Condition: Heart Failure · Congestive Heart Failure · Diabetes · Sponsor: Brigham and Women's Hospital
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.
This description comes directly from the study's public registry record.
Lipika Samal, MD, MPH · 617-732-7063 · lsamal@bwh.harvard.edu
Patricia Dykes, PhD · 617-525-3003 · pdykes@bwh.harvard.edu
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| Brigham and Women's Hospital | Boston, Massachusetts, United States | Recruiting |
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Source record: clinicaltrials.gov/study/NCT06051058