Telehealth Education Leveraging Electronic Transitions Of Care for COPD Patients

Part of paid clinical trials in Chicago, Illinois.

Sponsor
University of Chicago
Study ID
NCT05897125
Status
Enrolling By Invitation

Conditions

  • COPD Exacerbation
  • Care Transitions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Virtual at Home Medication Reconciliation Visit(s) — OTHER
    Patients will have their medications reviewed by the TELE-TOC interventionalist, a member of the pharmacy team (anticipated)
  • Virtual At Home Medication Education Visit(s) — BEHAVIORAL
    Patients will be provided with inhaler education by the TELE-TOC interventionalist, a member of the pharmacy team (anticipated)
  • COPD advanced practice nurse Inpatient Consult — OTHER
    Patients will receive a COPD consult by an advanced practice nurse as part of standard of care
  • Inpatient Medication Reconciliation — OTHER
    Patients will have their medications reviewed by member(s) of the clinical care team as part of standard of care
  • Post-discharge nurse 48 hour phone follow-up call — OTHER
    Patients will receive a post-discharge nurse 48 hour phone follow-up call as part of standard of care
  • Post-discharge follow-up advanced practice nurse outpatient visit — OTHER
    Patients will be scheduled for a 1-2 week post-discharge visit with the COPD advanced practice nurse as part of standard of care

Study Details

Transitions of Care (TOC) between hospital, ambulatory, and home settings for high-risk, frequently hospitalized adults with chronic diseases, such as chronic obstructive pulmonary disease (COPD) are complex, costly, and vulnerable to safety threats and poor health outcomes. One potential solution to address this gap in care is the Transitional Care Model (TCM), which utilizes a patient-centered approach with in-home interventions; since in-person in-home visits are costly, using innovative telehealth, such as virtual visits via teleconferencing may be just as effective with greater feasibility, scalability, and sustainability, particularly in the post-COVID-19 era as has been seen the rapid expansion of these technologies. With a transdisciplinary team of experts from cognitive science, care transitions/handoffs, human factors engineering, design, implementation science, and health services research, the study team proposes to implement and evaluate via a randomized clinical trial the "TELE-TOC: Telehealth Education: Leveraging Electronic Transitions Of Care for COPD patients," intervention which includes a virtual visit, pharmacy-based, in-home intervention for COPD patients to improve medication use and patient outcomes among a population at high risk for readmission and medication safety events.

Key Dates

Start date
Feb 19, 2025
Status verified
Jan 2026
Primary completion
Aug 31, 2026
Completion
Dec 31, 2026

Study Design

Enrollment
218 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: TELE-TOC plus Usual Care
    Patients randomized to this arm will receive the TELE-TOC intervention as well as the standard COPD care via the institution's COPD readmission reduction program.
  • Active Comparator: Usual Care
    Patients randomized to this arm will receive standard COPD care via the institution's COPD readmission reduction program.

Primary Outcome Measure

Correct inhaler technique 30 days post discharge [ Time Frame: 30 days post discharge ]

Locations (1)

FacilityCityStateZIPSite coordinators
University of ChicagoChicagoIllinois60637-

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By research site
University of Chicago· Chicago, IL

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