Adapted Hospital Discharge Intervention: the CONNECT Pilot

Официальное название

Communication Outreach for Navigation and Needs-based Care Transitions (CONNECT): A Pilot Randomized Controlled Trial

Обзор

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.

Вмешательства

• Другое 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.

Первичные конечные точки

• Retention success by linguistic group [Срок оценки: 12 months]
• Fidelity to the intervention [Срок оценки: 12 months]

Вторичные конечные точки (3)

• Acceptability of the intervention [Срок оценки: 12 months]
• Feasibility of the intervention [Срок оценки: 12 months]
• Patient Understanding of Discharge Instruction (UDI) Scale [Срок оценки: 12 months]

Критерии участия

Критерии включения

• 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)

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

США · 1 центр

• Boston Medical Center — Boston

Идентификаторы

NCT: NCT07032818 · H-45822 · K23MD019068-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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