Use of Equity Report Cards to Mitigate Disparities in Emergency Medical Services (EMS) Care for Injured Children

NCT06531421 | Not Yet Recruiting

• 1 other identifier: 00001103
• Study Type: interventional
• Target: 4,000
• Locations: 1 country
• Sites: 1

Brief Summary

This trial will assess whether development and sharing of 'Equity Report Cards' focussed on the recognition and treatment of pain for injured children by Emergency Medical Services (EMS) can help decrease disparities by race and ethnicity.

Conditions

Pain, Acute

Keywords

Racial Groups

Outcome Measures

Primary Outcomes (1)

• Reduction in pain

  Proportion of children who have a reduction in pain score

  1 year

Secondary Outcomes (3)

• Pain score documented

  1 year

• Any analgesia administered

  1 year

• Opiate analgesia administered

  1 year

Study Arms (1)

Intervention

OTHER

Distribution of Equity Report Cards

Other: Equity Report Cards

Interventions

Equity Report Cards OTHER

At month 2 the investigators will distribute EMS Agency-level 'Equity Report Cards' to both agency leadership and all frontline EMS providers. This 'Equity Report Card' will contain monthly pooled, agency-level information summarizing clinical data for injured children stratified by race/ethnicity. At month 7 the investigators will also distribute Battalion-level 'Equity Report Cards' to agency leadership and all frontline EMS providers.

Intervention

Eligibility Criteria

• Age: Up to 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children less than 18 years old
• Assessed by District of Columbia Fire and Emergency Medical Services (DC FEMS)
• Injury related chief complaint, primary or secondary impression

You may not qualify if:

• \- None

Sponsors & Collaborators

• Children's National Research Institute: lead
• American Academy of Pediatrics: collaborator
• Doris Duke Charitable Foundation: collaborator

Study Sites (1)

Children's National Medical Center

Washington D.C., District of Columbia, 20002, United States

Location

MeSH Terms

Conditions

Acute Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Caleb E Ward, MD, MPH

  Children's National Research Institute

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Caleb E Ward, MD, MPH

CONTACT

202-476-5000; caward@childrensnational.org

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

Model Details: This is a pragmatic single-arm trial using an interrupted time-series design.

Study Record Dates

• First Submitted: July 29, 2024
• First Posted: August 1, 2024
• Study Start: January 1, 2025
• Primary Completion: December 1, 2025
• Study Completion: December 1, 2025
• Last Updated: December 19, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)