AI-simplified discharge summaries to improve patient understanding
Official title: ContextCare: A Randomized Pilot Trial of AI-simplified Discharge Summaries to Improve Patient Comprehension
Run by Scarborough Health Network · NCT07890532 · Data updated 2026-11-12
This randomized pilot tests whether ContextCare can help adults understand their discharge information better than standard discharge words and printouts.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 52 (estimated) |
| Sponsor | Scarborough Health Network Academic / other |
| Locations | 1 site (Scarborough Village, Ontario) |
| Status | Recruiting |
| Started | August 20, 2026 |
| Main results expected | October 30, 2026 |
| Study ends | October 30, 2026 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT07890532 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older who are medically stable at discharge and have a discharge summary available in English.
✕Probably not a fit
Patients with very low health literacy or language barriers not addressed by the intervention may not see a benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults being discharged from Scarborough Health Network will be randomized to receive either ContextCare-generated, plain-language discharge instructions or usual discharge materials. The study uses baseline health literacy to stratify groups and measures immediate teach-back accuracy on diagnosis, treatment, follow-up, and red flags, plus satisfaction and recall after discharge. The intervention adapts outputs to language and preferred format, and discharge interactions may be video-recorded with consent for scoring. The trial follows a prior workflow pilot and uses an open-label design with analyses focusing on comprehension differences between groups and the interaction with health literacy.
Why it matters
Potential benefit: If successful, patients may better understand discharge instructions and follow-up, potentially reducing confusion and post-discharge issues.
How similar studies have gone: Prior, smaller studies suggest that simplified discharge information can improve patient understanding, but this exact AI-assisted approach is exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 years or older. * Medically stable for discharge. * Completed discharge summary available. * Independently able to participate in consent. * Able to understand the consent form in English. Exclusion Criteria: * Age younger than 18 years. * Medical instability or acute illness preventing discharge. * Has a legally authorized representative or substitute decision maker for conditions including, but not limited to, impaired vision and/or hearing or impaired speech. * Discharge summary unavailable at the time of discharge.
Where it's running
-
Scarborough Health Network
Scarborough Village, Ontario, Canada Recruiting
Study contacts
- Principal investigator: Joshua Landy — Scarborough Health Network Research Institute (SHNRI)
- Study coordinator: Joshua Landy
- Email: jlandy@shn.ca
- Phone: 416-300-2010
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.