Targeted Inpatient Navigation to Improve Care for Minority Children and Families
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Program feasibility
研究概览
简要总结
The overall goal of this research is to evaluate a new program designed to address basic human needs, create a safe and supportive environment for families, and help families build skills and confidence for navigating the health care system.
Specifically, we aim to pilot test the feasibility and acceptability of the Targeted Inpatient Navigation (TNav) program for families of low income, minority hospitalized children.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Caregiver ≥18 years of age, with a hospitalized child <18 years old
- •Preferred language of English, Spanish and Somali
- •child with Medicaid insurance or no insurance
- •child with self-reported (or parent-reported) minority race/ethnicity
- •within 3 days of admission/ transfer to the medical unit on a general medicine service of a resident team
排除标准
- •Admission for suspected child abuse
- •Involvement of Child Protective Services at time of admission
- •Admission for primary mental health condition, including intentional ingestion and eating disorder
- •Family already enrolled in longer-term navigation services
结局指标
主要结局
Program feasibility
时间窗: Calculated for each family after program involvement is complete, generally 1 week after discharge.
Ability to deliver program elements as planned, calculated as the number of Family Bridge services delivered to a family divided by the services available to that family.
Program acceptability to providers--qualitative
时间窗: Once per month, every month that they care for an enrolled family, up to 6 months
Program acceptability will be determined qualitatively, on the basis of thematic content analysis of semi-structured interviews with the doctors, nurses, social workers and care coordinators who were involved in their hospital care.
Program acceptability to caregivers--qualitative
时间窗: 4-6 weeks after discharge
Program acceptability will be determined qualitatively, on the basis of thematic content analysis of semi-structured interviews with enrolled caregivers
次要结局
- Cultural Distance Scale(Enrollment and 2-4 weeks after discharge.)
- Barriers to Care Questionnaire(Enrollment and 2-4 weeks after discharge.)
- Communication--Pediatric H-CAHPS(2-4 weeks after discharge.)
- Partnership--Pediatric H-CAHPS(2-4 weeks after discharge.)
- Health care transition questions(2-4 weeks after discharge.)
- Perceived Stress Scale-short form(Enrollment and 2-4 weeks after discharge.)
- Perceived Efficacy in Patient-Physician Interactions (PEPPI)(Enrollment and 2-4 weeks after discharge.)
- Local system navigation(Enrollment and 2-4 weeks after discharge.)
- Unmet need for navigation(2-4 weeks after discharge.)
研究者
K. Casey Lion
Investigator | Center for Child Health, Behavior and Development
Seattle Children's Hospital