Clinical trial NCT03599674: Targeted Inpatient Navigation to Improve Care for Minority Children and Families
Official title: Targeted Inpatient Navigation to Improve Care for Minority Children and Families
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hospitalized Children
Lead sponsor: Seattle Children's Hospital
Sponsor class: OTHER
First posted: 2018-07-26
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief 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.


Eligibility criteria: 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

Primary outcomes:
measure: Program acceptability to caregivers--qualitative
timeFrame: 4-6 weeks after discharge
measure: Program feasibility
timeFrame: Calculated for each family after program involvement is complete, generally 1 week after discharge.
measure: Program acceptability to providers--qualitative
timeFrame: Once per month, every month that they care for an enrolled family, up to 6 months
Secondary outcomes:
measure: Cultural Distance Scale
timeFrame: Enrollment and 2-4 weeks after discharge.
measure: Barriers to Care Questionnaire
timeFrame: Enrollment and 2-4 weeks after discharge.
measure: Perceived Efficacy in Patient-Physician Interactions (PEPPI)
timeFrame: Enrollment and 2-4 weeks after discharge.
measure: Perceived Stress Scale-short form
timeFrame: Enrollment and 2-4 weeks after discharge.
measure: Local system navigation
timeFrame: Enrollment and 2-4 weeks after discharge.
measure: Communication--Pediatric H-CAHPS
timeFrame: 2-4 weeks after discharge.
measure: Partnership--Pediatric H-CAHPS
timeFrame: 2-4 weeks after discharge.
measure: Health care transition questions
timeFrame: 2-4 weeks after discharge.
measure: Unmet need for navigation
timeFrame: 2-4 weeks after discharge.
Other outcomes:
Locations:
city: Seattle
country: United States
facility: Seattle Children's Hospital
state: Washington
Study officials:
affiliation: Seattle Children's Hospital
name: K.Casey Lion, MD, MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chisholm H, Kershaw T, Sotelo Guerra L, Bocek K, Garcia Y, Lion KC. A Realist Evaluation Analysis of a Novel Multi-Faceted Inpatient Patient Navigation Program. Acad Pediatr. 2022 Jul;22(5):789-796. doi: 10.1016/j.acap.2021.09.009. Epub 2021 Sep 20.