New Nurse-Led telemonitoring program aims to keep seniors with multiple health issues out of the hospital

NCT ID NCT05543720

Ongoing Disease control Sponsor: University Health Network, Toronto Source: ClinicalTrials.gov ↗

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tests a nurse-led program that uses home monitoring devices to help older adults with conditions like heart failure, diabetes, and depression manage their health after leaving the hospital. The goal is to improve care coordination and reduce hospital readmissions. About 350 participants will use telemonitoring equipment and receive support from a nurse or nurse practitioner.

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Conditions

The condition(s) this trial relates to.

chronic obstructive pulmonary disease congestive heart failure Depression depressive disorder diabetes mellitus heart failure hypertensive disorder Multiple Chronic Conditions Psychological Well-Being

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

CHRONIC OBSTRUCTIVE PULMONARY DISEASE DIABETES MELLITUS HEART FAILURE, CONGESTIVE HYPERTENSION MENTAL HEALTH (DEPRESSION)

Contacts and locations

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Locations

Health Sciences North

Greater Sudbury, Ontario, Canada
Oak Valley Health Hospital

Markham, Ontario, Canada
William Osler Health System

Brampton, Ontario, Canada
Women's College Hospital

Toronto, Ontario, Canada