Targeted Inpatient Navigation to Improve Care for Minority Children and Families

Hospitalized Children Clinical Trial

— TNav  

Official title:

Targeted Inpatient Navigation to Improve Care for Minority Children and Families

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03599674
• Other study ID #: STUDY00000852
• Status: Completed
• Phase: N/A
• Start date: April 16, 2018
• Est. completion date: October 29, 2018

Study information

• Verified date: June 2021
• Source: Seattle Children's Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The overall goal of this research is to evaluate a new program designed to address basic human needs, create a safe and supportive environment for families, and help families build skills and confidence for navigating the health care system. Specifically, we aim to pilot test the feasibility and acceptability of the Targeted Inpatient Navigation (TNav) program for families of low income, minority hospitalized children.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: October 29, 2018
• Est. primary completion date: October 19, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Caregiver =18 years of age, with a hospitalized child <18 years old
• Preferred language of English, Spanish and Somali
• child with Medicaid insurance or no insurance
• child with self-reported (or parent-reported) minority race/ethnicity
• within 3 days of admission/ transfer to the medical unit on a general medicine service of a resident team

Exclusion Criteria:

• Admission for suspected child abuse
• Involvement of Child Protective Services at time of admission
• Admission for primary mental health condition, including intentional ingestion and eating disorder
• Family already enrolled in longer-term navigation services

Related Conditions & MeSH terms

• Hospitalized Children

Intervention

Behavioral:
• Family Bridge Program
Families receive Family Bridge Program services which include orientation to the hospital, concrete needs assessment, communication preferences assessment, communication coaching, follow-up during the hospital stay, and a follow-up phone call after discharge.

Locations

Country	Name	City	State
United States	Seattle Children's Hospital	Seattle	Washington

Sponsors (1)

Lead Sponsor	Collaborator
Seattle Children's Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Program acceptability to caregivers--qualitative	Program acceptability will be determined qualitatively, on the basis of thematic content analysis of semi-structured interviews with enrolled caregivers	4-6 weeks after discharge
Primary	Program feasibility	Ability to deliver program elements as planned, calculated as the number of Family Bridge services delivered to a family divided by the services available to that family.	Calculated for each family after program involvement is complete, generally 1 week after discharge.
Primary	Program acceptability to providers--qualitative	Program acceptability will be determined qualitatively, on the basis of thematic content analysis of semi-structured interviews with the doctors, nurses, social workers and care coordinators who were involved in their hospital care.	Once per month, every month that they care for an enrolled family, up to 6 months
Secondary	Cultural Distance Scale	4 items measuring perceived similarity or difference in norms and values between family and medical providers. Each of the 4 items is scored on a Likert scale from 1 to 6, with higher values reflecting greater difference. The total scale score is the average of the 4 responses, on a scale from 1 to 6.	Enrollment and 2-4 weeks after discharge.
Secondary	Barriers to Care Questionnaire	20 items measuring perceived barriers to medical care, with 4 sub-scales, each scored and reported separately: System as a whole, Skills barriers, Expectation barriers, and Knowledge barriers. Each subscale was scored 0-100, with higher scores indicating greater barriers.	Enrollment and 2-4 weeks after discharge.
Secondary	Perceived Efficacy in Patient-Physician Interactions (PEPPI)	10-item tool measuring understanding of and ability to interact with health professionals and organizations.	Enrollment and 2-4 weeks after discharge.
Secondary	Perceived Stress Scale-short form	4 items, scored from 0 (Never) to 4 (Very Often), related to perceived stress and control over one's life. Responses are summed for a total score from 0 to 16, with higher scores reflecting greater stress.	Enrollment and 2-4 weeks after discharge.
Secondary	Local system navigation	9 items assessing familiarity with navigating the local health care system.	Enrollment and 2-4 weeks after discharge.
Secondary	Communication--Pediatric H-CAHPS	9 items assessing quality of communication from doctors and nurses, including at discharge.	2-4 weeks after discharge.
Secondary	Partnership--Pediatric H-CAHPS	3 items assessing provider-family partnership.	2-4 weeks after discharge.
Secondary	Health care transition questions	10 items assessing quality of transition and comfort and understanding of home care.	2-4 weeks after discharge.
Secondary	Unmet need for navigation	7 items to determine whether family's needs were identified and met during hospitalization	2-4 weeks after discharge.