Clinical trial NCT05454969: One-4-ALL Initiative
Official title: Transforming Healthcare in Post-Pandemic Recovery: Innovation in Process & Technology to Increase Patient Throughput While Reducing Clinician Burden and Addressing Health Disparities (One-4-ALL Initiative)
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Literacy
Burden, Caregiver
Health Care Utilization
Lead sponsor: University of Colorado, Denver
Sponsor class: OTHER
First posted: 2022-07-12
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This is a randomized controlled trial to examine pre-post differences between individuals that use the app versus the standard of care.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study aims to improve health outcomes of individuals and populations, enhance the patient experience, reduce the per capita cost of care, and ensure the well-being of our healthcare providers (quadruple aim). These goals are increasingly difficult to achieve, given the challenges of changes to workflow, staffing shortages, and increased costs brought on by the COVID-19 pandemic. Further, the pandemic brought to light the critical need to transform healthcare access for our racially and culturally minoritized and low-income families that have long been victims of health disparities, specifically with poorer health outcomes.

Detailed description: The overall objective is to successfully implement a patient app that will be used by families to 1) increase throughput for all patients, including minoritized, low-income, and low health literacy patients, and 2) reduce administrative burdens on providers.

To evaluate this hypothesis, the following specific aims will be examined:

Aim 1: Document modifiable factors that negatively and positively impact providers' ability to provide high-quality patient care in a post-pandemic healthcare system while addressing health disparities through implementation science.

Aim 2: Create a "boarding pass' experience for providers and patients using technology (app) which allows patients and their families to fully prepare for their clinical visits and bridge care between home, primary care providers, and specialty care.

Aim 3: Investigate multilevel contextual factors related to app implementation, to inform future strategies to promote scalability and sustainability of app in all specialties.

Eligibility criteria: Inclusion Criteria:

* All guardians of patients and the providers (surgeons, doctors, nurses, etc) that serve these patients.

Exclusion Criteria:

* None.

Primary outcomes:
measure: Health care quality
timeFrame: post-intervention (12 weeks)
measure: Provider satisfaction
timeFrame: post-intervention (12 weeks)
measure: Patient satisfaction
timeFrame: post-intervention (12 weeks)
measure: Acceptability of program tool
timeFrame: post-intervention (12 weeks)
Secondary outcomes:
Other outcomes:
Locations:
city: Aurora
country: United States
facility: Children's Hospital Colorado
state: Colorado
Study officials:
affiliation: University of Colorado, Denver
name: Jill Landsbaugh Kaar, PhD
role: PRINCIPAL_INVESTIGATOR
References: