Actively Recruiting
Hospital-to-Home Transitional Care Interventions (H2H-TCI) Children/Youth With Special Health Care Needs (CYSHCN)
Led by Duke University · Updated on 2025-09-11
480
Participants Needed
2
Research Sites
179 weeks
Total Duration
On this page
Sponsors
D
Duke University
Lead Sponsor
P
Patient-Centered Outcomes Research Institute
Collaborating Sponsor
AI-Summary
What this Trial Is About
Aim 1: Compare the effectiveness of focused dose vs extended dose hospital-to-home Transitional Care Interventions (H2H-TCI) on health service use and parent-reported confidence for hospitalized CYSHCN. Aim 2: Compare the effectiveness of focused and extended dose H2H-TCI among vulnerable CYSHCN subgroups. Hypothesis: Both H2H-TCI arms will improve primary outcomes more for CYSHCN with higher versus lower clinical complexity; while extended H2H-TCI will better mitigate racial/ethnic outcome disparities than focused H2H-TCI. Aim 3: Evaluate implementation context, processes, and mechanisms via a multi-phase mixed methods study design.
CONDITIONS
Official Title
Hospital-to-Home Transitional Care Interventions (H2H-TCI) Children/Youth With Special Health Care Needs (CYSHCN)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Child is a child or youth with special health care needs who has seen two or more distinct specialty areas for outpatient visits in the past 12 months
- Child is under 18 years old
- Child is hospitalized on a general pediatrics inpatient service at a participating site
- Adult parent or caregiver of the child is 18 years or older
You will not qualify if you...
- Child will be discharged to a location other than home (e.g., long-term care, residential facility, skilled nursing, rehabilitation, psychiatric facility)
- Child is a ward of the state or has an ongoing social services investigation
- Child is already receiving transitional care or intensive longitudinal care coordination programs as part of bundled alternative payment care models
- Parent or caregiver is under 18 years old
- Parent or caregiver has diminished capacity to provide consent or participate
- Parent or caregiver's primary language is not English or Spanish
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 2 locations
1
UNC Hospitals
Chapel Hill, North Carolina, United States, 27514
Actively Recruiting
2
DUHS
Durham, North Carolina, United States, 27701
Actively Recruiting
Research Team
J
Jennifer Thomas, MPH
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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