The CARS Study: Communicating About Readiness (for Discharge)
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|ClinicalTrials.gov Identifier: NCT01873105|
Recruitment Status : Completed
First Posted : June 7, 2013
Last Update Posted : April 18, 2019
|Condition or disease||Intervention/treatment||Phase|
|Hospital Discharge Communication Processes||Other: Health Team Educational Intervention||Not Applicable|
Specific Aims are to:
- Describe patterns of communication about discharge and collaboration among members of the health care team
- Conduct psychometric testing of 3 forms of the Readiness for Hospital Discharge Scale (RHDS - MD, RN, Patient)
- Describe relationships between care team communication, patient perceptions of quality of discharge preparation and perceived readiness for discharge, care team (RN and MD) assessments of discharge readiness, and post-discharge outcome ( post-discharge coping difficulty, Emergency Department (ED) use, and 30 day readmission.
- Determine the impact of an intervention with the inpatient care team to improve discharge preparation communication.
H1: Patient perceptions of discharge readiness, post-discharge coping difficulty, ED use and readmission will improve following a care team educational intervention about discharge preparation, compared to pre-intervention baseline measures.
H2: Care team members will report improved frequency and amount of discharge preparation communication following a care team educational intervention about discharge preparation, compared to pre-intervention baseline measures.
H3: RN-MD collaboration will increase following a care team educational intervention about discharge preparation, compared to pre-intervention baseline measures
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||604 participants|
|Intervention Model:||Sequential Assignment|
|Intervention Model Description:||Before/after implementation of a health team communication intervention. 2 samples.|
|Masking:||None (Open Label)|
|Official Title:||The CARS Study: Communicating About Readiness (for Discharge)|
|Actual Study Start Date :||March 2014|
|Actual Primary Completion Date :||May 2016|
|Actual Study Completion Date :||May 2016|
Experimental: Health team educational intervention
Agency for Healthcare Research and Quality (AHRQ) TeamSTEPPS approach will be used to redesign health team communication processes regarding preparation for discharge. This redesign will be followed by education for all health team members.
Other: Health Team Educational Intervention
AHRQ TeamStepps processes will be used to redesign health team discharge communication processes and an educational intervention for health care team members
No Intervention: Control pre-intervention
Usual care control before implementation of the health team communication intervention
- Readmission [ Time Frame: 30 days post discharge ]Readmission within the 30 days after hospital discharge
- Emergency Department visits [ Time Frame: 30 days post discharge ]ED visits within the 30 days after hospital discharge
- Post-discharge Coping Difficulty Scale [ Time Frame: 14 to 21 days post-hospitalization ]Coping difficulty after hospital discharge measured using the Post-Discharge Coping Difficulty Scale is collected via telephone followup between 14 and 21 days after hospital discharge
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01873105
|United States, Wisconsin|
|Milwaukee, Wisconsin, United States, 53226|
|Principal Investigator:||Marianne Weiss, DNSc RN||Marquette Unoversity|
|Principal Investigator:||Kristi Opper, MS RN||Froedtert Hospital|