Using Parent Engagement to Improve the Wellbeing of Black Premature Infants With Lung Disease

Not Applicable

Not yet recruiting

• Conditions: Chronic Lung Disease
• Interventions: Behavioral: P-CGS (Pediatric Collaborative Goal Setting)

• Registration Number: NCT06474767
• Lead Sponsor: Johns Hopkins University

Brief Summary

The goal of this pilot study is to test the feasibility and acceptability of a collaborative goal setting intervention to improve parent engagement of Black preterm infants with chronic lung disease in primary care. Preliminary impact on child and parent outcomes will also be explored.

The main questions it aims to answer are: 1) Will parents complete a pre-visit questionnaire that asks about goals for the child? 2) Does use of the pre-visit questionnaire help parents to achieve self-identified goals?

Participants will fill out a pre-visit questionnaire prior to the child's well visit. The participants will then complete two surveys after the visit (1 week and 2 months after).

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-06
• Study First Submitted: 2024-06-20
• Study First Submitted QC: 2024-06-20
• Last Update Submitted: 2024-06-20
• Study First Posted: 2024-06-26
• Last Update Posted: 2024-06-26
• Study Start: 2026-07-01
• Primary Completion: 2027-06-30
• Study Completion: 2027-06-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Parent/legal guardian of child born prior to 37 weeks gestational age
• Parent/legal guardian of child with diagnosis of chronic lung disease or bronchopulmonary dysplasia, as defined by the child's clinical team at the time of hospital discharge
• Parent/legal guardian of child who identifies that child's race as Black
• English speaking

Exclusion Criteria

• Parent/legal guardian of child enrolled in palliative care or hospice services at time of hospital discharge
• Parent/legal guardian of child older than 12 months chronological age

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Pediatric Collaborative Goal Setting Participant	P-CGS (Pediatric Collaborative Goal Setting)	Participants will receive pediatric collaborative goal setting (P-CGS) intervention one to three days prior to the child's identified well visit and will be asked to complete it before or at the time of the visit. Participants will identify 1 goal for the child's health and the parent's own health, covering both medical and social domains. Participants will then be prompted to share the content with the child's provider when asked about the parent's priorities during the child's visit. One week and two months after the child's well visit where pediatric collaborative goal setting was used, participants will complete follow up surveys.

Primary Outcome Measures

Name	Time	Method
Feasibility as measured by number of interventions completed	Day 0	Number of participants who complete the pediatric collaborative goal setting intervention out of the number of consented participants who are sent a link prior to the child's well visit
Acceptability of the intervention as assessed by the Acceptability of Intervention Measure (AIM) scale	Day 7 post-intervention	Measured by the Acceptability of Intervention Measure (AIM) scale - a 4 item survey with 5 point Likert scales from Completely Disagree to Completely Agree. Score ranges from 4 to 20, where higher scores indicate greater acceptability.
Feasibility as measured by the number of goals submitted by each participant	Day 0	Number of goals submitted by each participant through the pediatric collaborative goal setting intervention
Feasibility as measured by the time it takes participant to complete intervention	Day 0	Amount of time (minutes) that participant has the pediatric collaborative goal setting intervention open

Secondary Outcome Measures

Name	Time	Method
Goal attainment as assessed by number of goals submitted	Day 60 post-intervention	Number of goals submitted as part of pediatric collaborative goal setting that were accomplished by participant since intervention
Participant's child's respiratory symptoms as measured by self-report	Day 60 post-intervention	Frequency of rescue inhaler use and symptoms of wheezing, rated on 5 point Likert scale (total score range 1-5) from Never to Every day with higher scores indicating more use and worse outcome. This is a survey instrument constructed by the study team.
Participant's child's use of the emergency department for breathing symptoms as measured by self-report	Day 60 post-intervention	Frequency of emergency department visits, rated on 5 point Likert scale (total score range 1-5) from Never to Every day with higher scores indicating more use and worse outcome. This is a survey instrument constructed by the study team.
Participation activation as measured by Parent Patient Activation Measure 10	Day 60 post-intervention	Measured by the Parent Patient Activation Measure scale - a 7 item survey with 4 point Likert scales (total score range 7-28) from Disagree Strongly to Agree Strongly with higher scores indicating a better outcome.