Status:

RECRUITING

Care Transitions App for Patients With Multiple Chronic Conditions

Lead Sponsor:

Brigham and Women's Hospital

Collaborating Sponsors:

Agency for Healthcare Research and Quality (AHRQ)

Conditions:

Heart Failure

Congestive Heart Failure

Eligibility:

All Genders

55+ years

Phase:

NA

Brief Summary

The objective of this study is to widely implement and evaluate the Care Transitions App in a randomized controlled trial. The app the investigators designed for patients with multiple chronic conditi...

Detailed Description

Care transitions are a vulnerable period for patients, leading to a 20% rate of readmissions, 11% rate of post-discharge adverse drug events, 15% rate of falls, and 29% rate of total post-discharge ad...

Eligibility Criteria

Inclusion

  • Adult patients (55+) with a Brigham PCP or appointment in one of the 15 locations discharging from a BWH general medicine unit
  • Discharging to home, home health care service or assisted living
  • Fluent in spoken English in patient or healthcare proxy
  • Patients with at least one of the conditions listed below + one additional chronic condition on the problem list.
  • Patient with heart failure on the problem list
  • Patient with type 2 diabetes on the problem list
  • Patient with chronic kidney disease on the problem list

Exclusion

  • Adult patients (55+) with Westwood, Pembroke, or Transition Clinic PCP admitted to ICU, OBGYN, Surgical, Cardiology, Oncology, Orthopedics, or other Specialty Unit
  • Pregnant
  • Prisoner, institutionalized individual or in police custody
  • Discharge planned within 3 hours of screening
  • Patient too ill to participate or with active psychosis/serious mental illness, delirium, or severe dementia
  • Not fluent in spoken English in patient and health proxy
  • Unlikely to be discharged to home
  • Lacks a device capable of accessing the app
  • Lack of a working telephone for 30-day follow-up

Key Trial Info

Start Date :

October 8 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

798 Patients enrolled

Trial Details

Trial ID

NCT06051058

Start Date

October 8 2024

End Date

December 1 2026

Last Update

November 13 2025

Active Locations (1)

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1

Brigham and Women's Hospital

Boston, Massachusetts, United States, 02120