Recruiting NA Heart Failure

New treatment option for Heart Failure

Official title Care Transitions App for Patients With Multiple Chronic Conditions

ClinicalTrials.gov ID: NCT06051058

What this study is testing

What it's testing
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 appointments, warning signs to watch for, nutrition, and other care plan activities), 3) a new module for patients with MCC (diabetes, congestive heart failure, and chronic kidney disease) including condition-specific post-discharge care plans with relevant symptom management activities, 4) a new post-discharge report module which summarizes key care transition findings and allows for patients to enter notes and questions for their providers and their own goals for recovery.
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 55 and older. Healthy volunteers may be eligible.

You may be able to join if

  • 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 one of the conditions listed below + one additional chronic condition on the problem list.
  • Patient with heart failure on the problem list

You likely can't join if

  • Adult patients (55+) with Westwood, Pembroke, or Transition Clinic PCP admitted to ICU, OBGYN, Surgical, Cardiology, Oncology, Orthopedics, or other...
  • Pregnant
  • Prisoner, institutionalized individual or in police custody
  • Discharge planned within 3 hours of screening
  • Patient too ill to participate or with active psychosis/serious mental illness, delirium, or severe dementia
  • Not fluent in spoken English in patient and health proxy
See the full eligibility criteria
Who can join
  • 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 one of the conditions listed below + one additional chronic condition on the problem list.
  • Patient with heart failure on the problem list
  • Patient with type 2 diabetes on the problem list
  • Patient with chronic kidney disease on the problem list
What rules you out
  • Adult patients (55+) with Westwood, Pembroke, or Transition Clinic PCP admitted to ICU, OBGYN, Surgical, Cardiology, Oncology, Orthopedics, or other Specialty Unit
  • Pregnant
  • Prisoner, institutionalized individual or in police custody
  • Discharge planned within 3 hours of screening
  • Patient too ill to participate or with active psychosis/serious mental illness, delirium, or severe dementia
  • Not fluent in spoken English in patient and health proxy
  • Unlikely to be discharged to home
  • Lacks a device capable of accessing the app
  • Lack of a working telephone for 30-day follow-up

The study team makes the final eligibility decision.

Where it's taking place

  • Boston, Massachusetts, United States

Compensation & support

Compensation mentioned.

ClinicalTrials.gov doesn't provide a reliable structured field for payment or travel support - confirm details with the study team.

Questions & answers

Do participants get paid in this trial?

This study's listing includes signals that participants may be compensated or receive a stipend. Amounts vary and are set by the study team - confirm the details with them.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 55 years and older. Healthy volunteers may be eligible. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Boston, Massachusetts, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.