The Impact of a Personalized Care Intervention on 90-day Post-Discharge Care

Study Overview
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Brief Summary
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The purpose of this 90 day study is to demonstrate the extent to which participants with cardiovascular conditions can improve their recovery at home through a mobile app, support and resources made available to them after hospitalization. The study will evaluate the effectiveness of personal care intervention support, including one-on-one guidance, educational information, check-ins, and Laguna's mobile app to help participants recover better after hospitalization.

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 hospital provided clinical guidance and Laguna's personalized contextual care protocols, with the goal of improving health outcomes and reducing readmissions within 90 days post-discharge. Particiants in the intervention group received support from Laguna Health via Laguna's mobile app, phone, video, text, or web chat. Laguna provided contextual support to remove recovery barriers to these intervention participants.

Official Title
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The Impact of a Personalized Care Intervention on 90-day Post-Discharge Care

Conditions
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Cardiovascular Diseases

Intervention / Treatment
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* Behavioral: Laguna Coach and App 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 disorder as defined by the coded diagnoses for that admission Discharged to home Converse in English Uses a telephone (landline or cell phone) Exclusion Criteria: Participant unable to provide informed consent Participant lacks cognitive ability to participate in the study interventions as judged by the individual initiating the consenting process

Ages Eligible for Study
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Minimum Age: 18 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: Treatment
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 and Laguna's mobile app for 90 days, the control group did not receive any support from Laguna coaches or Laguna's app.
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 and App Intervention Group<br>* Behavioral, mental and contextual support was delivered through personal interactions with Laguna Coaches via mobile app, phone, video, or web chat. Care interventions were individualized to best match each participant's needs and strengths. Support will be provided to participants through interactions over approximately 90 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 |  | 90 Days Post-Discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Readmissions, Behavioral Health, Care Transitions, Social Determinants of Health, Contextualizing Healthcare, Virtual Coaching