protocolSection identificationModule nctId: NCT06375369, orgStudyIdInfo id: Pro00127121, briefTitle: Digital Health Pathway for Children With Medical Complexity Requiring Tracheostomy, acronym: DECIDE-T, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-09-01, primaryCompletionDateStruct date: 2025-12-31, completionDateStruct date: 2025-12-31, studyFirstPostDateStruct date: 2024-04-19, lastUpdatePostDateStruct date: 2024-04-23, sponsorCollaboratorsModule leadSponsor name: University of Alberta, class: OTHER, collaborators name: Alberta Innovates Health Solutions, descriptionModule briefSummary: The DECIDE-T project is developing a standardized clinical pathway specifically for pediatric patients who require tracheostomy with or without long-term ventilation (tracheostomy/LTV). These patients represent a small portion of Alberta's population but account for over 50% of pediatric patients hospitalized for more than 180 days. The pathway will include a hospital-to-home directive that incorporates digital health solutions to provide support to families, caregivers, and healthcare professionals. Digital supports will include a Connect Care pathway, resources for informed decision-making, educational modules, high-fidelity simulations for family and caregiver education, an online parental resource center, and access to peer support within the hospital and community, as well as a post-discharge telehealth program.The goal of the DECIDE-T project is to reduce hospital stays and associated costs for children requiring tracheostomy/LTV, as well as to decrease mental distress and burnout experienced by their caregivers and families., conditionsModule conditions: Tracheostomy, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: NON_RANDOMIZED, interventionModel: SINGLE_GROUP, primaryPurpose: TREATMENT, maskingInfo masking: NONE, enrollmentInfo count: 180, type: ESTIMATED, armsInterventionsModule interventions name: Digital health pathway for children with medical complexity requiring tracheostomy (DECIDE-T), outcomesModule primaryOutcomes measure: Hospital length of stay, primaryOutcomes measure: ICU length of stay, primaryOutcomes measure: ICU readmission, primaryOutcomes measure: Mortality, primaryOutcomes measure: Decannulation, primaryOutcomes measure: Duration of tracheostomy, primaryOutcomes measure: Tracheostomy adverse events, primaryOutcomes measure: Hospital cost, primaryOutcomes measure: Hospital readmission, primaryOutcomes measure: Net-monetary benefit of DECIDE-T, secondaryOutcomes measure: Caregivers mental stress, eligibilityModule sex: ALL, maximumAge: 18 Years, stdAges: CHILD, stdAges: ADULT, contactsLocationsModule locations facility: Alberta Children's Hospital, city: Calgary, state: Alberta, country: Canada, contacts name: Karen Kam, MD, role: CONTACT, email: karen.kam@albertahealthservices.ca, contacts name: Karen Kam, MD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 51.05011, lon: -114.08529, locations facility: Stollery Children's Hospital, city: Edmonton, state: Alberta, country: Canada, contacts name: Michael van Manen, MD, role: CONTACT, email: michaelv@ualberta.ca, contacts name: Michael van Manen, MD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 53.55014, lon: -113.46871, hasResults: False