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Improving the Hospital-to-Home Transition Through Post-Discharge Virtual Visits in Primary Care

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04236583
Recruitment Status : Not yet recruiting
First Posted : January 22, 2020
Last Update Posted : January 22, 2020
Sponsor:
Information provided by (Responsible Party):
Weill Medical College of Cornell University

Brief Summary:
The purpose of this study is to test a new process for having a virtual visit with a primary care doctor after discharge from the hospital, instead of an in-person visit.

Condition or disease Intervention/treatment Phase
Telehealth Other: Telehealth Not Applicable

Detailed Description:
The goal of this project is to fully develop the protocol for identifying patients who would benefit from a virtual visit and develop the protocol for implementing the virtual visit. The value of this project is that the results will provide ample preliminary data for a future randomized controlled trial to determine the effectiveness of the intervention. This project will have an intervention group only. The hypothesis is that the intervention can be implemented in a way that is feasible and acceptable to providers and patients.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 25 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Improving the Hospital-to-Home Transition Through Post-Discharge Virtual Visits in Primary Care
Estimated Study Start Date : February 2020
Estimated Primary Completion Date : December 2021
Estimated Study Completion Date : December 2021

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Telehealth
Eligible patients will be given the option to consent to having one virtual visit with their primary care physician within four weeks after discharge from the hospital. Usual follow-up care will occur during this visit.
Other: Telehealth
Post-discharge virtual visit
Other Name: Video Visits




Primary Outcome Measures :
  1. Proportion of patients meeting inclusion criteria over the study period out of all patients being discharged over the same time period [ Time Frame: 6 months post-intervention ]
  2. Proportion of patients who consent to participate out of all those found to be eligible [ Time Frame: 6 months post-intervention ]
  3. Proportion of patients who successfully schedule video visits out of all of those who consent [ Time Frame: 6 months post-intervention ]
  4. Proportion of patients who successfully complete video visit out of all of those who scheduled [ Time Frame: 6 months post-intervention ]

Secondary Outcome Measures :
  1. Patient satisfaction with the video visit [ Time Frame: Within one month post-intervention ]
    Based on a previously validated instrument (Parmanto et. al, Int J Telerehab 2016 Spring; 8(1): 3-10). Measured through 5-point likert scale,free response, multiple choice, and yes/no questions.

  2. Physician satisfaction with the video visit [ Time Frame: Within one month post-intervention ]
    Measured through multiple choice, yes/no, and free-response (only asked if specific responses are received) questions.

  3. Number of in-person visits instead of or in addition to video visit [ Time Frame: 6 months post-intervention ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Medical inpatients, age >=18, with an existing WCIMA attending as his or her PCP
  • Patients with disposition to home
  • Medically appropriate for a video visit (as determined by inpatient attending)
  • Patients or caregivers must be able to enroll in MyChart before discharge, must be capable of using the Weill Cornell Connect app to do a video visit at home using broadband access or the equivalent (must own a device compatible with the app, e.g.

smartphone or tablet)

  • English speaking
  • Cognitively able to participate or Caregiver must be able to participate

Exclusion Criteria:

- Insure by Medicare


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04236583


Contacts
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Contact: Sanjai Sinha, MD 212-746-7077 Sas9169@med.cornell.edu
Contact: Wesley Jacobsson, BS 646-962-5910 wej4001@med.cornell.edu

Locations
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United States, New York
Weill Cornell Medicine
New York, New York, United States, 10065
Contact: Sanjai Sinha, MD    212-746-7077    Sas9169@med.cornell.edu   
Sponsors and Collaborators
Weill Medical College of Cornell University
Investigators
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Principal Investigator: Sanjai Sinha, MD Weill Cornell Medicine

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Responsible Party: Weill Medical College of Cornell University
ClinicalTrials.gov Identifier: NCT04236583    
Other Study ID Numbers: 19-09020793
First Posted: January 22, 2020    Key Record Dates
Last Update Posted: January 22, 2020
Last Verified: January 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Weill Medical College of Cornell University:
Video Visits
Virtual Visits
Telehealth