Discharge to Home and Chronic Illness Care Pilot

Not Applicable

Completed

• Conditions: Solid Organ Transplant
• Interventions: Behavioral: myFAMI iPad application

• Registration Number: NCT02165423
• Lead Sponsor: Medical College of Wisconsin

Brief Summary

The purpose of this study is to address a gap in knowledge needed for care of children with solid organ transplantation (SOT) and their parents by combining mHealth technology with an individualized family centered self-management intervention (referred to as myFAMI). This study is critical to the increased understanding of hospital to home transition and family management at home with the potential to transform the way clinicians approach the care of complex chronic illness children and families.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-06
• Study First Submitted: 2014-06-12
• Study First Submitted QC: 2014-06-16
• Study First Posted: 2014-06-17
• Primary Completion: 2018-10
• Study Completion: 2018-10
• Status Verified: 2019-03
• Last Update Submitted: 2019-03-06
• Last Update Posted: 2019-03-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• parent's child has undergone a heart, kidney, or liver transplant and is being discharged home from the hospital
• the parent is English speaking (to date the tools being used have been validated for English participants only)
• parent is 18 years of age or older
• patient is 17 years of age and younger.

Exclusion Criteria

• presence of significant communication or cognitive impairment on the part of the parent that would preclude completion of questionnaires based on self-report
• parent and child has experienced the discharge to home transition from a previous transplant.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Control	myFAMI iPad application	Ten parents will be randomized to the control group defined as 'usual care' and ten to the intervention group, stratified by type of transplant.
Intervention	myFAMI iPad application	Ten parents will be randomized to the control group defined as 'usual care' and ten to the intervention group, stratified by type of transplant.

Primary Outcome Measures

Name	Time	Method
Evaluate the effectiveness of myFAMI on 30-day post-discharge outcomes.	30 days following enrollment	Hypothesis: Compared to parents who received standard discharge preparation (usual care), parents receiving myFAMI will report: i) Better care coordination, ii) Higher quality of discharge teaching, iii) Greater readiness for hospital discharge, iv) Improved post-discharge coping, v) Improved family functioning, vi) Better self-management of medication and treatment regimens vii) Fewer emergency department visits and hospital readmissions

Secondary Outcome Measures

Name	Time	Method
Examine the acceptability of myFAMI:	Enrollment plus 30 days	2. Examine the acceptability of myFAMI: The content of the interview will focus on strengths and weaknesses of iPad® technology in preparing parents for hospital discharge utilizing both survey and qualitative questions

Trial Locations

Locations (1)

Children's Hospital of Wisconsin; 🇺🇸 Milwaukee, Wisconsin, United States