Effects Of Income Supplements On 30-Day Readmissions For Vulnerable Older Adults

Study Results

Results pending

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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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-21

Study Completion Date

2024-04-22

Brief Summary

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Unplanned 30-day hospital readmissions are an critical healthcare quality metric, with meaningful effects on patients and health systems operations. Interventions to reduce unplanned readmissions have primarily operated within a healthcare-centric frame, with enhancements to either pre- or post-discharge care planning, medication reconciliation, or visit frequency. Associations of 30-day readmission rates with poverty status and other social factors, however, suggest that attending to unmet social needs may yield added benefits to models focused on healthcare delivery. The purpose of the present trial is to provide evidence regarding the effects on 30-day readmissions of providing a one-time post-discharge income supplement to socially vulnerable older adults with medical complexity participating in an enhanced care coordination program.

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Detailed Description

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Conditions

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Patient Readmission

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control

Enhanced care planning only (plus $15 as compensation for participation)

Group Type ACTIVE_COMPARATOR

Enhanced care planning

Intervention Type OTHER

Enhanced care planning provided by a nurse care manager

Intervention

Enhanced care planning plus a one-time $300 post-discharge income supplement

Group Type EXPERIMENTAL

Post-discharge income supplement

Intervention Type OTHER

$300 income supplement

Enhanced care planning

Intervention Type OTHER

Enhanced care planning provided by a nurse care manager

Interventions

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Post-discharge income supplement

$300 income supplement

Intervention Type OTHER

Enhanced care planning

Enhanced care planning provided by a nurse care manager

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A participant in the underlying enhanced care planning program
* aged 55 years or older
* attending an outpatient clinic appointment as part of the underlying enhanced care planning program within 10 days of being discharged from an inpatient hospital stay
* able to understand the study consent form (with interpretation services if needed)

Exclusion Criteria

* The candidate is not discharged from the index admission to a community setting (e.g., they will be excluded if they are discharged to a skilled nursing facility)
* The candidate has a legal guardian with control over financial decision-making
* The candidate has been approached about the study during a previous encounter
* The index hospitalization was a planned admission

Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No