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NCT04243538

Piloting a Multi-component Technology-based Care Intervention to Address Patient Symptoms in Home Hospice

Completed NA Results posted Last updated 7 August 2025
What this trial tests

NA trial testing I-HoME in Hospice in 80 participants. Completed in 10 October 2024.

Timeline
14 February 2022
Primary endpoint
10 October 2024
10 October 2024

Quick facts

Lead sponsorWeill Medical College of Cornell University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment80
Start date14 February 2022
Primary completion10 October 2024
Estimated completion10 October 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Weill Medical College of Cornell University

Who can join

Adults 18 to 110, any sex, with Hospice. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Participant Recruitment Rate Primary · During recruitment (22 months)

Recruitment rate was measured by the number of participants consented divided by the number of eligible participants.

GroupValue95% CI
All Participants37.7
Participant Attrition From Enrollment to End of Study Primary · At the end of the intervention or at 6 weeks, which ever is earlier.

This measure is the total number of participants who withdrew consent or were unreachable for study activities after consent.

GroupValue95% CI
Control Arm0
I-HoME Intervention5
Average Length of I-HoME Tele-visit Primary · At the end of the intervention or at 6 weeks, which ever is earlier.

This measure was collected by calculating the average duration (in minutes) of each tele-visit between the participant in I-HoME intervention arm and the interventionalist.

GroupValue95% CI
I-HoME Intervention22.5± 11.32
Total Number of Educational Videos Watched by I-HoME Intervention Arm Participants Primary · At the end of the intervention or at 6 weeks, which ever is earlier.

This measure is the total number of videos watched by the I-HoME intervention arm participants who received at least one tele-visit. Intervention arm participants self-reported whether they watched the educational videos recommended to them by the interventionist.

GroupValue95% CI
I-HoME Intervention23
Number of I-HoME Intervention Caregivers Who Experienced Technical Issues During the Tele-visits. Primary · At the end of the intervention or at 6 weeks, which ever is earlier.

The number of I-HoME intervention caregivers who reported at least one technical issues with the tele-visit. Participants in the intervention arm answered questions about whether they experienced technical issues.

GroupValue95% CI
Control Arm0
I-HoME Intervention13
Control Arm0
I-HoME Intervention22
Percentage of Tele-visits Conducted Out of the Total Possible Tele-visits. Primary · At the end of the intervention or at 6 weeks, which ever is earlier.

This measure is calculated by dividing the tele-visits conducted out of the total possible tele-visits. This measure shows the adherence of the I-HoME intervention arm to the tele-visits.

GroupValue95% CI
I-HoME Intervention89.6
Patients' Symptom Burden Score as Rated by the Caregiver, Measured at Baseline and Weekly for 6 Weeks. Secondary · At baseline and weekly for 6 weeks.

Symptom burden score as measured by the Edmonton Symptom Assessment Scale (ESAS). Scale is from a 0 to 90, with higher scores indicating higher symptom burden.

Baseline ESAS Score
GroupValue95% CI
Control Arm39.0± 13.9
I-HoME Intervention43.7± 17.6
Week 1 ESAS Score
GroupValue95% CI
Control Arm38.0± 16.7
I-HoME Intervention40.7± 19.6
Week 2 ESAS Score
GroupValue95% CI
Control Arm34.6± 15.1
I-HoME Intervention42.5± 16.8
Week 3 ESAS Score
GroupValue95% CI
Control Arm34.7± 15.9
I-HoME Intervention42.3± 16.1
Week 4 ESAS Score
GroupValue95% CI
Control Arm34.9± 16.5
I-HoME Intervention38.8± 19.2
Week 5 ESAS Score
GroupValue95% CI
Control Arm37.0± 16.1
I-HoME Intervention44.1± 17.9
Week 6 ESAS Score
GroupValue95% CI
Control Arm36.1± 15.6
I-HoME Intervention39.9± 20.1

Sponsor's own description

With the growth of hospice, older adults have the opportunity to receive home-based care aimed at reducing suffering and focusing on quality of life at the end of life. While use of technology and educational videos has yet to be fully developed, structured, and evaluated in home hospice care, it has shown promise to improve care in other settings. Therefore, this study aims to develop and evaluate a multi-component technology-based care intervention, i.e., Improving Home hospice Management of End of life issues through technology (I-HoME).

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Hospital at home: home-based end-of-life care.
    Shepperd S, Gonçalves-Bradley DC, Straus SE, Wee B. · · 2021 · cited 60× · PMID 33721912 · DOI 10.1002/14651858.cd009231.pub3
  2. Assessing the feasibility, acceptability, and preliminary efficacy of a novel symptom management care delivery intervention for caregivers receiving home hospice care: The I-HoME protocol.
    Phongtankuel V, Czaja S, Park T, Dignam R, et al · · 2024 · cited 1× · PMID 37972753 · DOI 10.1016/j.cct.2023.107389
  3. A Hospice Intervention for Caregivers: Improving Home Hospice Management of End-Of-Life Symptoms (I-HoME) Pilot Study.
    Phongtankuel V, Czaja SJ, Park T, Moxley J, et al · · 2025 · PMID 40990369 · DOI 10.1111/jgs.70113

Verify or expand the search:

Other trials of I-HoME

Trials testing the same drug.

Other recruiting trials for Hospice

Currently open trials in the same condition.

Other Weill Medical College of Cornell University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04243538.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing