RecruitingNot ApplicableNCT05568043

The Reducing REVISITS Study: A Cluster RCT

The Reducing Respiratory Emergency Visits Using Implementation Science Interventions Tailored to Setting (REVISITS) Study: A Cluster Randomized Trial

Sponsor

University of Chicago

Enrollment

24 participants

Start Date

Feb 15, 2022

Study Type

INTERVENTIONAL

Conditions

COPD COPD Exacerbation Acute

Summary

This type II hybrid effectiveness-implementation trial will concurrently study the comparative effectiveness of virtual vs. in-person COPD care transition programs implemented via virtual mentored implementation approaches with and without co-design methods. The investigators will enroll up to 24 randomized sites (with a goal minimum of 16 sites) to: * Deliver the COPD programs implemented via mentored support in collaboration with SHM Center for Quality Improvement. * Compare the effectiveness and penetration of virtual versus in-person COPD care transition programs implemented along with mentoring support with or without co-design. The investigators aim to determine which combined approach(es) is/are the most effective at implementing evidence-based COPD program interventions and decreasing COPD acute care revisits with the greatest overall impact and sustainability.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This cluster-randomized trial is evaluating a hospital-system-level intervention designed to reduce unnecessary return visits to the emergency department or hospital readmissions. Rather than enrolling individual patients, the study enrolls entire hospital sites across the US to test whether a coordinated care approach reduces these costly and often preventable revisits. **You may be eligible if...** - You are a hospital or health system in the United States interested in improving post-discharge care - (Individual patients are not directly enrolled in this phase of the study) **You may NOT be eligible if...** - Your facility does not meet the study's site inclusion criteria Talk to your doctor or hospital administrator to see if this trial is right for your institution.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALCOPD Transitions of Care Intervention Bundle: Virtual Interventions

The COPD Transitions of Care Intervention Bundle will be site-specific determined through Aim 1 contextual assessments and will consist of 2-3 evidence-based COPD transitions of care interventions. Virtual interventions included in the bundle may consist of: phone or e-consults for medication reconciliation, virtual teach-to-goal \[V-TTG\] or tele-TTG inhaler education, and post-discharge phone call communication and/or texts/ and/or electronic portal use, among others.

BEHAVIORALCOPD Transitions of Care Intervention Bundle: In-Person Interventions

The COPD Transitions of Care Intervention Bundle will be site-specific determined through Aim 1 contextual assessments and will consist of 2-3 evidence-based COPD transitions of care interventions. In-person interventions include face-to-face general COPD education, inhaler education, medication reconciliation, post-discharge clinic visits, community health worker home visits, pulmonary rehabilitation, smoking cessation programs, among others.