Adapted Hospital Discharge Intervention: the CONNECT Pilot

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-16

Study Completion Date

2027-03-31

Brief Summary

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Hospital discharge is a dangerous time for patients: one in five will suffer an adverse event, such as a medication error, and nearly 25% will be readmitted within 30 days. This time is even more dangerous for patients with who face communication barriers, including those with non-English language preference (NELP), low health literacy, and the elderly.

The investigators will pilot a post-discharge educational intervention to reinforce written discharge instructions (known as the After Visit Summary or AVS) using a randomized controlled trial design (2:1 intervention: control). The control group will receive current standard of care discharge education which includes a nurse reviewing their AVS and an automated call in English that allows patients to numerically select types of problems/questions that are then escalated to a nurse who should return their call within a few days. The intervention group will receive the standard of care discharge education with the AVS and an additional post-discharge educational call delivered by a registered nurse or other qualified health professional with the option to have written instructions professionally translated and sent via MyChart message--if available in their preferred language.

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Detailed Description

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Conditions

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Communication Research

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two arm randomized controlled trial (2:1 intervention:control), Randomization stratified by language.

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Educational intervention

Participants randomized into this arm will receive current hospital discharge education and an additional post-discharge educational call.

Group Type OTHER

Additional post discharge phone call

Intervention Type OTHER

24-72 hours after hospital discharge, a nurse will call participants to review the written After Visit Summary (AVS) given at discharge, including primary diagnosis, self-care instructions, emergency plan, medication changes, how and why to take medication, and scheduled follow up. These phone calls will take on average 10-15 minutes.

Standard of care

Participants randomized into this arm will receive current hospital discharge education.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Additional post discharge phone call

24-72 hours after hospital discharge, a nurse will call participants to review the written After Visit Summary (AVS) given at discharge, including primary diagnosis, self-care instructions, emergency plan, medication changes, how and why to take medication, and scheduled follow up. These phone calls will take on average 10-15 minutes.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Registered language in Epic (written or spoken) is Spanish, Haitian Creole, Portuguese, Cape Verdean, or Vietnamese
* Admitted to medicine team at Boston Medical Center (BMC)
* Being discharged home (to the community)

Exclusion Criteria

* On airborne infections precautions at time of recruitment
* On C diff precautions at time of recruitment
* On suicide precautions at time of recruitment
* Nurse report of participant displaying cognitive impairment, ongoing delirium, or aggression
* Discharge observed during a prior admission

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No