IVR-Enhanced Care Transition Support for Complex Patients
E-Coaching: IVR-Enhanced Care Transition Support for Complex Patients
1 other identifier
interventional
511
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2010
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2010
CompletedFirst Submitted
Initial submission to the registry
June 1, 2010
CompletedFirst Posted
Study publicly available on registry
June 2, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2012
CompletedResults Posted
Study results publicly available
June 3, 2013
CompletedJune 3, 2013
May 1, 2013
2.1 years
June 1, 2010
April 10, 2013
May 31, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Re-hospitalizations
During the 30days after discharge
Secondary Outcomes (2)
Rehospitalizations at 90 Days
90 days
Community Tenure
30 days
Study Arms (4)
CHF patients, IVR-Enhanced Care
EXPERIMENTALPatients with congestive heart failure (CHF) who receive the interactive voice response (IVR) intervention.
COPD patients, IVR-Enhanced Care
EXPERIMENTALPatients with chronic obstructive pulmonary disease (COPD) who receive the interactive voice response (IVR) intervention.
CHF patients, Usual Discharge Care
NO INTERVENTIONPatients with congestive heart failure (CHF) who receive usual discharge care (no intervention).
COPD patients, Usual Discharge Care
NO INTERVENTIONPatients with chronic obstructive pulmonary disease (COPD) who receive usual discharge care (no intervention).
Interventions
Those randomized to e-Coach will receive initial coaching in the hospital and then will be called by the interactive voice response-supported (IVR) system at specified intervals after discharge for monitoring. Any red flags noted through the IVR monitoring system will be transmitted to the care transition coaches, who contact patients and coach them on how to address problems identified.
Eligibility Criteria
You may qualify if:
- CHF/COPD patients
- English-speaking
- Medicare beneficiaries
- 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
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Alabama at Birminghamlead
- University of California, San Franciscocollaborator
- US Department of Veterans Affairscollaborator
- University of Massachusetts, Worcestercollaborator
Study Sites (1)
University Hospital and UAB Highlands
Birmingham, Alabama, 35294, United States
Related Publications (2)
Ritchie C, Richman J, Sobko H, Bodner E, Phillips B, Houston T. The E-coach transition support computer telephony implementation study: protocol of a randomized trial. Contemp Clin Trials. 2012 Nov;33(6):1172-9. doi: 10.1016/j.cct.2012.08.007. Epub 2012 Aug 19.
PMID: 22922245BACKGROUNDRitchie CS, Houston TK, Richman JS, Sobko HJ, Berner ES, Taylor BB, Salanitro AH, Locher JL. The E-Coach technology-assisted care transition system: a pragmatic randomized trial. Transl Behav Med. 2016 Sep;6(3):428-37. doi: 10.1007/s13142-016-0422-8.
PMID: 27339715DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Limitations include generalizability. Our single healthcare system likely has unique characteristics. Readmission to the hospital is also a limited quality measure. There is currently no way to deem if readmissions are appropriate or avoidable.
Results Point of Contact
- Title
- Dr. Christine Ritchie
- Organization
- University of California San Francisco (UCSF); University of Alabama at Birmingham (UAB)
Study Officials
- PRINCIPAL INVESTIGATOR
Christine S Ritchie, MD, MSPH
University of Alabama at Birmingham
- STUDY DIRECTOR
Thomas K Houston, MD, MSPH
University of Massachusetts, Worcester
- STUDY CHAIR
Joshua Richman, MD, PhD
University of Alabama at Birmingham
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
June 1, 2010
First Posted
June 2, 2010
Study Start
February 1, 2010
Primary Completion
March 1, 2012
Study Completion
March 1, 2012
Last Updated
June 3, 2013
Results First Posted
June 3, 2013
Record last verified: 2013-05