NCT04248738

Brief Summary

The goal of NEEDS is to systematically identify patients' needs and resources at home to inform discharge planning by health care teams. We believe the process of conducting such an assessment during hospitalization will integrate the patient's voice and improve patient outcomes by improving the team communication, quality of discharge planning, length of stay, post-discharge outcomes (e.g., satisfaction), and readmissions.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
4,562

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2020

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 27, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 30, 2020

Completed
5 days until next milestone

Study Start

First participant enrolled

February 4, 2020

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 28, 2022

Completed
19 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 16, 2022

Completed
Last Updated

August 19, 2022

Status Verified

August 1, 2022

Enrollment Period

2.5 years

First QC Date

January 27, 2020

Last Update Submit

August 17, 2022

Conditions

Social Determinants of HealthReadiness for Hospital Discharge

Outcome Measures

Primary Outcomes (1)

  • Readiness for Hospital Discharge Scale (RHDS)

    Comparison of baseline and intervention average score on the Readiness for Hospital Discharge Scale, analyzed at the unit and hospital level. There are 8 questions on the RHDS, each scored from 0-10, with 0 indicating not being ready for discharge at all and 10 indicating being totally ready for discharge. Higher scores indicate better outcomes. The RHDS is administered to patients and the clinical care teams at the time that the patient receives the green light for discharge.

    The RHDS is administered to all patients and clinical care team members for three months prior to the introduction of the intervention (baseline) and also during the 3-month intervention.

Secondary Outcomes (1)

  • Post-Discharge Coping Difficulty Scale (PDCDS)

    The PDCDS is administered to all patients for three months prior to the introduction of the intervention (baseline) and also during the 3-month intervention.

Study Arms (1)

SocNSuppR

EXPERIMENTAL

Inpatient teams systematically provided with information about patients' social needs and supportive resources.

Behavioral: NEEDS

Interventions

NEEDSBEHAVIORAL

NEEDS intervention includes assessing patients' social needs and resources (SocNSuppR) and communicating those SocNSuppR to discharge teams

SocNSuppR

Eligibility Criteria

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

You may qualify if:

  • newly assigned to one of the participating SS or GIM teams at the University Hospital

You may not qualify if:

  • Non-English and non-Spanish speaking
  • admitted due to a primary or secondary psychiatric diagnosis
  • enrolled in palliative/hospice care
  • unable to communicate verbally
  • resident of skilled nursing facility upon admission
  • transplant patient
  • unfunded end stage renal disease patient
  • incarcerated persons
  • patients in isolation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Utah

Salt Lake City, Utah, 84112, United States

Location

Related Publications (3)

  • Wallace AS, Park S, Guo JW, Johnson EP, Elliott M, Elmore CE, Bristol AA. Reconsidering risk: instrumental social support and 30-day utilization after discharge. Health Aff Sch. 2025 Sep 4;3(10):qxaf178. doi: 10.1093/haschl/qxaf178. eCollection 2025 Oct.

    PMID: 41079423DERIVED

  • Wallace AS, Raaum SE, Johnson EP, Presson AP, Allen CM, Elliott M, Bristol AA, Elmore CE. Impact of COVID-19 visitation policies and hospital capacity on discharge readiness in medicine patients. Discov Health Syst. 2023;2(1):45. doi: 10.1007/s44250-023-00060-8. Epub 2023 Nov 30.

    PMID: 38045443DERIVED

  • Schmutz KE, Wallace AS, Bristol AA, Johnson EP, Raaum SE. Hospital Discharge During COVID-19: The Role of Social Resources. Clin Nurs Res. 2022 May;31(4):724-732. doi: 10.1177/10547738221075760. Epub 2022 Feb 15.

    PMID: 35168380DERIVED

MeSH Terms

Interventions

Health Services Needs and Demand

Intervention Hierarchy (Ancestors)

Health Services ResearchHealth PlanningHealth Care Economics and OrganizationsDelivery of Health CareHealth Care Quality, Access, and Evaluation

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

January 27, 2020

First Posted

January 30, 2020

Study Start

February 4, 2020

Primary Completion

July 28, 2022

Study Completion

August 16, 2022

Last Updated

August 19, 2022

Record last verified: 2022-08

Data Sharing

IPD Sharing
Will not share

Locations

US(1)