Care Transitions App for Patients with Chronic Conditions
Care Transitions App for Patients With Multiple Chronic Conditions
Recruiting
N/A
Interventional Study
Heart Failure
Congestive Heart Failure
Diabetes
Diabetes Mellitus
Chronic Kidney Diseases
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Healthy Volunteers Welcome
You do not need to have the condition being studied to take part.
At a Glance
- Age
- 55 and older
- Sex
- Any
- Study type
- Interventional
- Purpose
- Supportive Care
- Participants needed
- 798 (estimated)
- Sponsor
- Brigham and Women's Hospital · Other
Who this trial is looking for
This trial is looking for adults aged 55 and over with multiple chronic conditions. Participants will use a Care Transitions App designed to help manage their health after leaving the hospital.
Are You a Good Fit for This Trial?
You may be able to join if
- I am 55 years or older
- I have at least one chronic condition and another chronic condition on my medical record
- I have heart failure
- I have type 2 diabetes
- I have chronic kidney disease
- I can speak and understand English
- I am being discharged to home, a home health service, or assisted living
You may not be able to join if
- I am currently pregnant
- I am a prisoner or in police custody
- I am too ill to participate or have a serious mental illness
- I cannot speak and understand English
- I am not likely to be discharged to home
- I do not have a device to access the app
- I do not have a phone for follow-up
Summarized in plain language from this trial's official eligibility criteria. The full criteria are further down this page — only the research team can confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
Check Your Eligibility
About This Trial
The objective of this study is to widely implement and evaluate the Care Transitions App in a randomized controlled trial. The app the investigators designed for patients with multiple chronic conditions has four envisioned modules: 1) falls-reduction content, 2) a digital post-discharge transitional care plan (e.g., after hospital care plan, including education, medications, follow-up appointment…
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Adult patients (55+) with a Brigham PCP or appointment in one of the 15 locations discharging from a BWH general medicine unit
* Discharging to home, home health care service or assisted living
* Fluent in spoken English in patient or healthcare proxy
* Patients with at least …
Contacts