Targeted Inpatient Navigation to Improve Care for Minority Children and Families

NCT03599674 | Completed

• 1 other identifier: STUDY00000852
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

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.

Conditions

Hospitalized Children

Outcome Measures

Primary Outcomes (3)

• Program acceptability to caregivers--qualitative

  Program acceptability will be determined qualitatively, on the basis of thematic content analysis of semi-structured interviews with enrolled caregivers

  4-6 weeks after discharge

• Program feasibility

  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.

  Calculated for each family after program involvement is complete, generally 1 week after discharge.

• Program acceptability to providers--qualitative

  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.

  Once per month, every month that they care for an enrolled family, up to 6 months

Secondary Outcomes (9)

• Cultural Distance Scale

  Enrollment and 2-4 weeks after discharge.

• Barriers to Care Questionnaire

  Enrollment and 2-4 weeks after discharge.

• Perceived Efficacy in Patient-Physician Interactions (PEPPI)

  Enrollment and 2-4 weeks after discharge.

• Perceived Stress Scale-short form

  Enrollment and 2-4 weeks after discharge.

• Local system navigation

  Enrollment and 2-4 weeks after discharge.

Study Arms (1)

Family Bridge Program

EXPERIMENTAL

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.

Behavioral: Family Bridge Program

Interventions

Family Bridge Program BEHAVIORAL

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.

Family Bridge Program

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Seattle Children's Hospital: lead

Study Sites (1)

Seattle Children's Hospital

Seattle, Washington, 98105, United States

Location

Related Publications (2)

• Lion KC, Arthur KC, Frias Garcia M, Hsu C, Sotelo Guerra LJ, Chisholm H, Griego E, Ebel BE, Penfold RB, Rafton S, Zhou C, Mangione-Smith R. Pilot Evaluation of the Family Bridge Program: A Communication- and Culture-Focused Inpatient Patient Navigation Program. Acad Pediatr. 2024 Jan-Feb;24(1):33-42. doi: 10.1016/j.acap.2023.06.021. Epub 2023 Jun 22.

  PMID: 37354947 DERIVED

• Chisholm H, Kershaw T, Sotelo Guerra L, Bocek K, Garcia Y, Lion KC. A Realist Evaluation Analysis of a Novel Multi-Faceted Inpatient Patient Navigation Program. Acad Pediatr. 2022 Jul;22(5):789-796. doi: 10.1016/j.acap.2021.09.009. Epub 2021 Sep 20.

  PMID: 34551342 DERIVED

Study Officials

• K.Casey Lion, MD, MPH

  Seattle Children's Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Investigator | Center for Child Health, Behavior and Development

Study Record Dates

• First Submitted: June 4, 2018
• First Posted: July 26, 2018
• Study Start: April 16, 2018
• Primary Completion: October 19, 2018
• Study Completion: October 29, 2018
• Last Updated: June 25, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)