The Care Transitions Intervention

This study has been completed.

Sponsor:

Collaborator:

The John A. Hartford Foundation

Information provided by (Responsible Party):

University of Colorado, Denver

ClinicalTrials.gov Identifier:

NCT00244491

First received: October 24, 2005

Last updated: August 10, 2015

Last verified: August 2015

History of Changes

Tracking Information

First Received Date ^ICMJE

October 24, 2005

Last Updated Date

August 10, 2015

Start Date ^ICMJE

September 2002

Primary Completion Date

Not Provided

Current Primary Outcome Measures ^ICMJE

Rehospitalization rate at 30, 90 and 180 days after index hospitalization.

Original Primary Outcome Measures ^ICMJE

Same as current

Change History

Complete list of historical versions of study NCT00244491 on ClinicalTrials.gov Archive Site

Current Secondary Outcome Measures ^ICMJE

Rehospitalization rate at 30, 90 and 180 days after index hospitalization. Rehospitalization for the same condition as the index hospital stay, at 30, 90 and 180 days.

Original Secondary Outcome Measures ^ICMJE

Same as current

Current Other Outcome Measures ^ICMJE

Not Provided

Original Other Outcome Measures ^ICMJE

Not Provided

Descriptive Information

Brief Title ^ICMJE

The Care Transitions Intervention

Official Title ^ICMJE

The Care Transitions Intervention

Brief Summary

This intervention tests whether encouraging older patients and their caregivers to assert a more active role in their care transitions could improve clinical outcomes. Patients are supported by a nurse transition coach and specific tools, including a Personal Health Record.

Detailed Description

See above.

Study Type ^ICMJE

Interventional

Study Phase

Not Provided

Study Design ^ICMJE

Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)

Condition ^ICMJE

Continuity of Patient Care

Intervention ^ICMJE

Behavioral: Care Transitions Intervention

Study Arms

Not Provided

Publications *

Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006 Sep 25;166(17):1822-8.

* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.

Recruitment Information

Recruitment Status ^ICMJE

Completed

Enrollment ^ICMJE

1400

Estimated Completion Date

August 2003

Primary Completion Date

Not Provided

Eligibility Criteria ^ICMJE

Inclusion Criteria:

To be eligible for this study, patients from the participating delivery system had to: 1) be age 65 years or older, 2) be admitted to one of the participating delivery system's contract hospitals during the study period for a non-psychiatrically-related condition, 3) be community-dwelling (i.e., not from a long-term care facility), 4) reside within a predefined geographic radius of the hospital (thereby making a home visit feasible), 5) have a working telephone, 6) be English-speaking, 7) show no documentation of dementia in the medical record, 8) have no plans to enter hospice, 9) not be participating in another research protocol, and 10) have documented in their medical record at least one of 11 diagnoses, including stroke, congestive heart failure, coronary artery disease, cardiac arrhythmias, chronic obstructive pulmonary disease, diabetes, spinal stenosis, hip fracture, peripheral vascular disease, deep venous thrombosis, or pulmonary embolism.

Exclusion Criteria:

Those who did not meet the inclusion criteria.

Sex/Gender

Sexes Eligible for Study:

All

Ages

65 Years and older (Adult, Senior)

Accepts Healthy Volunteers

Contacts ^ICMJE

Contact information is only displayed when the study is recruiting subjects

Listed Location Countries ^ICMJE

United States

Removed Location Countries

Administrative Information

NCT Number ^ICMJE

NCT00244491

Other Study ID Numbers ^ICMJE

00-1036

Has Data Monitoring Committee

Not Provided

U.S. FDA-regulated Product

Not Provided

IPD Sharing Statement

Not Provided

Responsible Party

University of Colorado, Denver

Study Sponsor ^ICMJE

University of Colorado, Denver

Collaborators ^ICMJE

The John A. Hartford Foundation

Investigators ^ICMJE

Principal Investigator:

Eric A. Coleman, MD, MPH

University of Colorado, Denver

PRS Account

University of Colorado, Denver

Verification Date

August 2015

^ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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