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OpenTrials
Completed

NCT Number: NCT05431894

Behavioral and Recovery Support for 30 Day Post-Discharge Care

This study will provide behavioral and mental health support to a select group of participants to supplement the hospital-provided discharge and recovery plans, based on clinical guidance and dedicated post-hospitalization behavioral protocols, with the goals of reducing readmission rates and costs.

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Key information

Conditions

Cardiovascular Diseases Heart Diseases Heart Failure

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

NorthShore University HealthSystem

Evanston, Illinois, 60201, United States

About this study

This study was designed to provide support to a select group of participants by supplementing the hospital-provided discharge instructions. Laguna integrated clinical guidance and dedicated post-hospitalization Laguna recovery protocols, with the aims of improving health outcomes, reducing health costs, and reducing readmission rates within 30 days post-discharge.

Participants in the intervention group received support from Laguna Health via phone, video, text, or web chat. Laguna provided contextual support to remove recovery barriers to these intervention participants.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Admitted to the hospital with a diagnosis of a cardiovascular disease
  • Discharged to home
  • Converse in English or Spanish
  • Uses a telephone

Exclusion criteria

  • Participant unable to provide informed consent
  • Participant lacks cognitive ability to participate in the study interventions as judged by the primary attending physician

Treatment and study plan

Laguna Coach Intervention Group

Behavioral

Behavioral and mental support was delivered through personal interactions with Laguna Coaches via phone, video, or web chat. Behavioral and mental support was individualized to best match each patient's needs and strengths. Support was provided to participants through human interactions over approximately 30 days.

Primary outcomes

  1. Unplanned All Cause Readmission Rate

    Time frame: 30 Days Post-Discharge

    Unplanned All-Cause 30 Day Readmission Rate

  2. Unplanned Readmission Total Cost

    Time frame: 30 Days Post-Discharge

    Billed facility charges for readmissions hospitalization stays

Sponsors and collaborators

Lead sponsor

Laguna Health, Inc

Industry

Collaborators

  • Endeavor Health

Registry information

Official study title

Behavioral and Recovery Support for 30 Day Post-Discharge Care in Participants With Cardiovascular Diseases

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jun 24, 2022
Registry last updated
Jun 24, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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