[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100531723":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":29,"locations":38,"responsibleParty":59,"collaborators":61,"id":65,"slug":18,"hasResults":66,"nctId":67,"briefTitle":68,"officialTitle":69,"acronym":70,"eligibilityCriteria":71,"healthyVolunteers":72,"sex":73,"minAge":74,"maxAge":18,"enrollmentInfo":75,"targetDuration":18,"studyType":78,"phases":79,"briefSummary":81,"conditions":82,"keywords":18,"overallStatus":41,"whyStopped":18,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"University of Pennsylvania","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"THRIVE Intervention","EXPERIMENTAL","THRIVE Intervention\n\n1-month intensive post discharge case management and care coordination",[13],"Behavioral: Thrive Intervention",{"label":15,"type":16,"description":17,"interventionNames":18},"Usual Care","NO_INTERVENTION","Discharge to home without intensive post-acute case management or care coordination.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"BEHAVIORAL","Thrive Intervention","• The THRIVE Clinical Pathway is a standardized transitional care clinical pathway that supports Medicaid insured or Medicaid eligible individuals being managed for both chronic diseases and serious mental illness following hospitalization.",[9],[26],{"name":27,"affiliation":5,"role":28},"Jacqueline M Brooks Carthon, PhD,RN","PRINCIPAL_INVESTIGATOR",[30,34],{"name":27,"role":31,"phone":32,"phoneExt":18,"email":33},"CONTACT","2158988050","jmbrooks@nursing.upenn.edu",{"name":35,"role":31,"phone":36,"phoneExt":18,"email":37},"Erin Babe, MPH","2158984417","erinbabe@nursing.upenn.edu",[39],{"facility":40,"status":41,"city":42,"state":43,"zip":44,"country":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"Upenn School of Nursing Centre For Health Outcomes Policy Research","RECRUITING","Philadelphia","Pennsylvania","19104","United States",{"type":47,"coordinates":48},"Point",[49,50],-75.16362,39.95238,{"lat":50,"lon":49},[53,55,58],{"name":27,"role":31,"phone":54,"phoneExt":18,"email":33},"215-898-8050",{"name":56,"role":31,"phone":36,"phoneExt":18,"email":57},"Kelvin Amenyedor, PhD,RN","kelvinam@upenn.edu",{"name":27,"role":28,"phone":18,"phoneExt":18,"email":18},{"type":60,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR",[62],{"name":63,"class":64},"Agency for Healthcare Research and Quality (AHRQ)","FED","100531723",false,"NCT06203509","Improving Care Transitions for Medicaid Insured Individuals With Co-occurring Serious Mental Illness","An Equity-focused Intervention to Improve Care Transitions for Medicaid Insured Individuals With Co-occurring Chronic Medical Conditions and Serious Mental Illness","THRIVE-SMI","Inclusion Criteria:\n\n* Medicaid insured\n* Residing in the state of Pennsylvania\n* Experienced a hospitalization at study hospital\n* Agrees to home care at partner home care setting.\n\nExclusion Criteria:\n\n* Individuals under age 18",true,"ALL","18 Years",{"count":76,"type":77},267,"ESTIMATED","INTERVENTIONAL",[80],"NA","This study aims to evaluate the THRIVE clinical pathway at HUP, focusing on supporting Medicaid-insured individuals, including those with serious mental illness, following hospitalization. The study will assess clinician\u002Fadministrator perspectives on the pathway's feasibility, appropriateness, and acceptability and analyze referral patterns and post-discharge outcomes.\n\nThe objectives are:\n\n1. To conduct a qualitative study evaluating the implementation of THRIVE, particularly its adaptation to include patients with serious mental illness.\n2. To examine referral patterns, 30-day readmission rates, and ED utilization for THRIVE participants, comparing them with those receiving standard care.\n\nParticipants will be referred to home care services during hospitalization and seen by a home care nurse within 48 hours post-discharge. A discharging physician or Advanced Practice Provider will oversee care for 30 days or until a primary care or specialist visit. The Care Coordination Team will hold weekly case conferences for 30 days post-discharge to address both health and mental health needs. The study will compare outcomes of Medicaid-insured patients, including those with serious mental illness, to those receiving usual care.",[83],"Care Transitions","2026-04-28",{"date":86,"type":87},"2026-05-05","ACTUAL",{"date":89,"type":87},"2024-04-15",{"date":91,"type":77},"2026-10-01",{"name":5,"class":6},1]