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ClinicalTrials.gov public records Last synced Nov 9, 2026, 5:13 AM 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 190 matching trials from the live ClinicalTrials.gov search.

Filters: Intervention: Care Transitions Intervention Clear all

Conditions: Transitional Care, Frail Elderly, Home Health Care
Interventions: Transition Intervention; Behavioral
Lead sponsor: Johns Hopkins University; Other
Eligibility: 65 Years and older
Enrollment: 761 participants
Healthy volunteers: Accepts healthy volunteers
Timeline: 2022 – 2023
U.S. locations: 1
States / cities: Baltimore, Maryland

Conditions: Critical Illness
Interventions: Early Integration of Specialty Palliative Care with Critical Care; Behavioral
Lead sponsor: University of Pittsburgh; Other
Eligibility: 60 Years and older
Enrollment: 1,091 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2021 – 2026
U.S. locations: 1
States / cities: Pittsburgh, Pennsylvania

Conditions: Chronic Obstructive Pulmonary Disease, Chronic Heart Failure
Interventions: The seven visit telemedicine protocol; Other
Lead sponsor: University of Alabama at Birmingham; Other
Eligibility: 60 Years and older
Enrollment: 30 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2022 – 2023
U.S. locations: 1
States / cities: Birmingham, Alabama

Conditions: Hospital Readmissions
Interventions: Care Transitions Intervention, Care Transitions Intervention and Peer Support, Usual Care; Behavioral · Other
Lead sponsor: University of South Florida; Other
Eligibility: 60 Years and older
Enrollment: 483 participants
Healthy volunteers: Accepts healthy volunteers
Timeline: 2022 – 2025
U.S. locations: 1
States / cities: Tampa, Florida

Conditions: COPD Exacerbation, Care Transitions
Interventions: Virtual at Home Medication Reconciliation Visit(s), Virtual At Home Medication Education Visit(s), COPD advanced practice nurse Inpatient Consult, Inpatient Medication Reconciliation, Post-discharge nurse 48 hour phone follow-up call, Post-discharge follow-up advanced practice nurse outpatient visit; Other · Behavioral
Lead sponsor: University of Chicago; Other
Eligibility: 18 Years and older
Enrollment: 218 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2025 – 2026
U.S. locations: 1
States / cities: Chicago, Illinois

Conditions: Adverse Events, Readmissions, Patient Engagement
Interventions: Multi-Model Intensive Discharge Intervention; Other
Lead sponsor: Brigham and Women's Hospital; Other
Eligibility: 18 Years and older
Enrollment: 1,679 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2013 – 2015
U.S. locations: 2
States / cities: Boston, Massachusetts

Conditions: HIV, Hepatitis C, Substance Use Disorders
Interventions: CJC-TraC; Other
Lead sponsor: University of Wisconsin, Madison; Other
Eligibility: 18 Years and older
Enrollment: 219 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2022 – 2025
U.S. locations: 2
States / cities: Oregon, Wisconsin • Union Grove, Wisconsin

Conditions: Stroke
Interventions: COMPASS, Education Program; Behavioral
Lead sponsor: Washington University School of Medicine; Other
Eligibility: 55 Years and older
Enrollment: 520 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2025 – 2030
U.S. locations: 2
States / cities: Columbia, Missouri • St Louis, Missouri

Conditions: Type 2 Diabetes
Interventions: Continuous glucose monitor; Device
Lead sponsor: University of Cincinnati; Other
Eligibility: 18 Years and older
Enrollment: 218 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2026 – 2028
U.S. locations: 1
States / cities: Cincinnati, Ohio

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: Communication
Interventions: PICU Supports, Educational Brochure; Other
Lead sponsor: Ann & Robert H Lurie Children's Hospital of Chicago; Other
Eligibility: Not listed
Enrollment: 442 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2015 – 2017
U.S. locations: 2
States / cities: Chicago, Illinois

Conditions: HIV
Interventions: SUCCESS-E, Enhanced Standard of Care, Key Informant Interviews; Behavioral
Lead sponsor: Emory University; Other
Eligibility: 18 Years and older
Enrollment: 100 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2025 – 2026
U.S. locations: 1
States / cities: Atlanta, Georgia

Conditions: Cerebral Palsy
Interventions: RE-PACT Intervention; Behavioral
Lead sponsor: University of Wisconsin, Madison; Other
Eligibility: 18 Years and older
Enrollment: 60 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2022 – 2024
U.S. locations: 2
States / cities: Los Angeles, California • Madison, Wisconsin

Conditions: Suicide Prevention
Interventions: " Safer Still " Interactive Intervention, Enhanced Usual Care (EUC):; Behavioral · Other
Lead sponsor: Jeff Bridge; Other
Eligibility: 18 Years to 90 Years
Enrollment: 80 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2024 – 2027
U.S. locations: 2
States / cities: Columbus, Ohio

Conditions: Burns, Acute Pain, Procedural Pain, Injuries, Pediatric ALL
Interventions: VR-PAT; Other
Lead sponsor: Nationwide Children's Hospital; Other
Eligibility: 6 Years to 17 Years
Enrollment: 220 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2023 – 2027
U.S. locations: 2
States / cities: Columbus, Ohio • Dallas, Texas

Conditions: Hypertension, Stroke, Transient Ischemic Attack
Interventions: Nurse Practitioner Only, Nurse Practitioner + Health Coach; Behavioral
Lead sponsor: Visiting Nurse Service of New York; Other
Eligibility: 21 Years and older
Enrollment: 495 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2012 – 2018
U.S. locations: 1
States / cities: New York, New York

Conditions: Heart Failure With Preserved Ejection Fraction
Interventions: HF Kit and Follow-ups; Behavioral
Lead sponsor: Hackensack Meridian Health; Other
Eligibility: 18 Years to 90 Years
Enrollment: 69 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2025 – 2026
U.S. locations: 1
States / cities: Brick, New Jersey

Conditions: Ischemic Stroke, Hemorrhagic Stroke
Interventions: COMPASS, Stroke education; Behavioral
Lead sponsor: Washington University School of Medicine; Other
Eligibility: 50 Years and older
Enrollment: 185 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2018 – 2024
U.S. locations: 1
States / cities: St Louis, Missouri

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: Lower Respiratory Tract Infection, Pneumonia, Asthma, Bronchiolitis, Viral
Interventions: ED Clinical Decision Support (CDS-ED), Transitions Clinical Decision Support (CDS-Tr); Behavioral
Lead sponsor: Vanderbilt University Medical Center; Other
Eligibility: 6 Months to 17 Years
Enrollment: 2,800 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2024 – 2027
U.S. locations: 3
States / cities: Oakland, California • San Francisco, California • Nashville, Tennessee

Conditions: Fall, Accidental, Fall, Hospital Readmission, Emergency Medical Services
Interventions: Transport PLUS group; Behavioral
Lead sponsor: Icahn School of Medicine at Mount Sinai; Other
Eligibility: 18 Years and older
Enrollment: 58 participants
Healthy volunteers: Accepts healthy volunteers
Timeline: 2017 – 2019
U.S. locations: 1
States / cities: New York, New York

Conditions: Transitional Care, Caregivers, Patient Discharge, Aging, Frailty
Interventions: Connect-Home; Behavioral
Lead sponsor: University of North Carolina, Chapel Hill; Other
Eligibility: 18 Years and older
Enrollment: 654 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: 2019 – 2021
U.S. locations: 1
States / cities: Chapel Hill, North Carolina

Conditions: Hospitalization
Interventions: Care Transitions Innovation (C-TraIn); Other
Lead sponsor: Oregon Health and Science University; Other
Eligibility: 18 Years and older
Enrollment: 382 participants
Healthy volunteers: Healthy volunteers not accepted
Timeline: Started 2010
U.S. locations: 1
States / cities: Portland, Oregon

Conditions: Patient Safety, Adverse Drug Event
Interventions: HomeTeam Toolkit; Behavioral
Lead sponsor: Johns Hopkins University; Other
Eligibility: 65 Years and older
Healthy volunteers: Accepts healthy volunteers
Timeline: 2019 – 2022
U.S. locations: 1
States / cities: Baltimore, Maryland

Search by objective public record fields.

Making Health Care Safer for Older Adults Receiving Skilled Home Health Care Services After Hospital Discharge

Integrated Supportive and Palliative Care for Older Adults in the ICU

The 7-Visit Transition of Care Hospital to Home Intervention: A Pilot Study

Enhancing the Care Transitions Intervention With Peer Support to Reduce Disparities

Telehealth Education Leveraging Electronic Transitions Of Care for COPD Patients

Relative Patient Benefits of a Hospital-PCMH Collaboration Within an ACO to Improve Care Transitions

Criminal Justice Coordinated Transitional Care

Compass 3: A Novel Transition Program to Reduce Disability After Stroke

Transitioning Recently Admitted Patients With Non-Insulin and Insulin-treated Type 2 Diabetes to Innovative Glucose Monitoring

Virtual Visits in Heart Failure Care Transitions

Improving Communication in the PICU: The Navigate Study

Substance Use and HIV Action for Reentry and Engagement.

Respiratory Exacerbation Plans for Action and Care Transitions for Children With Severe CP

Safer Still (Exploratory Project 3)

VR-PAT During Home Burn Dressings - Multisite

Center for Stroke Disparities Solution - Community Transitions Intervention

Transitions of Care Clinic (TOCC)

A Novel Transition Program to Reduce Disability After Stroke

IMPaCT (Individualized Management Towards Patient-Centered Targets)

Reducing Overuse of Antibiotics With Decision Support

Transport PLUS Intervention

Connect-Home Clinical Trial

Care Transitions Innovation (C-TraIn)

Partnering With Patients for Improving Medication Safety During Transitions of Care: Implications for Work System Design