Educational and Supportive Interventions to Prevent Cardiopulmonary Rehospitalization
A RCT to Reduce Cardiopulmonary Rehospitalization
調査の概要
詳細な説明
BACKGROUND:
Limited health literacy is prevalent in America and has been identified as a cross-cutting priority area for transforming health care quality. This study will explore the effect of innovative patient-education and self-management systems on early rehospitalization for patients admitted to a general medical service.
DESIGN NARRATIVE:
This is a two-armed randomized study of patients with chronic cardiopulmonary diseases in three levels of health literacy. Patients will be tested with the 66 word version of the Rapid Estimate of Adult Literacy in Medicine (REALM) test to allow us to analyze the data according to literacy categories ( 6th grade, 7th-8th grade, and 9th grade). Patients will be randomized to one of the following groups: 1) standard discharge (control group); 2) a experimental group receiving both the case management intervention plus educational and self-management support by Embodied Conversational Agents (ECAs) and post-discharge reinforcement of the discharge plan using a computerized telephone system
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Massachusetts
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Boston、Massachusetts、アメリカ、02118
- Boston Medical Center
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Admitted to the general medical service at Boston Medical Center (BMC)
- Desires to be hospitalized in the future if there is a clinical need
- Able to communicate in English with health providers
Exclusion Criteria:
- Transferred from an outside hospital or a specialty services at BMC (e.g., orthopedic surgery, obstetrics and gynecology, otolaryngology, general surgery, or psychiatry)
- Requires hospice, nursing home, or other institutional settings
- Vision that is inadequate to discern the computer-based education and self-management support system
- Hearing that is inadequate to use a telephone
- Unable to independently consent
- Scheduled admission (e.g. for surgery)
- Has sickle cell disease
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
介入なし：1
Usual Care, defined as the usual hospital discharge process as delivered by nurses and doctors.
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実験的：2
Use of animated computerized character to prepare subjects for discharge by reviewing information provided to subjects in a printed After Hospital Care Plan packet, followed by telephone system to reinforce the discharge.
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Animated character will teach the discharge plan before discharge, then this teaching will be reinforced by computerized telephone system.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
|
Rehospitalization
時間枠：Measured at 30 days
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Measured at 30 days
|
二次結果の測定
結果測定 |
時間枠 |
|---|---|
|
Subject satisfaction with intervention and hospital experience
時間枠：Measured at discharge and 30 days
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Measured at discharge and 30 days
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|
Subject readiness for discharge
時間枠：Measured at 30 days
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Measured at 30 days
|
協力者と研究者
スポンサー
捜査官
- 主任研究者：Brian Jack, MD、Boston Medical Center
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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