NCT04547803

Brief Summary

The purpose of this study is to determine if a video visit with an advanced practice provider (Nurse Practitioner or Physician Assistant) within 7 days of discharge from Hospital Internal Medicine services will increase patient compliance with medication, self-management and home supports after hospital discharge.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
1,190

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 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

Study Start

First participant enrolled

August 10, 2020

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

September 8, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 14, 2020

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2022

Completed
Last Updated

August 10, 2022

Status Verified

August 1, 2022

Enrollment Period

1.9 years

First QC Date

September 8, 2020

Last Update Submit

August 9, 2022

Conditions

Hospital Discharge

Outcome Measures

Primary Outcomes (1)

  • Adherence to post-discharge recommendations

    Number of participants to adhere to post-discharge recommendation including medication compliance, self-management, and home supports post hospital discharge

    Through study completion, approximately 30 days

Secondary Outcomes (2)

  • 7 day readmission rate

    7 days after hospital discharge

  • 30 day readmission rate

    30 days after hospital discharge

Study Arms (2)

Video Visit and Standard of Care

EXPERIMENTAL

Participants will participate in a video visit and standard of care

Other: Standard of CareOther: Video Visit

Standard of Care

ACTIVE COMPARATOR

Participants will participate in standard of care for discharged patients.

Other: Standard of Care

Interventions

Standard of CareOTHER

Outpatient appointments and activities including radiologic procedures for discharging patients as standard of practice

Standard of CareVideo Visit and Standard of Care
Video VisitOTHER

15-20 minute Video visit with an advanced practice provider (nurse practitioner or physician assistant) approximately 2-5 days after discharge.

Video Visit and Standard of Care

Eligibility Criteria

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

You may qualify if:

  • Patients aged ≥18 years
  • Patients discharged from a Hospital Internal Medicine service at Saint Marys Hospital
  • Patients or their legally authorized representative provides consent to participate in the study
  • Patients discharged home or to assisted living facility

You may not qualify if:

  • Patients discharged from Hospital Service Meds 1-4 and Med 17
  • Patient discharged with Care Transitions Program, or to Hospice, skilled nursing facility (SNF) or long-term acute care (LTAC) facility
  • Post-procedure patients (i.e., elective hospital admission for planned intervention or procedure)
  • Patient/legally authorized representative is Non-English speaking
  • Patient leaves the hospital Against Medical Advice (AMA)
  • No access to mobile technology/laptop/computer for post-discharge follow-up
  • Patient with an active diagnosis Covid-19 infection
  • Patients with a scheduled re-admission for a procedure, chemotherapy, or other treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

Location

Related Publications (1)

  • Dugani SB, Kiliaki SA, Nielsen ML, Fischer KM, Lunde M, Kesselring GM, Lawson DK, Coons TJ, Schenzel HA, Parikh RS, Pagali SR, Liwonjo A, Croghan IT, Schroeder DR, Burton MC. Postdischarge Video Visits for Adherence to Hospital Discharge Recommendations: A Randomized Clinical Trial. Mayo Clin Proc Digit Health. 2023 Sep;1(3):368-378. doi: 10.1016/j.mcpdig.2023.06.006. Epub 2023 Aug 4.

    PMID: 37641718DERIVED

Related Links

MeSH Terms

Interventions

Standard of Care

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Chandrasagar (Sagar) Dugani, MD, PhD

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 8, 2020

First Posted

September 14, 2020

Study Start

August 10, 2020

Primary Completion

July 1, 2022

Study Completion

July 1, 2022

Last Updated

August 10, 2022

Record last verified: 2022-08

Data Sharing

IPD Sharing
Will not share

Locations

US(1)