Cardiovascular Diseases Clinical Trial
Official title:
A RCT to Reduce Cardiopulmonary Rehospitalization
This study will use a comprehensive hospital discharge toolkit to implement up-to-date guidelines for cardiopulmonary diseases. The study will also include a computer-based patient-education program and a telephone-based post-discharge program, both designed for individuals with limited health literacy. The purpose of this study is to reduce early hospital readmission.
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
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