it may be relevant to
- Registry conditions: Communication Research. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Communication Outreach for Navigation and Needs-based Care Transitions (CONNECT): A Pilot Randomized Controlled Trial
Overview
Hospital discharge is a dangerous time for patients: one in five will suffer an adverse event, such as a medication error, and nearly 25% will be readmitted within 30 days. This time is even more dangerous for patients with who face communication barriers, including those with non-English language preference (NELP), low health literacy, and the elderly. The investigators will pilot a post-discharge educational intervention to reinforce written discharge instructions (known as the After Visit Summary or AVS) using a randomized controlled trial design (2:1 intervention: control). The control group will receive current standard of care discharge education which includes a nurse reviewing their AVS and an automated call in English that allows patients to numerically select types of problems/questions that are then escalated to a nurse who should return their call within a few days. The intervention group will receive the standard of care discharge education with the AVS and an additional post-discharge educational call delivered by a registered nurse or other qualified health professional with the option to have written instructions professionally translated and sent via MyChart message--if available in their preferred language.
Interventions
- Other Additional post discharge phone call
24-72 hours after hospital discharge, a nurse will call participants to review the written After Visit Summary (AVS) given at discharge, including primary diagnosis, self-care instructions, emergency plan, medication changes, how and why to take medication, and scheduled follow up. These phone calls will take on average 10-15 minutes.
Primary outcome measures
- Retention success by linguistic group [Time frame: 12 months]
- Fidelity to the intervention [Time frame: 12 months]
Secondary outcome measures (3)
- Acceptability of the intervention [Time frame: 12 months]
- Feasibility of the intervention [Time frame: 12 months]
- Patient Understanding of Discharge Instruction (UDI) Scale [Time frame: 12 months]
Eligibility criteria
Inclusion criteria
- Registered language in Epic (written or spoken) is Spanish, Haitian Creole, Portuguese, Cape Verdean, or Vietnamese
- Admitted to medicine team at Boston Medical Center (BMC)
- Being discharged home (to the community)
Exclusion criteria
- On airborne infections precautions at time of recruitment
- On C diff precautions at time of recruitment
- On suicide precautions at time of recruitment
- Nurse report of participant displaying cognitive impairment, ongoing delirium, or aggression
- Discharge observed during a prior admission
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- Boston Medical Center — Boston
Identifiers
NCT: NCT07032818 · H-45822 · K23MD019068-01