Status:
COMPLETED
Connect-Home Clinical Trial
Lead Sponsor:
University of North Carolina, Chapel Hill
Collaborating Sponsors:
National Institute of Nursing Research (NINR)
Conditions:
Transitional Care
Caregivers
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This study will test whether transitional care targeting care needs of seriously ill, skilled nursing facility (SNF) patients and their caregivers will help to improve SNF patient outcomes (preparedne...
Detailed Description
Prior research has not established an evidence-based model of transitional care for seriously ill SNF patients (and their caregivers) who transfer from SNF to home-based care. Connect-Home, the interv...
Eligibility Criteria
Inclusion
- Inclusion Criteria for patients:
- English-speaking
- Have a Minimum Data Set 3.0 Section GG Mobility Assessment Score of 3 or less, indicating the patient requires at least 25-50% assistance for functional mobility
- Be diagnosed with at least 1 serious medical illness (neurodegenerative dementia, cancer, chronic kidney disease, cirrhosis, congestive heart failure, chronic obstructive or interstitial lung disease, acute infection with sepsis, acute major motor stroke, acute coronary syndrome, acute hip fracture, diabetes with end organ complications, or intensive care for \>3 days while hospitalized)
- Having a caregiver who can be enrolled in the study
- For patients with cognitive impairment additional criteria include documentation in the medical record of a caregiver who is the patient's legally authorized representative; and consent of the caregiver to participate in the study as the patient's representative.
- Inclusion Criteria for Caregivers:
- English-speaking
- Self-reports assisting the patient at home.
- Exclusion Criteria for Patients:
- Planned hospital readmission for procedures/treatments in next 90 days.
- There are no exclusion criteria for Caregivers.
Exclusion
Key Trial Info
Start Date :
March 1 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 12 2021
Estimated Enrollment :
654 Patients enrolled
Trial Details
Trial ID
NCT03810534
Start Date
March 1 2019
End Date
September 12 2021
Last Update
August 23 2022
Active Locations (1)
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1
UNC-Chapel Hill
Chapel Hill, North Carolina, United States, 27599