IVR-Enhanced Care Transition Support for Complex Patients

Completed · Not applicable

Conditions studied: Congestive Heart Failure, Chronic Obstructive Pulmonary Disease

In brief

For complex medical patients, the transition from hospital to home-based care is a vulnerable period, placing the patient at high risk for adverse events. Using a Care Transition conceptual model, the investigators propose developing and evaluating, through a randomized controlled trial, "e-Coach," an Interactive-Voice-Response-supported (IVR) Care Transition coaching intervention, focused initially on patients hospitalized with heart failure or obstructive lung disease. This trial will test the primary hypothesis that the proportion of patients with one or more re-hospitalizations during a 90-day post-discharge follow-up period will be less in an IVRsupported care transition intervention (e-Coach) compared to a "usual care" comparison group.

Key facts

Study ID

NCT01135381

Run by

University of Alabama at Birmingham

People needed

511

Starts

2010-02-01

Expected to finish

2012-03-01

Last updated by the study team

2013-06-03

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• CHF/COPD patients
• English-speaking
• Medicare beneficiaries
• Amendment to Inclusion Criteria:
• Recruited non-Medicare eligible beneficiaries

You may not qualify if…

• Prognosis of 6 months or less
• Cognitive impairment with no available proxy/caregiver
• No possession of a phone
• Amendments to exclusion criteria:
• heart or lung transplant recipients
• dialysis patients
• individuals already in the Cystic Fibrosis program or receiving intensive monitored care
• individuals with a ventricular assist device (LVAD; RVAD; BiVAD)
• individuals utilizing a pre-paid phone service

Where it is running

• University Hospital and UAB Highlands — Birmingham, Alabama, United States

Full record on ClinicalTrials.gov

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