Educational and Supportive Interventions to Prevent Cardiopulmonary Rehospitalization
NCT ID: NCT00217867
Last Updated: 2017-07-28
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
832 participants
INTERVENTIONAL
2008-10-31
2012-06-30
Brief Summary
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Detailed Description
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Limited health literacy is prevalent in America and has been identified as a cross-cutting priority area for transforming health care quality. This study will explore the effect of innovative patient-education and self-management systems on early rehospitalization for patients admitted to a general medical service.
DESIGN NARRATIVE:
This is a two-armed randomized study of patients with chronic cardiopulmonary diseases in three levels of health literacy. Patients will be tested with the 66 word version of the Rapid Estimate of Adult Literacy in Medicine (REALM) test to allow us to analyze the data according to literacy categories ( 6th grade, 7th-8th grade, and 9th grade). Patients will be randomized to one of the following groups: 1) standard discharge (control group); 2) a experimental group receiving both the case management intervention plus educational and self-management support by Embodied Conversational Agents (ECAs) and post-discharge reinforcement of the discharge plan using a computerized telephone system
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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1
Usual Care, defined as the usual hospital discharge process as delivered by nurses and doctors.
No interventions assigned to this group
2
Use of animated computerized character to prepare subjects for discharge by reviewing information provided to subjects in a printed After Hospital Care Plan packet, followed by telephone system to reinforce the discharge.
Animated character intervention with telephone follow-up
Animated character will teach the discharge plan before discharge, then this teaching will be reinforced by computerized telephone system.
Interventions
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Animated character intervention with telephone follow-up
Animated character will teach the discharge plan before discharge, then this teaching will be reinforced by computerized telephone system.
Eligibility Criteria
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Inclusion Criteria
* Desires to be hospitalized in the future if there is a clinical need
* Able to communicate in English with health providers
Exclusion Criteria
* Requires hospice, nursing home, or other institutional settings
* Vision that is inadequate to discern the computer-based education and self-management support system
* Hearing that is inadequate to use a telephone
* Unable to independently consent
* Scheduled admission (e.g. for surgery)
* Has sickle cell disease
18 Years
ALL
No
Sponsors
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National Heart, Lung, and Blood Institute (NHLBI)
NIH
Boston Medical Center
OTHER
Responsible Party
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Brian Jack
faculty member, BMC
Principal Investigators
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Brian Jack, MD
Role: PRINCIPAL_INVESTIGATOR
Boston Medical Center
Locations
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Boston Medical Center
Boston, Massachusetts, United States
Countries
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Other Identifiers
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H-25057
Identifier Type: -
Identifier Source: org_study_id
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