Trial reportJournal of the American Geriatrics Society2018
Improving the ED-to-Home Transition: The Community Paramedic-Delivered Care Transitions Intervention-Preliminary Findings.
Trial report in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed.
- Effect of an Advanced Community Paramedic Program to Shorten or Prevent Hospitalizations: A Pragmatic, Point-of-Care, Randomized Clinical Trial.Annals of family medicine · 2026Trial
- Machine learning-assisted screening for cognitive impairment in the emergency department.Journal of the American Geriatrics Society · 2022Trial
- Effectiveness of a care transitions intervention for older adults discharged home from the emergency department: A randomized controlled trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Trial
- Predictors of Older Adult Adherence With Emergency Department Discharge Instructions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Trial
- Association between social isolation and outpatient follow-up in older adults following emergency department discharge.Archives of gerontology and geriatricsTrial
- AI in Psychiatry for Improving Continuity of Patient Care: Protocol for a Mixed Methods Systematic Review.JMIR research protocols · 2026Article
- Evaluating a Mobile Integrated Health Transitional Care Program to Reduce Readmissions: Findings From a Quasi-Experimental Design.Journal of the American Geriatrics Society · 2026Observational
- A Mixed Methods SEIPS-based Evaluation of a Patient-centered ED Discharge Process Redesign for Older Adults.Journal of patient safety · 2025Article
- Integrated care at the emergency department: an investment for better health.Singapore medical journal · 2025Review
- A mixed-methods observational study of strategies for success in implementation science: overcoming emergency departments hurdles.BMC health services research · 2025Observational
- Beyond flashing lights and sirens: Community paramedicine as health safety nets for older adults.Journal of the American Geriatrics Society · 2024Article
- Emergency Department-to-Community Transitions of Care: Best Practices for the Older Adult Population.Clinics in geriatric medicine · 2023Review
- Exploring interdependencies, vulnerabilities, gaps and bridges in care transitions of patients with complex care needs using the Functional Resonance Analysis Method.BMC health services research · 2023Article
- Article
- Factors Associated With Successful Enrollment in a Community Paramedicine Program for Heart Failure.Cureus · 2023Article
- Multimethod Process Evaluation of a Community Paramedic Delivered Care Transitions Intervention for Older Emergency Department Patients.Prehospital emergency care · 2023Article
- Evaluating the Impact of a Mobile Integrated Health‒Community Paramedicine Program on Health-Related Social Needs and Hospital Readmissions.Journal of health care for the poor and underserved · 2023Observational
- Mobile Integrated Health Interventions for Older Adults: A Systematic Review.Innovation in aging · 2023Review
- Scalar Assessment of the Family Caregiver Activation in Transitions Tool: An Exploratory Factor Analysis.Journal of gerontological nursing · 2022Article
- Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians.Patient education and counseling · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
objectivesTo describe a novel model of care that uses community-based paramedics to deliver a modified version of the evidence-based hospital-to-home Care Transitions Intervention (CTI) to a new context: the emergency department (ED)-to-home transition.
designSingle-blind randomized controlled trial.
settingThree EDs in 2 cities.
participantsThrough June 2017, 422 individuals discharged home from the EDs who provided consent and were randomized to receive the modified CTI.
interventionWe modified the hospital-to-home CTI, applying it to the ED-to-home transition and delivering services through community paramedics, allowing the program to benefit from the unique attributes of paramedics to deliver care. MEASUREMENTS: Through surveys of participants, medical record review, and documentation of activities by CTI coaches, we characterize the participants and program, including feasibility and acceptability.
resultsMedian age of participants was 70.7, 241 (57.1%) were female, and 385 (91.2%) were white. Coaches successfully completed 354 (83.9%) home visits and 92.7% of planned telephone follow-up for call 1, 90.9% for call 2, and 85.8% for call 3. We found high levels of acceptability among participants, with most participants (76.2%) and their caregivers (83.1%) reporting themselves likely or extremely likely to choose an ED featuring the CTI program in the future. Coaches reported delivering expected services during contact at least 88% of the time.
conclusionAlthough final conclusions about program effectiveness must await the results of the randomized controlled trial, the findings reported here are promising and provide preliminary support for an ED-to-home CTI Program's ability to improve outcomes. The coaches' identity as community paramedics is particularly noteworthy, because this is a unique role for this provider type. J Am Geriatr Soc 66:2213-2220, 2018.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.