Pediatric Readiness Intervention in Manitoba

NCT06257524 | Completed

• 1 other identifier: HS25688 (H2022:305)
• Study Type: interventional
• Target: 17
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to improve emergency care of children in Manitoba by increasing the weighted pediatric readiness scores (WPRS) of the general EDs through the implementation of provincially derived interventional measures (PDIM). Investigators want to test the effects of PDIM on the general EDs in Manitoba. The main questions it aims to answer are:

• What is the magnitude and direction of the effect of implementing PDIM on baseline WPRS of the general EDs, if any?
• Which implementation strategies effectively support the full incorporation of PDIM to increase the WPRS of general EDs across Manitoba? The participating general EDs will be asked to
• Gather individuals providing emergency care in their centers for training and education around PDIM.
• Select a lead person who will act as the general ED Champion.

Conditions

Pediatric Readiness

Keywords

Pediatric readiness, emergency department, Manitoba, RCT

Outcome Measures

Primary Outcomes (1)

• Weighted Pediatric Readiness Scores

  To be measured using the Manitoba Pediatric Readiness Initiative for Emergency department Survey

  9 months

Study Arms (2)

PDIM component 1, 2, and 3

EXPERIMENTAL

Intervention component 2 to be tested. Pediatric resources toolkits availability via Translating Emergency Knowledge for Kids network (TREKK). Investigators will provide resource toolkits to support clinical care in pediatric sepsis, seizure, diabetes ketoacidosis, dehydration, hypovolemic shock, and respiratory conditions. Intervention component 3 to be tested: Ongoing interactions, and intensive training and education sessions. Investigators will hold training and education sessions at the sites. These will include (a) One on-site training (for 4-4.5 hours) with simulation sessions.

Other: Education and training

PDIM component 1

ACTIVE COMPARATOR

Customized report to the general EDs and discussion with the general EDs on the gaps identified. Investigators will discuss customized baseline WPRS with each general ED, including implications of the gaps identified relative to their local context and the general ED priorities (1.5hrs/session x 2).

Other: Education and training

Interventions

Education and training OTHER

Pediatric resource toolkits availability via TREKK for Kids Ongoing interactions, and intensive training and education sessions

PDIM component 1; PDIM component 1, 2, and 3

Eligibility Criteria

• Age: 0 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• General ED located in Manitoba
• Offering emergency care to children aged 0-18 years during the study period
• Participated in the baseline evaluation of WPRS of the general EDs in Manitoba in 2019-2021

You may not qualify if:

• General EDs not providing emergency care to children aged 0-18 years during the study period.
• General EDs with no baseline WPRS

Sponsors & Collaborators

• University of Manitoba: lead
• Manitoba Medical Service Foundation: collaborator
• Children's Hospital Research Institute of Manitoba: collaborator
• AstraZeneca: collaborator

Study Sites (1)

University of Manitoba

Winnipeg, Manitoba, R3E 3P4, Canada

Location

MeSH Terms

Conditions

Emergencies

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: October 11, 2023
• First Posted: February 14, 2024
• Study Start: October 2, 2022
• Primary Completion: May 31, 2025
• Study Completion: May 31, 2025
• Last Updated: June 13, 2025

Record last verified: 2025-06

Locations

CA (1)