Educational and Supportive Interventions to Prevent Cardiopulmonary Rehospitalization
A RCT to Reduce Cardiopulmonary Rehospitalization
研究概览
详细说明
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
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
-
-
Massachusetts
-
Boston、Massachusetts、美国、02118
- Boston Medical Center
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
无干预：1
Usual Care, defined as the usual hospital discharge process as delivered by nurses and doctors.
|
|
|
实验性的：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.
|
Animated character will teach the discharge plan before discharge, then this teaching will be reinforced by computerized telephone system.
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Rehospitalization
大体时间：Measured at 30 days
|
Measured at 30 days
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
Subject satisfaction with intervention and hospital experience
大体时间：Measured at discharge and 30 days
|
Measured at discharge and 30 days
|
|
Subject readiness for discharge
大体时间：Measured at 30 days
|
Measured at 30 days
|
合作者和调查者
调查人员
- 首席研究员：Brian Jack, MD、Boston Medical Center
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.