Common Childhood Illnesses
Conditions
Keywords
Telemedicine, Telehealth, Pediatric
Brief summary
The goal of this single arm pilot clinical trial is to test the feasibility and acceptability of providing families of infants with kits of tele-peripheral devices to use during telemedicine visits with their usual primary care practice. The main question it aims to answer are: \- the feasibility of providing families of infants with a kit to tele-peripheral devices to use during at-home, same-day live-interactive primary care telemedicine visits. Participants will receive a kit with tele-peripheral devices which they will have the option to use during telemedicine visits with their primary care practice. Participants will be asked to consent to electronic record review and to complete surveys about their experiences receiving care.
Detailed description
The investigators will prospectively enroll 100 children (6 month 0 days to 8 months 30 days) in this one-arm pilot feasibility study. Enrolled participants will receive kits including pulse oximeters, thermometers, and tele-otoscopes as well as respiratory viral swab tests and will complete a test call with study team members to confirm ability to connect and use the devices. After enrollment, families will continue to seek care based on their own preferences and primary care clinic guidance, but will have the ability to provide additional information to their primary care clinicians when primary care telemedicine visits occur. The investigators will ask families to complete online surveys at 0, 30, and 180 days, and the investigators will perform chart reviews to capture visits (telemedicine and in-person to primary care, urgent care, and emergency department) and antibiotic receipt.
Interventions
OTHERRemote Enhanced Assessment for Care at Home (REACH) Kit
Families of 6 month old infants will receive tele-device kits that include thermometers, pulse oximeters, and tele-otoscopes and respiratory swab tests, which families will then have the option to use when they schedule telemedicine visits with their usual primary care practice. Note that the investigators are not studying the devices themselves; the investigators are instead studying health care use and experiences when these devices are made available.
Sponsors
University of Pittsburgh
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Months to 20 Months
Healthy volunteers
No
Inclusion criteria
* Infants receiving care at study sites presenting for primary care child visit * Infants between 6m0d and 20m30d
Exclusion criteria
* Caregiver not able to consent in English or Spanish * Child has chronic condition (prematurity \<33 weeks, congenital anomaly) * Child is ward of the state * Family lacks device and/or wifi plan to be able to participate in telemedicine visits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Retention | From enrollment to survey completed 6 months after enrollment, up to 18 months | Percent who complete 6 months survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment | Day approached for recruitment, up to one year | Percent of individuals approached who consent |
| Caregiver Satisfaction | From enrollment to survey completed 6 months after enrollment, up to 18 months | Caregiver satisfaction with care using the tele-device kit as reported at 6 month survey. Satisfaction will be assessed a single Likert scale survey item, ranging from 0 to 4, with higher scores indicating greater satisfaction with care. |
| Kit utilization | From enrollment to survey completed 6 months after enrollment | Number of primary care telemedicine visits where kit devices are and are not used, assessed through both survey and through chart review. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKristin Ray, MD, MS
University of Pittsburgh
Outcome results
None listed