Educational and Supportive Interventions to Prevent Cardiopulmonary Rehospitalization
| Status: | Completed |
|---|---|
| Conditions: | Peripheral Vascular Disease, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 6/3/2016 |
| Start Date: | October 2008 |
| End Date: | June 2012 |
A RCT to Reduce Cardiopulmonary Rehospitalization
This study will use a comprehensive hospital discharge toolkit to implement up-to-date
guidelines for cardiopulmonary diseases. The study will also include a computer-based
patient-education program and a telephone-based post-discharge program, both designed for
individuals with limited health literacy. The purpose of this study is to reduce early
hospital readmission.
guidelines for cardiopulmonary diseases. The study will also include a computer-based
patient-education program and a telephone-based post-discharge program, both designed for
individuals with limited health literacy. The purpose of this study is to reduce early
hospital readmission.
BACKGROUND:
Limited health literacy is prevalent in America and has been identified as a cross-cutting
priority area for transforming health care quality. This study will explore the effect of
innovative patient-education and self-management systems on early rehospitalization for
patients admitted to a general medical service.
DESIGN NARRATIVE:
This is a two-armed randomized study of patients with chronic cardiopulmonary diseases in
three levels of health literacy. Patients will be tested with the 66 word version of the
Rapid Estimate of Adult Literacy in Medicine (REALM) test to allow us to analyze the data
according to literacy categories ( 6th grade, 7th-8th grade, and 9th grade). Patients will
be randomized to one of the following groups: 1) standard discharge (control group); 2) a
experimental group receiving both the case management intervention plus educational and
self-management support by Embodied Conversational Agents (ECAs) and post-discharge
reinforcement of the discharge plan using a computerized telephone system
Limited health literacy is prevalent in America and has been identified as a cross-cutting
priority area for transforming health care quality. This study will explore the effect of
innovative patient-education and self-management systems on early rehospitalization for
patients admitted to a general medical service.
DESIGN NARRATIVE:
This is a two-armed randomized study of patients with chronic cardiopulmonary diseases in
three levels of health literacy. Patients will be tested with the 66 word version of the
Rapid Estimate of Adult Literacy in Medicine (REALM) test to allow us to analyze the data
according to literacy categories ( 6th grade, 7th-8th grade, and 9th grade). Patients will
be randomized to one of the following groups: 1) standard discharge (control group); 2) a
experimental group receiving both the case management intervention plus educational and
self-management support by Embodied Conversational Agents (ECAs) and post-discharge
reinforcement of the discharge plan using a computerized telephone system
Inclusion Criteria:
- Admitted to the general medical service at Boston Medical Center (BMC)
- Desires to be hospitalized in the future if there is a clinical need
- Able to communicate in English with health providers
Exclusion Criteria:
- Transferred from an outside hospital or a specialty services at BMC (e.g., orthopedic
surgery, obstetrics and gynecology, otolaryngology, general surgery, or psychiatry)
- Requires hospice, nursing home, or other institutional settings
- Vision that is inadequate to discern the computer-based education and self-management
support system
- Hearing that is inadequate to use a telephone
- Unable to independently consent
- Scheduled admission (e.g. for surgery)
- Has sickle cell disease
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