Behavioral and Recovery Support for 30 Day Post-Discharge Care

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Cardiovascular Diseases

Intervention / Treatment
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* Behavioral: Laguna Coach Intervention Group


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants were assigned upon consent randomly to an intervention or control group. The intervention group received support from Laguna Coaches for 30 days, the control group did not receive any support from Laguna coaches.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Arm<br>Group received support from Laguna Coaches | Behavioral: Laguna Coach Intervention Group<br>* 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.<br>|
| No Intervention: Control Arm<br>Group received no support from Laguna Coaches | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Unplanned All Cause Readmission Rate | Unplanned All-Cause 30 Day Readmission Rate | 30 Days Post-Discharge | 
| Unplanned Readmission Total Cost | Billed facility charges for readmissions hospitalization stays | 30 Days Post-Discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Readmissions, Cardiovascular, Post-Discharge, Behavioral Health, Readmission Cost, 30 Day Readmission, Heart Failure, Care Management, Barriers to Care, Contextualizing Healthcare