Cerebral Palsy, Childhood Cancer, Chronic Lung Disease, Congenital Heart Disease, Congenital Metabolic Disorder, Gastrostomy
Conditions
Keywords
complex chronic condition, care coordination, shared decision making, health literacy
Brief summary
This proposal addresses the major challenge of improving health outcomes for children with cancer and other complex conditions, for whom the effectiveness of outpatient care depends on care coordination across a diverse group of caregivers that includes parents, community support organizations and pediatric care providers. The investigators have developed GoalKeeper, a prototype system for supporting care coordination across multiple care providers. The primary aim of the clinical trial is to assess the potential for this new system, GoalKeeper, to improve meaningful use of goal-centered care plans in the care of children with cancer and other complex chronic conditions.
Detailed description
The overarching aim of the research is to improve care coordination and goal setting for children with medical complexity (CMC). Specific aims of the pilot clinical trail are as follows: (1) To assess the efficacy of GoalKeeper on goal-setting in the health care encounter. (2) To examine the roles of parent health literacy and parent activation in moderating the effect of the intervention. Study Population: Stanford's Primary and Subspecialty Care Clinics at Stanford Children's Health will serve as the setting for study recruitment. The pilot randomized controlled trial will enroll 60 parents of children with medical complexity and their health-care providers. Eligibility criteria for participants will be age 18 years or older, English-speaking, and (for parents) child\<12 years old. Exclusion criteria are parent with known mental illness or neurocognitive impairment. A stepped wedge approach by provider will introduce families to GoalKeeper at different time points in the study. A pre-intervention period will occur at least 1 month before the trial start where clinical observations and baseline survey information will be obtained of each providers' practice. Each family will be given training and 4-month access to the GoalKeeper application and participate in an exit interview at the end of study.
Interventions
OTHERGoalKeeper
Mobile-health communication tool for parents of children with medical complexity
OTHERStandard Care
Standard Clinical Care
Sponsors
National Cancer Institute (NCI)
Harvard University
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Parent-child dyads and their medical provider * Parent and provider age 18 years or older * Parent English- or Spanish-speaking * Child \> age 12 months and \<12 years old
Exclusion criteria
* Parent with known mental illness or neurocognitive impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Parent Perception of Goal-Centered Care questionnaire from Baseline to 1-Month Follow-up | Baseline and 1-Month Follow-up | Parent perception of goal-centered care will be measured using a modified version of the Patient Assessment of Chronic Illness Care, Goal-Setting Domain questionnaire, using a scale of 1(Almost Never) to 5 (Almost Always) with higher values representing better goal-centered care. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Count of parent participants with change in perception of goal-centered care from baseline to 3-Month Follow-up based on Investigator assessment. | Baseline and 3 month follow-up | Change in perception in quality of goal-centered care will be assessed by Investigators based on parent baseline interviews and parent exit interviews. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in parent perception of quality of shared decision making from baseline to 1 month | Baseline and 1-Month Follow-up | Parent perception will be measured using the National Survey of Children with Special Health Care Needs Shared Decision Making Domain, which includes 4 domain items each with a scale of 1 (never), 2 (sometimes), 3 (usually) or 4 (always). Positive SDM is defined as parent report of usually or always on all 4 items. Shared decision making refers to a communication process where parents and providers participate in decision making to reach treatment plan agreement. |
Countries
United States
Outcome results
None listed