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ClinicalTrials.gov public records Last synced Nov 4, 2026, 9:07 PM EST

All trial information on this site comes from the official ClinicalTrials.gov public API (clinicaltrials.gov/api/v2), run by the U.S. National Library of Medicine. We only display that public information; we do not add opinions, endorsements, or any other intent. Always review the official ClinicalTrials.gov record for the latest information.

Showing 1–24 of 93 matching trials from the live ClinicalTrials.gov search.

Filters: Condition: Health Care Transition Clear all

Conditions: General Medical Inpatient Conditions
Interventions: Patient-Centered Transition Intervention; Behavioral
Lead sponsor: University of Pennsylvania; Other
Eligibility: 18 Years to 65 Years
Enrollment: 513 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2011 – 2012
U.S. locations: 1
States / cities: Philadelphia, Pennsylvania

Conditions: Hospitalism
Interventions: Community Health Worker; Behavioral
Lead sponsor: Massachusetts General Hospital; Other
Eligibility: 18 Years to 109 Years
Enrollment: 600 participants
Healthy volunteers: Accepts healthy volunteers
Timeline: 2017 – 2019
U.S. locations: 1
States / cities: Boston, Massachusetts

Conditions: Opioid Overdose Prevention, HIV Prevention and Care, Harm Reduction
Interventions: PROTECT-ED Care Coordination; Behavioral
Lead sponsor: Johns Hopkins University; Other
Eligibility: 18 Years and older
Enrollment: 120 participants
Healthy volunteers: Accepts healthy volunteers
Timeline: 2026 – 2028
U.S. locations: 1
States / cities: Baltimore, Maryland

Conditions: Psychotic Disorders
Interventions: Mobile After-Care Support (MACS) app; Behavioral
Lead sponsor: Butler Hospital; Other
Eligibility: 18 Years and older
Enrollment: 10 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2019
U.S. locations: 1
States / cities: Providence, Rhode Island

Conditions: Dementia, Caregiver, Emergency Department, Artificial Intelligence, Care Transition
Interventions: NeuViCare application; Other
Lead sponsor: Yale University; Other
Eligibility: 65 Years and older
Enrollment: 40 participants
Healthy volunteers: Accepts healthy volunteers
Timeline: 2023 – 2024
U.S. locations: 1
States / cities: New Haven, Connecticut

Conditions: Caregiver Stress
Interventions: Digital Health Information (DHI), Virtual Health Coach for You; Other · Behavioral
Lead sponsor: University of Pennsylvania; Other
Eligibility: 18 Years and older
Enrollment: 314 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2024 – 2028
U.S. locations: 3
States / cities: Philadelphia, Pennsylvania

Conditions: Medication Adherence, Medication Nonadherence, Adverse Reaction to Drug
Interventions: Computerized medication delivery unit (Electronic Medication Management Assistant (EMMA); Device
Lead sponsor: University of Pittsburgh; Other
Eligibility: 65 Years and older
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2011 – 2012
U.S. locations: 1
States / cities: Pittsburgh, Pennsylvania

Conditions: Acute Kidney Injury, Acute Kidney Injury (AKI)
Interventions: AKI Discharge Summary Template, Chat-Based Educational Messaging Program; Behavioral
Lead sponsor: Northwell Health; Other
Eligibility: 18 Years and older
Enrollment: 160 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2026 – 2027
U.S. locations: 2
States / cities: Glen Oaks, New York • Manhasset, New York

Conditions: Cerebral Palsy
Interventions: Not listed
Lead sponsor: University of Colorado, Denver; Other
Eligibility: 18 Years to 45 Years
Enrollment: 72 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2014 – 2027
U.S. locations: 1
States / cities: Aurora, Colorado

Conditions: Colorectal Cancer, Bladder Cancer, Ovarian Cancer, Cervical Cancer, Uterine Cancer
Interventions: Patient-Reported Outcomes-Informed Symptom Management System (PRISMS); Behavioral
Lead sponsor: UNC Lineberger Comprehensive Cancer Center; Other
Eligibility: 18 Years to 99 Years
Enrollment: 46 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2020 – 2021
U.S. locations: 1
States / cities: Chapel Hill, North Carolina

Conditions: Clinical Sepsis
Interventions: Sepsis Transition And Recovery (STAR), Usual care; Behavioral
Lead sponsor: Wake Forest University Health Sciences; Other
Eligibility: 18 Years and older
Enrollment: 712 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2019 – 2021
U.S. locations: 1
States / cities: Charlotte, North Carolina

Conditions: Colorectal Surgery, Care Transition, Older Adults (65 Years and Older)
Interventions: OSCAR-S Care Transition Model; Behavioral
Lead sponsor: Massachusetts General Hospital; Other
Eligibility: 65 Years and older
Enrollment: 30 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2025 – 2027
U.S. locations: 1
States / cities: Salem, Massachusetts

Conditions: Patient Discharge
Interventions: Just-in-Time information; Behavioral
Lead sponsor: Virginia Moyer; Other
Eligibility: Not listed
Enrollment: 229 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2010 – 2011
U.S. locations: 1
States / cities: Houston, Texas

Conditions: Mental Health Issue, Inflammatory Bowel Diseases
Interventions: dCBI; Behavioral
Lead sponsor: University of Pittsburgh; Other
Eligibility: 16 Years to 25 Years
Enrollment: 7 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2022 – 2023
U.S. locations: 1
States / cities: Pittsburgh, Pennsylvania

Conditions: Schizophrenia, Medical Complication
Interventions: Critical time intervention; Other
Lead sponsor: New York State Psychiatric Institute; Other
Eligibility: 21 Years to 64 Years
Enrollment: 15 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2019 – 2020
U.S. locations: 2
States / cities: The Bronx, New York

Conditions: Acute Coronary Syndrome, Heart Failure
Interventions: Pharmacist Intervention for Low-Literacy in Cardiovascular Disease; Behavioral
Lead sponsor: Vanderbilt University Medical Center; Other
Eligibility: 18 Years and older
Enrollment: 862 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2008 – 2012
U.S. locations: 2
States / cities: Boston, Massachusetts • Nashville, Tennessee

Conditions: Diabetes Mellitus Type 2, Social Determinants of Health (SDOH), Hospital Readmission
Interventions: REDDCAT2 Post-Discharge Navigation, Treatment as Usual (TAU); Behavioral · Other
Lead sponsor: University of Massachusetts, Worcester; Other
Eligibility: 18 Years and older
Enrollment: 412 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2026 – 2029
U.S. locations: 1
States / cities: Worcester, Massachusetts

Conditions: Asthma, Coronary Artery Disease, Diabetes, Hypertension, Congestive Heart Failure
Interventions: Reports, Reports and Notices, Usual care; Other
Lead sponsor: Duke University; Other
Eligibility: Not listed
Enrollment: 8,422 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2009 – 2012
U.S. locations: 1
States / cities: Durham, North Carolina

Conditions: Heart Failure
Interventions: Virtual Visit; Behavioral
Lead sponsor: The Cleveland Clinic; Other
Eligibility: Not listed
Enrollment: 116 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2018 – 2019
U.S. locations: 1
States / cities: Cleveland, Ohio

Conditions: Heart Failure
Interventions: Heart Failure Self Care Support, Usual heart failure care; Behavioral · Other
Lead sponsor: Johns Hopkins University; Other
Eligibility: 21 Years and older
Enrollment: 11 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2010 – 2011
U.S. locations: 1
States / cities: Baltimore, Maryland

Conditions: Traumatic Brain Injury
Interventions: Standard of Care, Experimental; Other
Lead sponsor: Virginia Commonwealth University; Other
Eligibility: 18 Years and older
Enrollment: 126 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2024 – 2027
U.S. locations: 1
States / cities: Richmond, Virginia

Conditions: Postoperative Complications
Interventions: Non-cardiac surgery; Procedure
Lead sponsor: The Cleveland Clinic; Other
Eligibility: 18 Years and older
Enrollment: 7,348 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2015 – 2018
U.S. locations: 1
States / cities: Cleveland, Ohio

Conditions: Post-intensive Care Syndrome, Transitional Care, Critical Care, Health Services
Interventions: PICTURE-THIS, Enhanced Usual Care, Run-In Phase; Other · Behavioral
Lead sponsor: University of Pittsburgh; Other
Eligibility: 50 Years and older
Enrollment: 42 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2023 – 2025
U.S. locations: 1
States / cities: Pittsburgh, Pennsylvania

Conditions: Dementia, Caregiver, Emergency Department, Mobile Health Technology (mHealth)
Interventions: CAPTURE Text Message Care Transition Support; Behavioral
Lead sponsor: Yale University; Other
Eligibility: 18 Years and older
Enrollment: 80 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2027 – 2030
U.S. locations: 1
States / cities: New Haven, Connecticut

Search by objective public record fields.

IMPaCT (Individualized Management Towards Patient-Centered Targets)

Community Health Worker Care Transitions Study

Prevention and Rapid Outreach for Treatment, Engagement, and Care Transition From the Emergency Department

Mobile After-Care Intervention to Support Post-Hospital Transition (MACS)

Artificial Intelligence + Care Coach Intervention

iCare4Me Transitions

Feasibility of Using a Telemedicine Medication Delivery Unit for Older Adults

COordiNated CommuNication, Education, and Care Transitions After Acute Kidney Injury (CONNECT-AKI)

Cerebral Palsy Adult Transition Longitudinal Study

Feasibility Testing of Patient Reported Outcomes - Informed Symptom Management System (PRISMS)

Improving Morbidity During Post-Acute Care Transitions for Sepsis

Optimizing Care Transition Process for Older Colorectal Surgery Patients

The Impact of Just-in-time Information on Neonatal Intensive Care Unit (NICU) Discharges

RxWell in Pediatric IBD for Disease Management and Transition Readiness

Adapting Critical Time Intervention to Support Inpatient Medical Care Transition

Pharmacist Intervention to Decrease Medication Errors in Heart Disease Patients (The PILL-CVD Study)

Re-Engineered Discharge for Diabetes Care Transitions

Care Transitions for Complex Patient - Cycle 1 and Cycle 2

Virtual Visits in Heart Failure Care Transitions

Nurse-Led Heart Failure Care Transition Intervention for African Americans: The Navigator Program

Improving Traumatic Brain Injury Rehab Care With Comm Health Services: a Research Project Within the TBI Model System

Intraoperative Anesthesia Care Transition Checklist

Pilot Testing PICTURE-THIS

ED PLWD/Care Partner Text Messaging