Trial Outcomes & Findings for Social Work Intervention Focused on Transitions (NCT NCT02232126)
NCT ID: NCT02232126
Last Updated: 2023-11-09
Results Overview
The outcome measure is the number of readmissions experienced by participants in the Usual Care and Intervention groups within 30-days of their index discharge.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
181 participants
Primary outcome timeframe
30-days post hospitalization
Results posted on
2023-11-09
Participant Flow
Participant milestones
| Measure |
Usual Care
|
Intervention
SWIFT home intervention: 1 in-home assessment performed by study social worker, another in-home visit performed if needed. Up to 4 telephone contacts performed by study social worker. A maximum of 6 contacts
|
|---|---|---|
|
Overall Study
STARTED
|
91
|
90
|
|
Overall Study
COMPLETED
|
91
|
90
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Social Work Intervention Focused on Transitions
Baseline characteristics by cohort
| Measure |
Usual Care
n=91 Participants
Usual care consisted of the usual course of care provided to older adults transitioning home from a hospital stay at Huntington Memorial Hospital
|
Intervention
n=90 Participants
SWIFT home intervention: 1 in-home assessment performed by study social worker, another in-home visit performed if needed. Up to 4 telephone contacts performed by study social worker. A maximum of 6 contacts
|
Total
n=181 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Age, Categorical
>=65 years
|
91 Participants
n=99 Participants
|
90 Participants
n=107 Participants
|
181 Participants
n=206 Participants
|
|
Age, Continuous
|
79.2 years
STANDARD_DEVIATION 8.8 • n=99 Participants
|
78.4 years
STANDARD_DEVIATION 7.8 • n=107 Participants
|
78.8 years
STANDARD_DEVIATION 8.3 • n=206 Participants
|
|
Sex: Female, Male
Female
|
49 Participants
n=99 Participants
|
39 Participants
n=107 Participants
|
88 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
42 Participants
n=99 Participants
|
51 Participants
n=107 Participants
|
93 Participants
n=206 Participants
|
|
Race/Ethnicity, Customized
African American
|
23 participants
n=99 Participants
|
14 participants
n=107 Participants
|
37 participants
n=206 Participants
|
|
Race/Ethnicity, Customized
Caucasian
|
52 participants
n=99 Participants
|
57 participants
n=107 Participants
|
109 participants
n=206 Participants
|
|
Race/Ethnicity, Customized
Latino
|
7 participants
n=99 Participants
|
9 participants
n=107 Participants
|
16 participants
n=206 Participants
|
|
Race/Ethnicity, Customized
Native American
|
1 participants
n=99 Participants
|
1 participants
n=107 Participants
|
2 participants
n=206 Participants
|
|
Race/Ethnicity, Customized
Asian/Pacific Islander
|
4 participants
n=99 Participants
|
2 participants
n=107 Participants
|
6 participants
n=206 Participants
|
|
Race/Ethnicity, Customized
Other
|
3 participants
n=99 Participants
|
6 participants
n=107 Participants
|
9 participants
n=206 Participants
|
|
Race/Ethnicity, Customized
Declined to provide response
|
1 participants
n=99 Participants
|
1 participants
n=107 Participants
|
2 participants
n=206 Participants
|
|
Region of Enrollment
United States
|
91 participants
n=99 Participants
|
90 participants
n=107 Participants
|
181 participants
n=206 Participants
|
|
Marital status
Married
|
35 participants
n=99 Participants
|
45 participants
n=107 Participants
|
80 participants
n=206 Participants
|
|
Marital status
Single
|
11 participants
n=99 Participants
|
16 participants
n=107 Participants
|
27 participants
n=206 Participants
|
|
Marital status
Divorced
|
10 participants
n=99 Participants
|
7 participants
n=107 Participants
|
17 participants
n=206 Participants
|
|
Marital status
Widowed
|
35 participants
n=99 Participants
|
19 participants
n=107 Participants
|
54 participants
n=206 Participants
|
|
Marital status
Declined to provide response
|
0 participants
n=99 Participants
|
3 participants
n=107 Participants
|
3 participants
n=206 Participants
|
|
Current living situation
Own house/apartment
|
82 participants
n=99 Participants
|
78 participants
n=107 Participants
|
160 participants
n=206 Participants
|
|
Current living situation
Living in family member's home
|
7 participants
n=99 Participants
|
6 participants
n=107 Participants
|
13 participants
n=206 Participants
|
|
Current living situation
Other
|
2 participants
n=99 Participants
|
3 participants
n=107 Participants
|
5 participants
n=206 Participants
|
|
Current living situation
Declined to provide response
|
0 participants
n=99 Participants
|
3 participants
n=107 Participants
|
3 participants
n=206 Participants
|
|
Who do you live with?
Alone
|
35 participants
n=99 Participants
|
20 participants
n=107 Participants
|
55 participants
n=206 Participants
|
|
Who do you live with?
Spouse/partner
|
31 participants
n=99 Participants
|
43 participants
n=107 Participants
|
74 participants
n=206 Participants
|
|
Who do you live with?
Child
|
14 participants
n=99 Participants
|
13 participants
n=107 Participants
|
27 participants
n=206 Participants
|
|
Who do you live with?
Paid caregiver
|
2 participants
n=99 Participants
|
1 participants
n=107 Participants
|
3 participants
n=206 Participants
|
|
Who do you live with?
Other
|
9 participants
n=99 Participants
|
8 participants
n=107 Participants
|
17 participants
n=206 Participants
|
|
Who do you live with?
Declined to provide response
|
0 participants
n=99 Participants
|
5 participants
n=107 Participants
|
5 participants
n=206 Participants
|
|
Who is your primary caregiver?
No one/self
|
43 participants
n=99 Participants
|
33 participants
n=107 Participants
|
76 participants
n=206 Participants
|
|
Who is your primary caregiver?
Spouse
|
19 participants
n=99 Participants
|
24 participants
n=107 Participants
|
43 participants
n=206 Participants
|
|
Who is your primary caregiver?
Significant other
|
0 participants
n=99 Participants
|
4 participants
n=107 Participants
|
4 participants
n=206 Participants
|
|
Who is your primary caregiver?
Child
|
11 participants
n=99 Participants
|
11 participants
n=107 Participants
|
22 participants
n=206 Participants
|
|
Who is your primary caregiver?
Paid caregiver
|
9 participants
n=99 Participants
|
6 participants
n=107 Participants
|
15 participants
n=206 Participants
|
|
Who is your primary caregiver?
Other
|
9 participants
n=99 Participants
|
8 participants
n=107 Participants
|
17 participants
n=206 Participants
|
|
Who is your primary caregiver?
Declined to provide response
|
0 participants
n=99 Participants
|
4 participants
n=107 Participants
|
4 participants
n=206 Participants
|
|
Current annual income
Under $10,000
|
15 participants
n=99 Participants
|
9 participants
n=107 Participants
|
24 participants
n=206 Participants
|
|
Current annual income
$10,000-$19,000
|
9 participants
n=99 Participants
|
10 participants
n=107 Participants
|
19 participants
n=206 Participants
|
|
Current annual income
$20,000-$29,000
|
9 participants
n=99 Participants
|
5 participants
n=107 Participants
|
14 participants
n=206 Participants
|
|
Current annual income
$30,000-$39,000
|
3 participants
n=99 Participants
|
1 participants
n=107 Participants
|
4 participants
n=206 Participants
|
|
Current annual income
$40,000-$49,000
|
0 participants
n=99 Participants
|
1 participants
n=107 Participants
|
1 participants
n=206 Participants
|
|
Current annual income
$50,000 or more
|
11 participants
n=99 Participants
|
11 participants
n=107 Participants
|
22 participants
n=206 Participants
|
|
Current annual income
Refused to respond
|
44 participants
n=99 Participants
|
53 participants
n=107 Participants
|
97 participants
n=206 Participants
|
|
Highest grade completed in school
8th grade or less
|
1 participants
n=99 Participants
|
5 participants
n=107 Participants
|
6 participants
n=206 Participants
|
|
Highest grade completed in school
9th-11th grade
|
4 participants
n=99 Participants
|
5 participants
n=107 Participants
|
9 participants
n=206 Participants
|
|
Highest grade completed in school
High school graduate
|
17 participants
n=99 Participants
|
13 participants
n=107 Participants
|
30 participants
n=206 Participants
|
|
Highest grade completed in school
Some college
|
27 participants
n=99 Participants
|
20 participants
n=107 Participants
|
47 participants
n=206 Participants
|
|
Highest grade completed in school
College graduate
|
17 participants
n=99 Participants
|
19 participants
n=107 Participants
|
36 participants
n=206 Participants
|
|
Highest grade completed in school
Graduate degree
|
10 participants
n=99 Participants
|
14 participants
n=107 Participants
|
24 participants
n=206 Participants
|
|
Highest grade completed in school
Doctoral degree
|
7 participants
n=99 Participants
|
4 participants
n=107 Participants
|
11 participants
n=206 Participants
|
|
Highest grade completed in school
Declined to provide response
|
8 participants
n=99 Participants
|
10 participants
n=107 Participants
|
18 participants
n=206 Participants
|
|
Chronic condition inventory
Cancer
|
24 participants
n=99 Participants
|
20 participants
n=107 Participants
|
44 participants
n=206 Participants
|
|
Chronic condition inventory
Cardiac disease
|
58 participants
n=99 Participants
|
55 participants
n=107 Participants
|
113 participants
n=206 Participants
|
|
Chronic condition inventory
Dementia/Alzheimer's disease
|
3 participants
n=99 Participants
|
4 participants
n=107 Participants
|
7 participants
n=206 Participants
|
|
Chronic condition inventory
Depression
|
14 participants
n=99 Participants
|
32 participants
n=107 Participants
|
46 participants
n=206 Participants
|
|
Chronic condition inventory
Diabetes
|
18 participants
n=99 Participants
|
23 participants
n=107 Participants
|
41 participants
n=206 Participants
|
|
Chronic condition inventory
Hypertension
|
57 participants
n=99 Participants
|
54 participants
n=107 Participants
|
111 participants
n=206 Participants
|
|
Chronic condition inventory
Respiratory disease
|
30 participants
n=99 Participants
|
29 participants
n=107 Participants
|
59 participants
n=206 Participants
|
|
Chronic condition inventory
Stroke
|
7 participants
n=99 Participants
|
10 participants
n=107 Participants
|
17 participants
n=206 Participants
|
|
Patient Health Questionnaire 9-item (PHQ-9)
|
4.33 units on a scale
STANDARD_DEVIATION 3.9 • n=99 Participants
|
6.15 units on a scale
STANDARD_DEVIATION 5.1 • n=107 Participants
|
5.24 units on a scale
STANDARD_DEVIATION 4.5 • n=206 Participants
|
|
Pain (Number Rating Scale)
|
3.54 units on a scale
STANDARD_DEVIATION 3.4 • n=99 Participants
|
9.18 units on a scale
STANDARD_DEVIATION 1.1 • n=107 Participants
|
6.36 units on a scale
STANDARD_DEVIATION 2.25 • n=206 Participants
|
|
Physical Functioning Index (abbreviated Short Form-12)
|
7.67 units on a scale
STANDARD_DEVIATION 5.12 • n=99 Participants
|
7.18 units on a scale
STANDARD_DEVIATION 5.08 • n=107 Participants
|
7.43 units on a scale
STANDARD_DEVIATION 5.1 • n=206 Participants
|
|
Cognition (SPMSQ score)
|
9.08 units on a scale
STANDARD_DEVIATION 1.2 • n=99 Participants
|
9.18 units on a scale
STANDARD_DEVIATION 1.1 • n=107 Participants
|
9.13 units on a scale
STANDARD_DEVIATION 1.15 • n=206 Participants
|
|
Number of health conditions
|
6.35 health conditions
STANDARD_DEVIATION 4.1 • n=99 Participants
|
5.88 health conditions
STANDARD_DEVIATION 2.9 • n=107 Participants
|
6.17 health conditions
STANDARD_DEVIATION 3.5 • n=206 Participants
|
|
Number of daily medications
|
7.61 medications
STANDARD_DEVIATION 3.8 • n=99 Participants
|
8.00 medications
STANDARD_DEVIATION 3.8 • n=107 Participants
|
7.81 medications
STANDARD_DEVIATION 3.8 • n=206 Participants
|
|
Discharged home under self-care
Yes
|
61 participants
n=99 Participants
|
67 participants
n=107 Participants
|
128 participants
n=206 Participants
|
|
Discharged home under self-care
No
|
30 participants
n=99 Participants
|
23 participants
n=107 Participants
|
53 participants
n=206 Participants
|
|
Had inpatient stay or emergency department visit in previous 6 months
Yes
|
35 participants
n=99 Participants
|
32 participants
n=107 Participants
|
67 participants
n=206 Participants
|
|
Had inpatient stay or emergency department visit in previous 6 months
No
|
56 participants
n=99 Participants
|
58 participants
n=107 Participants
|
114 participants
n=206 Participants
|
|
Has Advance Directive
Yes
|
50 participants
n=99 Participants
|
46 participants
n=107 Participants
|
96 participants
n=206 Participants
|
|
Has Advance Directive
No
|
41 participants
n=99 Participants
|
44 participants
n=107 Participants
|
85 participants
n=206 Participants
|
PRIMARY outcome
Timeframe: 30-days post hospitalizationThe outcome measure is the number of readmissions experienced by participants in the Usual Care and Intervention groups within 30-days of their index discharge.
Outcome measures
| Measure |
Usual Care
n=91 Participants
Usual Care in the present study constitutes usual care that is delivered to older adults transitioning from the hospital to home from Huntington Memorial Hospital.
|
Intervention
n=90 Participants
SWIFT home intervention: 1 in-home assessment performed by study social worker, another in-home visit performed if needed. Up to 4 telephone contacts performed by study social worker. A maximum of 6 contacts
|
|---|---|---|
|
30-day Hospital Readmission
|
11 30-day hospital readmissions
|
9 30-day hospital readmissions
|
SECONDARY outcome
Timeframe: 30-daysPopulation: Analysis among Intervention group ONLY for this outcome
The outcome measure is the rate of 30-day readmissions among Intervention group participants that declined to receive the in-home social work intervention versus those Intervention group participants that received the in-home social work intervention.
Outcome measures
| Measure |
Usual Care
n=63 Participants
Usual Care in the present study constitutes usual care that is delivered to older adults transitioning from the hospital to home from Huntington Memorial Hospital.
|
Intervention
n=27 Participants
SWIFT home intervention: 1 in-home assessment performed by study social worker, another in-home visit performed if needed. Up to 4 telephone contacts performed by study social worker. A maximum of 6 contacts
|
|---|---|---|
|
30-day Readmission Among Intervention Participants
|
4 30-day hospital readmissions
|
5 30-day hospital readmissions
|
Adverse Events
Usual Care
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Intervention
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place