NCT03441503

Brief Summary

The goal of this study is to identify effective ways to assess the patient and family experience. Specifically, the study will examine automated administration of the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey on the day of discharge through an electronic interactive patient care system. The will be a multisite study that will take place at Boston Children's Hospital (BCH) as well as at several other hospitals across the United States.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
23,578

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 15, 2018

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 22, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

April 10, 2018

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 10, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 10, 2022

Completed
Last Updated

May 12, 2022

Status Verified

May 1, 2022

Enrollment Period

4 years

First QC Date

February 15, 2018

Last Update Submit

May 10, 2022

Conditions

Inpatient Experience Survey AdministrationInpatient Experience Survey Response

Outcome Measures

Primary Outcomes (1)

  • Child HCAHPS Response Rate

    Change in response rate to the Child HCAHPS survey

    up to 1 year

Secondary Outcomes (2)

  • Child HCAHPS Measure Top-Box Scores

    up to 1 year

  • Patient and respondent characteristics

    up to 1 year

Study Arms (2)

Child HCAHPS: Automated Administration

EXPERIMENTAL

Child HCAHPS: Automated day-of-discharge survey On the day of discharge at the hospital, parents will be contacted to solicit survey responses using patient televisions (GetWell) as follows: Day 0 (Day of likely discharge): Respondent will be promoted to complete Child HCAHPS on their television as part of the routine discharge process. Respondent will also be asked for their email address to complete post-discharge items and their appropriate contact information will be collected. Days 2-42: Standard hospital protocol (i.e., mail, email, or IVR) with the post-discharge questions.

Other: Child HCAHPS: Automated day-of-discharge survey

Standard Administration of Child HCAHPS

NO INTERVENTION

Parents will be contacted to complete Child HCAHPS using the standard protocol for mail, email, or IVR survey administration. The surveys will be administered by the survey vendor contracted by the participating site to administer Child HCAHPS.

Interventions

Child HCAHPS: Automated day-of-discharge surveyOTHER

Child HCAHPS surveys will be administered on the day of discharge via an electronic interactive patient care system on inpatient televisions.

Child HCAHPS: Automated Administration

Eligibility Criteria

AgeUp to 17 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Their child's hospitalization includes at least one overnight stay

You may not qualify if:

  • Their child is aged 18 or older during the hospitalization
  • Their child is hospitalized with a primary psychiatric diagnosis
  • Their child dies during hospitalization
  • Their child is in the hospital as a court/law enforcement patient
  • Their child is a ward of the state
  • Their child was admitted under DCF jurisdiction
  • They are not fluent in English or Spanish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

Location

Dayton Children's Hospital

Dayton, Ohio, 45404, United States

Location

Related Publications (8)

  • Toomey SL, Zaslavsky AM, Elliott MN, Gallagher PM, Fowler FJ Jr, Klein DJ, Shulman S, Ratner J, McGovern C, LeBlanc JL, Schuster MA. The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS. Pediatrics. 2015 Aug;136(2):360-9. doi: 10.1542/peds.2015-0966. Epub 2015 Jul 20.

    PMID: 26195542BACKGROUND

  • Toomey SL, Elliott MN, Zaslavsky AM, Klein DJ, Ndon S, Hardy S, Wu M, Schuster MA. Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS. Pediatrics. 2017 Apr;139(4):e20163372. doi: 10.1542/peds.2016-3372. Epub 2017 Mar 22.

    PMID: 28330970BACKGROUND

  • Gurland B, Alves-Ferreira PC, Sobol T, Kiran RP. Using technology to improve data capture and integration of patient-reported outcomes into clinical care: pilot results in a busy colorectal unit. Dis Colon Rectum. 2010 Aug;53(8):1168-75. doi: 10.1007/DCR.0b013e3181d87468.

    PMID: 20628281BACKGROUND

  • Martin P, Brown MC, Espin-Garcia O, Cuffe S, Pringle D, Mahler M, Villeneuve J, Niu C, Charow R, Lam C, Shani RM, Hon H, Otsuka M, Xu W, Alibhai S, Jenkinson J, Liu G. Patient preference: a comparison of electronic patient-completed questionnaires with paper among cancer patients. Eur J Cancer Care (Engl). 2016 Mar;25(2):334-41. doi: 10.1111/ecc.12318. Epub 2015 Apr 20.

    PMID: 25899560BACKGROUND

  • Turney BW, Reynard JM. Obtaining patient feedback in an outpatient lithotripsy service is facilitated by use of a touch-screen tablet (iPad) survey. Urolithiasis. 2014 Aug;42(4):317-21. doi: 10.1007/s00240-014-0662-3. Epub 2014 Apr 19.

    PMID: 24747981BACKGROUND

  • Hofmann JN, Checkoway H, Borges O, Servin F, Fenske RA, Keifer MC. Development of a computer-based survey instrument for organophosphate and N-methyl-carbamate exposure assessment among agricultural pesticide handlers. Ann Occup Hyg. 2010 Aug;54(6):640-50. doi: 10.1093/annhyg/meq038. Epub 2010 Apr 22.

    PMID: 20413416BACKGROUND

  • Mullen KH, Berry DL, Zierler BK. Computerized symptom and quality-of-life assessment for patients with cancer part II: acceptability and usability. Oncol Nurs Forum. 2004 Sep 17;31(5):E84-9. doi: 10.1188/04.ONF.E84-E89. Print 2004 Sep.

    PMID: 15378105BACKGROUND

  • Elliott MN, Zaslavsky AM, Goldstein E, Lehrman W, Hambarsoomians K, Beckett MK, Giordano L. Effects of survey mode, patient mix, and nonresponse on CAHPS hospital survey scores. Health Serv Res. 2009 Apr;44(2 Pt 1):501-18. doi: 10.1111/j.1475-6773.2008.00914.x.

    PMID: 19317857BACKGROUND

Study Officials

  • Sara Toomey, MD, MPH, MPhil, MSc

    Boston Children's Hospital, Harvard Medical School

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: This study is a rapid cycle randomized control trial. Participating units will alternate between the intervention arm (day of discharge survey via inpatient television) and control arm (post-discharge mailed survey). Patients will be assigned to the intervention or control arm depending on the status of their discharging unit. Units will alternate arms throughout the study period.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator and Director, Center of Excellence for Pediatric Quality Measurement; Chief Experience Officer, Boston Children's Hospital; Assistant Professor of Pediatrics, Harvard Medical School

Study Record Dates

First Submitted

February 15, 2018

First Posted

February 22, 2018

Study Start

April 10, 2018

Primary Completion

April 10, 2022

Study Completion

April 10, 2022

Last Updated

May 12, 2022

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share

Locations

US(2)