MedPath

Family Bridge Program

Not Applicable
Conditions
Healthcare Inequities
Healthcare System Navigation
General Pediatric Medical Conditions
Patient-provider Communication
Interventions
Behavioral: Care as usual - resources only
Behavioral: Family Bridge Program
Registration Number
NCT06276621
Lead Sponsor
Seattle Children's Hospital
Brief Summary

Pediatric healthcare inequities in the United States (US) remain persistent and pervasive. Suboptimal patient-provider communication plays an important role in creating and maintaining disparate outcomes; this is compounded by mismatches between a family's skills and resources and demands imposed by the complexity of the health system (such as health literacy and system navigation). Few interventions exist to address inequities related to communication and system navigation in the inpatient setting; given the established links between these inequities and disparate clinical outcomes, such interventions are needed. To address this gap, the study team collaborated with parents/caregivers, staff, and providers to develop and pilot-test a novel program to improve navigation ability, communication, and hospital-to-home transition for a diverse population of children and their families, The Family Bridge Program (FBP).

The FBP combines principles of effective patient navigation and communication coaching interventions into a brief and targeted inpatient program. It is designed for a broad population of low-income children of color, is not disease-specific, is not limited to English proficient families, and is less time-intensive than traditional navigation, to enable provision of support to more families. The FBP, delivered in-person by a trained lay navigator, includes: (1) hospital orientation; (2) unmet social needs screening (e.g., food insecurity); (3) parent communication and cultural preference assessment, relayed to the medical team; (4) communication coaching for parents; (5) emotional support; (6) assistance with care coordination and logistics; and (7) a phone call 2 days post-discharge. Program elements are flexibly delivered based on parent need and interest.

In pilot testing, the program was feasible to deliver, acceptable to parents and providers, and significantly improved parent-reported system navigation ability. The current R01 proposes a two-site randomized controlled trial (RCT) of the effectiveness of FBP among 728 families of low-income children of color. Enrolled families will be randomized 1:1 (stratified by site and language) to FBP or usual care plus written resources. The specific aims of this clinical trial are to (1) Test the effect of the FBP on parent-reported system navigation ability, quality of hospital-to-home transition, diagnosis comprehension, observed communication quality, perceived stress and revisits for families of low-income children of color; (2) Examine whether changes in parent-reported barriers and needs mediate program effects; and (3) Identify subgroups of parents among whom the FBP is more effective. The proposed RCT will use a rigorous design to test a feasible, innovative program to address a critical national problem. If effective, the Family Bridge Program would provide a scalable model for improving health care experiences and outcomes for families of low-income children of color, including those who prefer a language other than English for their medical care.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
728
Inclusion Criteria
  • At least 18 years old; there is no maximum age;
  • The legal guardian of an eligible child
  • Prefer English, Spanish, Somali or Vietnamese for medical care

Children Inclusion Criteria:

  • Under 18 years of age at enrollment; there is no minimum age
  • Admitted to a general pediatric service at a participating hospital
  • Have been admitted within the past 4 days
  • Have public or no insurance (as a proxy for low income)
  • Have a self- or parent-reported race/ethnicity other than only non-Hispanic white (as a proxy for discrimination and its effects)

Parents/guardians

Exclusion Criteria
  • None

Children Exclusion Criteria:

  • Not already be enrolled in long-term care coordination or patient services navigation
  • Not have an admitting diagnosis that is primarily psychiatric (e.g., anorexia nervosa, suicide attempt)
  • Not be admitted for suspicion for child abuse.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Care as Usual- Resources OnlyCare as usual - resources only-
Family Bridge ProgramFamily Bridge Program-
Primary Outcome Measures
NameTimeMethod
System Navigation AbilityEnrollment and 2-6 weeks after discharge

Change score -100 to 100, based on 10-item measure of parent self-reported ability to navigate the healthcare system (e.g., ability to schedule appointments or ask questions).

Each response of Yes (100), Sometimes (50), or No (0) is averaged to create overall score. Change score as difference from enrollment to follow-up

Pediatric Transition Experience Measure (P-TEM)2-6 weeks after discharge

Percent of items with "top-box" score, based on the Pediatric Transition Experience Measure (P-TEM), an 8-item measure to assess hospital-to-home transition. Responses are on Likert scale from 0 to 5, with top-box scoring for overall measure.

Secondary Outcome Measures
NameTimeMethod
Observed Communication: utterances in which team offers supportive talkOne time, on day 2-5 of hospital admission

Coding of audio-recorded communication with the medical team (on family centered rounds or similar discussion), reporting number of times in the discussion that a member of the medical team made an utterance that was directly supportive of family

Diagnosis Comprehension2-6 weeks after discharge

Discharge diagnosis concordance: 2 nurse coders, blinded to study arm, will code parent-reported discharge diagnosis as (2) Correct, (1) Vague/Incomplete, or (0) Wrong/not concordant, by comparing it to diagnosis abstracted from discharge summary, using standard of whether a follow-up provider would know the diagnosis based on the parent-provided information; dichotomized for analysis.

Perceived Stress Scale2-6 weeks after discharge

Scale score 0-16, using Perceived Stress Scale-Short Form 4-item measure; higher score indicates greater global stress and lower perceived control over it

Observed Communication: utterances in which team offers informationOne time, on day 2-5 of hospital admission

Coding of audio-recorded communication with the medical team (on family centered rounds or similar discussion), reporting number of times in the discussion that a member of the medical team made an utterance that exchanged information with the family.

Observed Communication: global partnership ratingOne time, on day 2-5 of hospital admission

Likert scale rating from 1-5 of audio-recorded communication with the medical team (on family centered rounds or similar discussion), rating the overall degree of partnership between family and medical team demonstrated during the discussion

Observed Communication: parent talk-timeOne time, on day 2-5 of hospital admission

Coding of audio-recorded communication with the medical team (on family centered rounds or similar discussion), reporting the percent of the overall discussion time during which the parent or caregiver was speaking

Observed Communication: utterances in which parent asks questionsOne time, on day 2-5 of hospital admission

Coding of audio-recorded communication with the medical team (on family centered rounds or similar discussion), reporting number of times in the discussion that a parent or caregiver asks a question

30-day readmissions30 days after discharge from index hospital stay

Readmissions to observation or inpatient status at the same hospital within 30 days of discharge from the index hospital stay

Observed Communication: utterances in which parent responds assertivelyOne time, on day 2-5 of hospital admission

Coding of audio-recorded communication with the medical team (on family centered rounds or similar discussion), reporting number of times in the discussion that a parent or caregiver responds to something a member of the medical team says in an assertive manner

Trial Locations

Locations (2)

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Seattle Children's

🇺🇸

Seattle, Washington, United States

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