Targeted Inpatient Navigation to Improve Care for Minority Children and Families
- Conditions
- Hospitalized Children
- Interventions
- Behavioral: Family Bridge Program
- Registration Number
- NCT03599674
- Lead Sponsor
- Seattle Children's Hospital
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Family Bridge Program Family Bridge Program Families receive Family Bridge Program services which include orientation to the hospital, concrete needs assessment, communication preferences assessment, communication coaching, follow-up during the hospital stay, and a follow-up phone call after discharge.
- Primary Outcome Measures
Name Time Method Program feasibility 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 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 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
- Secondary Outcome Measures
Name Time Method Cultural Distance Scale Enrollment and 2-4 weeks after discharge. 4 items measuring perceived similarity or difference in norms and values between family and medical providers. Each of the 4 items is scored on a Likert scale from 1 to 6, with higher values reflecting greater difference. The total scale score is the average of the 4 responses, on a scale from 1 to 6.
Barriers to Care Questionnaire Enrollment and 2-4 weeks after discharge. 20 items measuring perceived barriers to medical care, with 4 sub-scales, each scored and reported separately: System as a whole, Skills barriers, Expectation barriers, and Knowledge barriers. Each subscale was scored 0-100, with higher scores indicating greater barriers.
Communication--Pediatric H-CAHPS 2-4 weeks after discharge. 9 items assessing quality of communication from doctors and nurses, including at discharge.
Partnership--Pediatric H-CAHPS 2-4 weeks after discharge. 3 items assessing provider-family partnership.
Health care transition questions 2-4 weeks after discharge. 10 items assessing quality of transition and comfort and understanding of home care.
Perceived Stress Scale-short form Enrollment and 2-4 weeks after discharge. 4 items, scored from 0 (Never) to 4 (Very Often), related to perceived stress and control over one's life. Responses are summed for a total score from 0 to 16, with higher scores reflecting greater stress.
Perceived Efficacy in Patient-Physician Interactions (PEPPI) Enrollment and 2-4 weeks after discharge. 10-item tool measuring understanding of and ability to interact with health professionals and organizations.
Local system navigation Enrollment and 2-4 weeks after discharge. 9 items assessing familiarity with navigating the local health care system.
Unmet need for navigation 2-4 weeks after discharge. 7 items to determine whether family's needs were identified and met during hospitalization
Trial Locations
- Locations (1)
Seattle Children's Hospital
🇺🇸Seattle, Washington, United States