Status:

COMPLETED

The Care Transitions Intervention

Lead Sponsor:

University of Colorado, Denver

Collaborating Sponsors:

The John A. Hartford Foundation

Conditions:

Continuity of Patient Care

Eligibility:

All Genders

65+ years

Phase:

NA

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 nurs...

Detailed Description

See above.

Eligibility Criteria

Inclusion

  • 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

  • Those who did not meet the inclusion criteria.

Key Trial Info

Start Date :

September 1 2002

Trial Type :

INTERVENTIONAL

End Date :

August 1 2003

Estimated Enrollment :

1400 Patients enrolled

Trial Details

Trial ID

NCT00244491

Start Date

September 1 2002

End Date

August 1 2003

Last Update

August 13 2015

Active Locations (1)

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1

University of Colorado Health Sciences Center

Denver, Colorado, United States, 80262