Limited English Proficiency Virtual Family-Centered Rounds

NCT05917899 | Completed

• 1 other identifier: 1736147
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a pilot test of using telehealth with an interpreter as an additional option for parents with limited English proficiency to join family-centered rounds in the neonatal intensive care unit.

Conditions

Pediatric Disorder

Outcome Measures

Primary Outcomes (1)

• Family-Centered Rounds Parent Attendance

  Proportion of the number of weekday round encounters with at least one parent present - either virtually or in-person - divided by the infant's total number of weekday round encounters

  From date of randomization until the date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)

Secondary Outcomes (6)

• Patient length of stay

  From date of admission to the neonatal intensive care unit until the date of disposition from the unit for any cause (assessed up to 396 days)

• Breastmilk feeding at discharge

  Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)

• Medical errors and adverse events

  Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)

• Patient Experience

  Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)

• Patient Activation

  Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)

Study Arms (1)

Virtual Family-Centered Rounds

EXPERIMENTAL

Parents/guardians of the hospitalized infants will be invited to join family-centered rounds virtually plus usual care (usual care is the ability to join family-centered rounds in person or not to join at all).

Behavioral: Virtual Family-Centered Rounds

Interventions

Virtual Family-Centered Rounds BEHAVIORAL

The care team will use a computer with a speaker camera, mounted on a stand with wheels to launch telehealth visits using the application ExtendedCare. This platform meets HIPAA security rules and launches from the patient's electronic health record. From within this telehealth visit, a care team member will send a message (via text or email) to the parent(s) that includes a link that can be clicked to open a browser that allows the parent to join the telehealth visit. Parent do not need to download or use an application. The care team will invite the video interpreter to join the visit if a parent is present. Family-centered rounds will then proceed in usual fashion with the care team and \[if in attendance\] parent(s). Parents can participate in virtual family-centered rounds as much, or as little, as they choose.

Virtual Family-Centered Rounds

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Infants aged less than 365 days who are admitted to the neonatal intensive care unit
• Have at least one eligible parent or guardian (see below for parent eligibility criteria)

You may not qualify if:

• Have restrictions placed by child protective services, including visitation restrictions or restricted access to patient information
• Infants with a previous neonatal intensive care unit admission (and enrollment) during the trial period
• Infants already enrolled in a different trial that includes a virtual family-centered rounds intervention
• Aged 18 years or older
• Preferred language that is other than English
• Have at least one infant enrolled in the trial
• Under age 18 years

Sponsors & Collaborators

• University of California, Davis: lead

Study Sites (1)

University of California Davis Medical Center

Sacramento, California, 95817, United States

Location

Related Publications (1)

• Hoyt-Austin AE, Zerda EN, Tancredi DJ, Marcin JP, Ketchersid A, Horath ET, Bushong TR, Merriott DS, Romano PS, Hoffman KR, Rosenthal JL. Protocol for a single-arm feasibility trial of virtual family-centered rounds: increasing opportunities for family engagement among caregivers with language preference other than English. Pilot Feasibility Stud. 2025 Feb 12;11(1):16. doi: 10.1186/s40814-025-01599-4.

  PMID: 39940014 DERIVED

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: SPONSOR

Study Record Dates

• First Submitted: June 6, 2023
• First Posted: June 26, 2023
• Study Start: August 10, 2023
• Primary Completion: June 14, 2024
• Study Completion: June 14, 2024
• Last Updated: November 25, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)