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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00244491
Other study ID # 00-1036
Secondary ID
Status Completed
Phase N/A
First received October 24, 2005
Last updated August 10, 2015
Start date September 2002
Est. completion date August 2003

Study information

Verified date August 2015
Source University of Colorado, Denver
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

This intervention tests whether encouraging older patients and their caregivers to assert a more active role in their care transitions could improve clinical outcomes. Patients are supported by a nurse transition coach and specific tools, including a Personal Health Record.


Description:

See above.


Recruitment information / eligibility

Status Completed
Enrollment 1400
Est. completion date August 2003
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 65 Years and older
Eligibility Inclusion Criteria:

- To be eligible for this study, patients from the participating delivery system had to: 1) be age 65 years or older, 2) be admitted to one of the participating delivery system's contract hospitals during the study period for a non-psychiatrically-related condition, 3) be community-dwelling (i.e., not from a long-term care facility), 4) reside within a predefined geographic radius of the hospital (thereby making a home visit feasible), 5) have a working telephone, 6) be English-speaking, 7) show no documentation of dementia in the medical record, 8) have no plans to enter hospice, 9) not be participating in another research protocol, and 10) have documented in their medical record at least one of 11 diagnoses, including stroke, congestive heart failure, coronary artery disease, cardiac arrhythmias, chronic obstructive pulmonary disease, diabetes, spinal stenosis, hip fracture, peripheral vascular disease, deep venous thrombosis, or pulmonary embolism.

Exclusion Criteria:

- Those who did not meet the inclusion criteria.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label


Related Conditions & MeSH terms


Intervention

Behavioral:
Care Transitions Intervention


Locations

Country Name City State
United States University of Colorado Health Sciences Center Denver Colorado

Sponsors (2)

Lead Sponsor Collaborator
University of Colorado, Denver The John A. Hartford Foundation

Country where clinical trial is conducted

United States, 

References & Publications (1)

Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006 Sep 25;166(17):1822-8. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Rehospitalization rate at 30, 90 and 180 days after index hospitalization.
Secondary Rehospitalization rate at 30, 90 and 180 days after index hospitalization. Rehospitalization for the same condition as the index hospital stay, at 30, 90 and 180 days.
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