Home-based skilled nursing care for rehabilitation
Official title: Skilled Nursing Facility at Home Trial
Run by University of Massachusetts, Worcester · NCT06547645 · Data updated 2026-11-12
This study is testing whether home-based nursing care can help people recovering from hospitalization do better than those who go to a rehab facility.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 650 (estimated) |
| Sponsor | University of Massachusetts, Worcester Academic / other |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 2 sites (Springfield, Massachusetts and 1 other locations) |
| Status | Recruiting |
| Started | August 26, 2024 |
| Main results expected | December 2026 |
| Study ends | May 2027 |
| Registry record updated | March 11, 2026 |
| Trial ID | NCT06547645 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 or older who require post-acute care and can safely receive care at home.
✕Probably not a fit
Patients who require long-term care, palliative care, or have significant mobility limitations may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial evaluates a home-based model for post-acute care by enrolling 650 hospitalized patients who need rehabilitation or skilled nursing support after discharge. Participants will be randomly assigned to receive either home-based care or traditional facility-based care. The study will assess outcomes such as hospital readmission and mortality rates within 30 days, as well as secondary outcomes related to quality of life and healthcare costs. The trial is conducted across two health systems in Massachusetts, ensuring a diverse patient population.
Why it matters
Potential benefit: If successful, this approach could reduce hospital readmissions and improve recovery outcomes for patients requiring post-acute care.
How similar studies have gone: Other studies have shown promising results with home-based rehabilitation models, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 or older * Admitted to an inpatient unit OR receiving home health and requiring an escalation to skilled-nursing facility care * Require post-acute care in a skilled nursing facility based on the clinical inpatient team's assessment (or, if the participant is coming from home, based on the home health team's assessment) * Pass the home readiness assessment * Reside within Greater Worcester or Greater Springfield Exclusion Criteria: * Inability to return to a home residence where care can be provided * Inability for patient or their proxy to provide informed consent for the study * Requires long-term care * Requires palliative or hospice care * On active chemotherapy * Post-transplant surgery * Requires hemodialysis * Requires radiation therapy * Requires two-person assist or mechanical lift * Expresses unwillingness to be randomized to SNF OR SNF at Home care * Considered clinically inappropriate by SNF at Home clinical team
Where it's running
-
Baystate Medical Center
Springfield, Massachusetts, United States Recruiting -
UMass Memorial Medical Center
Worcester, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Principal Investigator — University of Massachusetts, Worcester
- Study coordinator: Study Team
- Email: homerehab@umassmed.edu
- Phone: 508-523-1284
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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.