Pragmatic Clinical Trial to Improve Patient Experience Among Adults During Transitions from Hospital to Home: the PArTNER study

Authors: Stephanie L LaBedz, Valentin Prieto-Centurion, Amelia Mutso, Sanjib Basu, Nina E Bracken, Elizabeth A Calhoun, Robert J DiDomenico, Min Joo, A Simon Pickard, Barry Pittendrigh, Mark V Williams, Sai Illendula, Jerry A Krishnan

A randomized clinical trial was conducted from October 2014 to January 2017 at a minority-serving hospital to compare the effectiveness of a stakeholder-supported Navigator intervention versus usual care in relation to post-hospital patient experience, outcomes, and healthcare utilization. The intervention was delivered by CHWs and peer coaches, and included (i) in-hospital visits to assess barriers to health/healthcare and to develop a personalized Discharge Patient Education Tool (DPET), (ii) a home visit to review the DPET, and (iii) telephone-based peer coaching. Overall, the results demonstrated no significance between-group differences in changes in anxiety, informational support, or any secondary outcomes, suggesting the need for future confirmatory studies.