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Adapted Hospital Discharge Intervention: the CONNECT Pilot

Communication Outreach for Navigation and Needs-based Care Transitions (CONNECT): A Pilot Randomized Controlled Trial

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

* Registered language in Epic (written or spoken) is Spanish, Haitian Creole, Portuguese, Cape Verdean, or Vietnamese
* Admitted to medicine team at Boston Medical Center (BMC)
* Being discharged home (to the community)

Exclusion Criteria:

* On airborne infections precautions at time of recruitment
* On C diff precautions at time of recruitment
* On suicide precautions at time of recruitment
* Nurse report of participant displaying cognitive impairment, ongoing delirium, or aggression
* Discharge observed during a prior admission

About the study

Hospital discharge is a dangerous time for patients: one in five will suffer an adverse event, such as a medication error, and nearly 25% will be readmitted within 30 days. This time is even more dangerous for patients with who face communication barriers, including those with non-English language preference (NELP), low health literacy, and the elderly.

The investigators will pilot a post-discharge educational intervention to reinforce written discharge instructions (known as the After Visit Summary or AVS) using a randomized controlled trial design (2:1 intervention: control). The control group will receive current standard of care discharge education which includes a nurse reviewing their AVS and an automated call in English that allows patients to numerically select types of problems/questions that are then escalated to a nurse who should return their call within a few days. The intervention group will receive the standard of care discharge education with the AVS and an additional post-discharge educational call delivered by a registered nurse or other qualified health professional with the option to have written instructions professionally translated and sent via MyChart message--if available in their preferred language.

What is being tested

• Additional post discharge phone call (other)

Sponsor: Boston Medical Center · Participants: 60 · Started: Jan 16, 2026

Contact the study team

• Kirsten Austad, MD MPH · Phone: 617 414-2050
• Khushbu Patel, MA · Phone: 617 414-6227

Official record on ClinicalTrials.gov — NCT07032818

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.