Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT05282654

Real-time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions

Led by Brigham and Women's Hospital · Updated on 2026-04-20

1300

Participants Needed

2

Research Sites

245 weeks

Total Duration

On this page

Sponsors

B

Brigham and Women's Hospital

Lead Sponsor

R

RAND

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study aims to predict and minimize post-discharge adverse events (AEs) during care transitions through early identification and escalation of patient-reported symptoms to inpatient and ambulatory clinicians by way of predictive algorithms and clinically integrated digital health apps. We will (1) develop and prospectively validate a predictive model of post-discharge AEs for patients with multiple chronic conditions (MCC); (2) combine, adapt, extend, and iteratively refine our EHR-integrated digital health infrastructure in a series of design sessions with patient and clinician participants; (3) conduct a RCT to evaluate the impact of ePRO monitoring on post-discharge AEs for MCC patients discharged from the general medicine service across Brigham Health; and (4) use mixed methods to evaluate barriers and facilitators of implementation and use as we develop a plan for sustainability, scale, and dissemination.

CONDITIONS

Official Title

Real-time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 18 years or older
  • Hospitalized on the general medicine services at Brigham and Women's Hospital or Brigham and Women's Faulkner Hospital for at least 24 hours
  • Planned discharge to home, home with services, or a care facility
  • English-speaking patients or those with an English-speaking legally designated healthcare proxy or family caregiver
  • Non-English-speaking patients with an English-speaking legally designated healthcare proxy or family caregiver
  • Having two or more chronic conditions such as anxiety, asthma, arthritis (osteoarthritis or rheumatoid), atrial fibrillation, cancer, stroke, chronic kidney disease, COPD, cirrhosis, coronary artery or ischemic heart disease, dementia, depression, diabetes mellitus, end-stage renal disease, heart failure, hepatitis B or C, HIV/AIDS, hyperlipidemia, hypertension, inflammatory bowel disease, osteoporosis, sickle cell disease, or substance abuse (alcohol or opioid)
Not Eligible

You will not qualify if you...

  • Under 18 years of age
  • Having fewer than two chronic conditions
  • Hospitalized for less than 24 hours
  • No identifiable legally designated healthcare proxy or family caregiver

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Brigham and Women's Faulkner Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

2

Brigham and Women's Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

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Research Team

A

Anuj Dalal, MD

CONTACT

S

Savanna Plombon, MPH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

3

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