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Comparing Two Acute Care Transition Programs for Older Adults and Their Family Caregivers
Sponsor: Wake Forest University Health Sciences
Summary
This study investigates better ways to help people after they leave the hospital and how to involve their families in this process. The main goal is to see if adding family support to a patient-centered hospital-to-home intervention helps patients stay safely at home, spend fewer days back in the emergency room or going back into the hospital. The study team also wants to see if the family-centered approach helps improve the patient's ability to do everyday activities without feeling overwhelmed. Two approaches are being compared: one focuses just on the patient, and the other includes special strategies to better support families involved too. Family will be involved in assessing what the patient and family needs. The family-focused approach not only emphasizes the experience, health, and safety of the patient but also the experience of the family member caring for the older adult. The study also involves families in education and provides families skills-building experiences that can help with caregiving stress, problem-solving, and communicating with the healthcare team. The approach will help the family member prepare for their loved one's transition home and provide coaching with the goal of reducing the mental, physical and financial burden of providing care at home. To spread the intervention across many states, the study team will be using telephone calls, video calls, and other technologies as families prefer.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
2560
Start Date
2026-07
Completion Date
2031-11
Last Updated
2026-06-22
Healthy Volunteers
Yes
Conditions
Interventions
Patient-Centered Intervention
Effective strategies focused on the patient such as patient needs assessment, multi-disciplinary discharge planning, discharge instructions, follow-up education, and follow-up assessments.
Family Caregiver Enhanced Intervention
Caregiver strategies such as a family caregiver needs assessment, structured education, and skill building.
Locations (4)
Davie Medical Center
Bermuda Run, North Carolina, United States
High Point Medical Center
High Point, North Carolina, United States
Atrium Health Wake Forest Baptist Wilkes Medical Center
North Wilkesboro, North Carolina, United States
Atrium Health Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, United States