Medical Complexity
Conditions
Keywords
clinical agenda-setting, pediatric inpatient care
Brief summary
The goal of this open pilot is to co-design and test a clinical agenda-setting intervention in the inpatient pediatric environment. We pilot a co-designed structured agenda-setting intervention (SAS) for multi-family meetings about children with medical complexity. Our open pilot will evaluate the feasibility and acceptability of using the SAS during routine multidisciplinary family meetings (MFM) at Dartmouth Hitchcock Medical Center. By doing an open pilot, researchers will learn if the agenda-setting instrument and implementation process are feasible and acceptable to patients, their care partner and their clinicians.
Detailed description
In this open pilot, the researchers will adapt and administer a novel structured agenda-setting tool (SAS) in the inpatient pediatric environment. The researchers will determine if their procedures for screening eligible participants, administering the intervention, and administering outcome and other questionnaires are appropriate. Learnings from the open pilot will feed forward into procedures in applications for larger trials of the intervention. This study only has one arm, the intervention arm. The intervention, the co-adapted SAS, will be administered to all enrolled participants. Future Directions: This open pilot will provide preliminary data for potential future larger trials.
Interventions
OTHERStructured Agenda-Setting Tool
We are testing a novel clinical visit agenda-setting intervention developed through participatory research methods for the pediatric inpatient environment. This structured agenda-setting (SAS) intervention will be co-designed to include structured discussion topic areas with the option for patients (when appropriate) and their care partners to consider and indicate their priority topic areas and take notes before, during, and after a clinical visit.
Sponsors
Dartmouth-Hitchcock Medical Center
National Center for Advancing Translational Sciences (NCATS)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pediatric Inpatients: Children aged 7-17 years * Can communicate in English * Able to provide verbal assent, with consent from their care partner * Dartmouth Hitchcock Medical Center pediatric patient who currently or has recently (within the last 3 months) been hospitalized with a length of stay of 4≥ days Care Partners: - Adults aged 18≥ years * Can communicate in English * Able to provide verbal consent * Care partners of Dartmouth Hitchcock Medical Center pediatric patients who are currently or have recently (within the last 3 months) been hospitalized with a length of stay of 4≥ days
Exclusion criteria
* For pediatric inpatients, children \< aged 7 * For care partners, children aged \<18 years * Cannot communicate in English * For pediatric inpatients, unable to provide verbal assent * For care partners, unable to provide consent * Prisoners
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome: Feasibility | Immediately after intervention delivery | Our primary outcome will be feasibility, assessed by the proportion of patients who receive the intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Primary Process Outcome: Enrollment Rate | Immediately after intervention delivery | Description: As measured by participant enrollment in REDCap. |
Countries
United States
Contacts
CONTACTCatherine H. Saunders, PhD, MPH
CONTACTAnne E Dade, MPP
Outcome results
None listed