Comparing Two Acute Care Transition Programs for Older Adults and Their Family Caregivers

Part of paid clinical trials in Bermuda Run, North Carolina.

Sponsor
Wake Forest University Health Sciences
Study ID
NCT07661355
Status
Not Yet Recruiting

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Conditions

  • Care Transition

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Patient-Centered Intervention — OTHER
    Effective strategies focused on the patient such as patient needs assessment, multi-disciplinary discharge planning, discharge instructions, follow-up education, and follow-up assessments.
  • Family Caregiver Enhanced Intervention — OTHER
    Caregiver strategies such as a family caregiver needs assessment, structured education, and skill building.

Study Details

This study investigates better ways to help people after they leave the hospital and how to involve their families in this process. The main goal is to see if adding family support to a patient-centered hospital-to-home intervention helps patients stay safely at home, spend fewer days back in the emergency room or going back into the hospital. The study team also wants to see if the family-centered approach helps improve the patient's ability to do everyday activities without feeling overwhelmed. Two approaches are being compared: one focuses just on the patient, and the other includes special strategies to better support families involved too. Family will be involved in assessing what the patient and family needs. The family-focused approach not only emphasizes the experience, health, and safety of the patient but also the experience of the family member caring for the older adult. The study also involves families in education and provides families skills-building experiences that can help with caregiving stress, problem-solving, and communicating with the healthcare team. The approach will help the family member prepare for their loved one's transition home and provide coaching with the goal of reducing the mental, physical and financial burden of providing care at home. To spread the intervention across many states, the study team will be using telephone calls, video calls, and other technologies as families prefer.

Key Dates

Start date
Jul 31, 2026
Status verified
May 2026
Primary completion
Nov 30, 2031
Completion
Nov 30, 2031

Study Design

Enrollment
2,560 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Active Comparator: Patient Focused Strategies
    An active care transition intervention that includes effective strategies focused on the patient.
  • Experimental: Patient and Family Focused Strategies
    An active care transition intervention that includes effective strategies focused on the patient plus focused family caregiver engagement and support.

Primary Outcome Measure

Hospital-Free Days [ Time Frame: Day 60 ]

Central Contacts

Locations (4)

FacilityCityStateZIPSite coordinators
Davie Medical CenterBermuda RunNorth Carolina27006
Houston
[email protected]
508-688-4341
High Point Medical CenterHigh PointNorth Carolina27262
Houston
[email protected]
508-688-4341
Atrium Health Wake Forest Baptist Wilkes Medical CenterNorth WilkesboroNorth Carolina28659
Houston
[email protected]
508-688-4341
Atrium Health Wake Forest Baptist Medical CenterWinston-SalemNorth Carolina27157
Houston
[email protected]
508-688-4341

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By research site
Davie Medical Center· Bermuda Run, NCHigh Point Medical Center· High Point, NCAtrium Health Wake Forest Baptist Wilkes Medical Center· North Wilkesboro, NCAtrium Health Wake Forest Baptist Medical Center· Winston-Salem, NC

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