دورية أكاديمية
MIRROR-TCM: Multisite Replication of a Randomized Controlled Trial - Transitional Care Model.
| العنوان: | MIRROR-TCM: Multisite Replication of a Randomized Controlled Trial - Transitional Care Model. |
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| المؤلفون: | Naylor MD; NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19103, United States of America. Electronic address: naylor@nursing.upenn.edu., Hirschman KB; NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19103, United States of America., McCauley K; NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19103, United States of America., Shaid EC; NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19103, United States of America., Hanlon AL; Center for Biostatistics and Health Data Science, College of Science, Department of Statistics, Virginia Tech, Four Riverside Circle, Roanoke, VA 24016, United States of America., Whitehouse CR; Villanova University, M. Louise Fitzpatrick College of Nursing, Driscoll Hall Rm 312, Nursing, 800 Lancaster Avenue, Villanova, PA 19085, United States of America., Ghosh A; Mathematica, Inc., 600 Alexander Park, Suite 100, Princeton, NJ 08540, United States of America., Brown R; Mathematica, Inc., 600 Alexander Park, Suite 100, Princeton, NJ 08540, United States of America., Sullivan B; Mathematica, Inc., 600 Alexander Park, Suite 100, Princeton, NJ 08540, United States of America., Pauly MV; The Wharton School, University of Pennsylvania, 208 Colonial Penn Center, 3641 Locust Walk, Philadelphia, PA 19104, United States of America. |
| المصدر: | Contemporary clinical trials [Contemp Clin Trials] 2022 Jan; Vol. 112, pp. 106620. Date of Electronic Publication: 2021 Nov 14. |
| نوع المنشور: | Clinical Trial Protocol; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101242342 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-2030 (Electronic) Linking ISSN: 15517144 NLM ISO Abbreviation: Contemp Clin Trials Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, N.Y. : Elsevier, c2005- |
| مواضيع طبية MeSH: | Hospital to Home Transition* , Transitional Care*, Aged ; COVID-19 ; Humans ; Multicenter Studies as Topic ; Patient Discharge ; Quality of Life ; Randomized Controlled Trials as Topic ; United States |
| مستخلص: | In the U.S., older adults hospitalized with acute episodes of chronic conditions often are rehospitalized within 30 days of discharge. Numerous studies reveal that poor management of the complex needs of this population remains the norm. METHODS: This prospective, intent-to-treat, randomized controlled trial (RCT) will assess the effects of replicating the rigorously studied Transitional Care Model (TCM) in four U.S. healthcare systems. The TCM is an advanced practice registered nurse led, team-based, care management intervention that supports older adults throughout vulnerable care episodes that span hospital to home. This RCT will compare health and economic outcomes demonstrated by at-risk older adults hospitalized with heart failure, chronic obstructive pulmonary disease or pneumonia randomized to receive usual discharge planning (control group, N = 800) to those observed by a similar group of older adults randomized to receive the TCM protocol (N = 800). The primary outcome is number of rehospitalizations at 12 months post-discharge, with secondary resource use outcomes measured at multiple intervals. Patient experience with care, health and quality of life outcomes will be assessed at 90 days post-discharge. DISCUSSION: Based on health and economic benefits demonstrated in multiple NIH funded RCTs, the study team hypothesizes that the intervention group, both within and across participating health systems, will have decreased acute care resource use and costs at 12 months and better ratings of the care experience and health and quality of life through 90 days post-discharge compared to the control group. The impact of COVID-19 on implementation of this study also is discussed. (Copyright © 2021 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Intervention protocol; Older adults; Outcomes; Rehospitalization; Transitional care |
| تواريخ الأحداث: | Date Created: 20211117 Date Completed: 20220112 Latest Revision: 20220531 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.cct.2021.106620 |
| PMID: | 34785306 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1559-2030 |
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| DOI: | 10.1016/j.cct.2021.106620 |