Garnering Effective Telehealth 2 Help Optimize Multidisciplinary Team Engagement

Not Applicable

• Conditions: Children With Complex Chronic Conditions
• Interventions: Behavioral: GET2HOME Intervention

• Registration Number: NCT05568355
• Lead Sponsor: Children's Hospital Medical Center, Cincinnati

Brief Summary

The purpose of this study is to determine the effectiveness of the GET2HOME Intervention bundle.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-10-03
• Study First Submitted QC: 2022-10-04
• Study First Posted: 2022-10-05
• Study Start: 2022-11-01
• Status Verified: 2025-05
• Last Update Submitted: 2025-05-13
• Last Update Posted: 2025-05-15
• Primary Completion: 2025-09-30
• Study Completion: 2025-12-31

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 650

Inclusion Criteria

• Patients with complex chronic disease based on a Pediatric Medical Complexity Algorithm (PMCA) score of 3 and their families and their primary care providers
• Discharged from pediatric hospital medicine service at our hospital

Exclusion Criteria

• Patients who live independently without a parent or guardian in the home, including those that live at skilled nursing facilities
• Patients admitted for end of life care
• Patients admitted for suicidal or homicidal ideation
• Patients who previously enrolled in the study
• Patients in county custody

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
GET2HOME Intervention	GET2HOME Intervention	The GET2HOME intervention includes: 1) a pre-discharge telehealth huddle with the family, inpatient team, primary care team, and home care nursing; 2) a visual discharge task tracker (DTT) to monitor progress across care management tasks; and if desired by family and primary care 3) a post-discharge telehealth huddle 2-7 days after discharge with the family, inpatient team, primary care team, and home care nursing

Primary Outcome Measures

Name	Time	Method
Urgent healthcare reutilization	30-days post-discharge	Yes/no to any: unplanned hospital readmission, ED revisit, or urgent care visit

Secondary Outcome Measures

Name	Time	Method
Global Quality of Life Scale	7-, 30-, 60-, and 90-days post-discharge	Quality of Life assessment for child, caregiver and family; minimum score 0, maximum score 100; higher score means a better outcome
Return to baseline	7-, 30-, 60-, and 90-days post-discharge	Capturing the time it takes to return to a normal routine (family designed measure)

Trial Locations

Locations (1)

Cincinnati Children's Hospital Medical Center; 🇺🇸 Cincinnati, Ohio, United States