Function-focused Transitional Care for Veterans After Hospitalization
Official title: Development and Feasibility of a Function-focused Transitional Care Intervention to Support Functional Recovery in Older Veterans
Run by VA Office of Research and Development · NCT07132944 · Data updated 2026-11-12
This project tests a function-focused version of the CTraC transitional care program to help Veterans regain and maintain independence after leaving the hospital.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | VA Office of Research and Development Federal |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | July 1, 2026 |
| Main results expected | October 1, 2029 |
| Study ends | December 31, 2030 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT07132944 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Older Veterans with evidence of functional vulnerability and reduced physical performance who can provide informed consent and plan to be discharged home.
✕Probably not a fit
Patients with very high frailty or those discharged to settings other than home may derive limited benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional project aims to develop and test a function-focused CTraC protocol (CTraC-FIT) integrated into nurse-led transitional care for Veterans transitioning from hospital to home. It uses evidence-based functional assessment and intervention strategies to support recovery of physical function and daily activities. Eligible participants are older Veterans assessed as vulnerable and with reduced physical performance, and the study compares CTraC-FIT to enhanced usual care. The setting is the VA Boston Healthcare System, focusing on improving post-discharge functional outcomes and quality of life.
Why it matters
Potential benefit: If successful, Veterans could experience better recovery of independence and daily functioning after hospitalization.
How similar studies have gone: Prior transitional care programs in Veterans have shown improved care transitions; this function-focused extension is a targeted, novel enhancement with promising potential.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Score of \> 3 on Vulnerable Elders Survey, (VES-13) * Score of 4-9 on Short Physical Performance Battery (SPPB) * Able to provide informed consent Exclusion Criteria: * Admitted to VA Boston for acute psychiatric are or substance abuse detoxification * Plan to discharge anywhere except home (e.g., assisted living, group home, or skilled nursing facility)
Where it's running
-
VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Boston, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Caroline Madrigal, PhD — VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
- Study coordinator: Caroline Madrigal, PhD
- Email: Caroline.Madrigal@va.gov
- Phone: (401) 273-7100
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Breathing and manual therapy to improve function in college students with upper cross syndrome
In college students with upper cross syndrome, adding a specific breathing technique (ujjayi pranayama) to manual therapy is being tested to see if it helps spinal alignment relate to better functional performance.
-
How short power-training sessions affect muscle power and movement in older adults.
This test will try three leg-press power-training sessions with different fatigue levels to see which approach is safest and most helpful for adults aged 65–85.
-
Physiotherapist-guided online exercise for remote white-collar workers
This program tests whether a six-week physiotherapist-led online exercise plan can reduce neck or low-back pain and improve function in remote white-collar workers.
-
How a young child's level of independence affects family well-being in rare genetic disorders
This study will see if a young child’s day-to-day independence with a rare genetic disorder is linked to their parents' depression, sleep, family functioning, and overall quality of life.
-
Foot sensation training to help balance, gait, and function in adults with type 2 diabetes and neuropathy
This randomized trial tests whether foot sensory training, in addition to education, improves balance, walking, and functional ability for adults with type 2 diabetes and neuropathy.
-
Comparing Action Observation Therapy and Motor Relearning Program for Stroke Recovery
This study is testing whether watching movements (Action Observation Therapy) or practicing movements (Motor Relearning Program) helps people recovering from a stroke improve their balance and mobility better.
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.