Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07032818

Communication Outreach for Navigation and Needs-based Care Transitions (CONNECT): A Pilot Randomized Controlled Trial

Led by Boston Medical Center · Updated on 2026-01-20

60

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

B

Boston Medical Center

Lead Sponsor

N

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Hospital discharge can be a risky time for patients, with one in five experiencing issues like medication errors and nearly 25% being readmitted within 30 days. The risk is higher for patients who face communication challenges, including those who prefer a non-English language, have low health literacy, or are elderly. This trial aims to study a post-discharge educational intervention to improve understanding and reduce risks after leaving the hospital using a randomized controlled design. Participants will be randomly assigned in a 2:1 ratio to either the intervention group or the control group. The control group receives the usual discharge education, which includes a nurse reviewing the After Visit Summary (AVS) and an automated English call to address concerns. The intervention group receives all standard care plus an additional educational phone call from a nurse or qualified health professional within 24 to 72 hours after discharge. This call reviews the AVS, including diagnosis, self-care, medication details, and follow-up, lasting about 10 to 15 minutes, with an option for translated written instructions via MyChart if available. During the study, participants will be monitored over 12 months to assess how well the intervention is followed and retained across different language groups. Researchers will evaluate the acceptability and feasibility of the intervention along with participants' understanding of discharge instructions using a specific scale. This study does not involve any blinding, and participants are patients discharged from the medicine team at Boston Medical Center to their home community.

CONDITIONS

Brief Title

Adapted Hospital Discharge Intervention: the CONNECT Pilot

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Registered language in Epic (written or spoken) is Spanish, Haitian Creole, Portuguese, Cape Verdean, or Vietnamese
  • Admitted to medicine team at Boston Medical Center (BMC)
  • Being discharged home (to the community)
Not Eligible

You will not qualify if you...

  • On airborne infections precautions at time of recruitment
  • On C diff precautions at time of recruitment
  • On suicide precautions at time of recruitment
  • Nurse report of participant displaying cognitive impairment, ongoing delirium, or aggression
  • Discharge observed during a prior admission

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - From hospital discharge through approximately 3 days post-discharge

Participants receive hospital discharge education. Those in the intervention group receive an additional educational phone call 24-72 hours after discharge to review discharge instructions and follow-up plans.

1 additional phone call between 24 and 72 hours after discharge

Trial Site Locations

Total: 1 location

1

Boston Medical Center

Boston, Massachusetts, United States, 02118

Actively Recruiting

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Research Team

K

Kirsten Austad, MD MPH

K

Khushbu Patel, MA

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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