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

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

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06146582
Enrollment
187
Registered
2023-11-24
Start date
2021-11-15
Completion date
2023-12-29
Last updated
2024-03-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiovascular Diseases

Keywords

Readmissions, Behavioral Health, Care Transitions, Social Determinants of Health, Contextualizing Healthcare, Virtual Coaching

Brief summary

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

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.

Interventions

BEHAVIORALLaguna Coach and App Intervention Group

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.

Sponsors

Mayo Clinic
CollaboratorOTHER
Laguna Health, Inc
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention 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.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

Design outcomes

Primary

MeasureTime frame
Unplanned All Cause Readmission Rate90 Days Post-Discharge

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026