NCT03046771

Brief Summary

Hypothesis: 'Transport PLUS,' a low cost, easily generalizable intervention performed by Emergency Medical Technicians while transporting a patient home from the hospital, can improve transitions of care and improve patient safety following hospitalization as measured by decreased rates of falls and reduced rates of return to the hospital.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
58

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2017

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 19, 2017

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

February 6, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 8, 2017

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 23, 2018

Completed
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2019

Completed
Last Updated

February 5, 2020

Status Verified

January 1, 2020

Enrollment Period

1.6 years

First QC Date

February 6, 2017

Last Update Submit

January 30, 2020

Conditions

Fall, AccidentalFallHospital ReadmissionEmergency Medical Services

Keywords

fallsreadmissionsemergency department visitstransitions of care

Outcome Measures

Primary Outcomes (2)

  • Rate of falls

    Rate of falls following transport home by ambulance

    up to 3 months

  • Rate of return ED visits

    Rate of return ED visits following transport home by ambulance

    30 days

Secondary Outcomes (3)

  • Rate of falls

    up to 12 months

  • Rate of return ED visits

    3 days

  • Readmission

    up to 90 days

Study Arms (2)

Transport PLUS group

EXPERIMENTAL

EMTs randomized to the Transport Plus group will view a 60-minute training video and then complete a 60-minute simulation training exercise on how to conduct the home fall hazard assessment (FHA) and the discharge comprehension assessment (DCA) and how to complete the FHA and DCA checklists. The FHA involves performing a visual assessment of the home environment and noting certain fall hazards. The DCA involves engaging the patient or caregiver in a conversation to assess their level of understanding of the elements of the discharge instructions. The Transport Plus EMTs will offer to perform the FHA and DCA for all transports of patients aged 65 or older, who are being transported from The Mount Sinai Hospital to a private residence

Behavioral: Transport PLUS group

Routine Care

NO INTERVENTION

Providers randomized to routine care will not be trained on the FHA or DCA or the completion of the checklists. All EMTs in both groups (Transport Plus and standard education), will be asked to answer some demographic questions and will be trained to collect responses to 3questions commonly used to assess a patient's risk of falling and to collect best contact information for phone follow up from patients or their caregivers and to obtain permission for a follow-up phone call from research personnel.

Interventions

Transport PLUS groupBEHAVIORAL

The Transport Plus EMTs will offer to perform the FHA and DCA for all transports of patients aged 65 or older, who are being transported from The Mount Sinai Hospital to a private residence.

Transport PLUS group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Emergency Medical Technicians (EMTs) are eligible to participate in study if
  • employed by Hunter EMS
  • over the age of 18 years, and
  • certified as an EMT in New York State.
  • Patient participants are eligible if
  • over the age of 65 years
  • being discharged from the study hospital, and
  • being transported directly to home.

You may not qualify if:

  • EMTs who expect to leave the job in less than 1 year
  • EMTs who have been previously trained in Transport PLUS.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Icahn School of Medicine at Mount Sinai

New York, New York, 10029, United States

Location

MeSH Terms

Interventions

ParturitionPopulation Groups

Intervention Hierarchy (Ancestors)

PregnancyReproductionReproductive Physiological PhenomenaReproductive and Urinary Physiological PhenomenaDemographyPopulation Characteristics

Study Officials

  • Kevin G Munjal, MD,MPH,MSCR

    Icahn School of Medicine at Mount Sinai

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 6, 2017

First Posted

February 8, 2017

Study Start

January 19, 2017

Primary Completion

August 23, 2018

Study Completion

May 30, 2019

Last Updated

February 5, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will not share

Locations

US(1)