Pediatric Hospital DischargeTeleDOCNCT05156840
Telehealth for Discharge Outcomes in Children
An observational study of Pediatric Hospital Discharge and Telehealth, run by University of California, Davis.
Trial summary
This study will test the feasibility of a telehealth follow-up visit for patients and their caregivers who were recently discharged from a general pediatric inpatient unit. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pediatric Hospital Discharge, Telehealth
- What is being tested?
- Telehealth follow-up
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- 20 Jan 2023to 1 May 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: This study will conduct surveys and interviews to evaluate the feasibility of a telehealth follow-up visit between parents/guardians and pediatric hospitalists of children discharged from the University of California Davis Children's Hospital's pediatric hospitalist service. Telehealth follow-up visits will be offered to discharging pediatric patients at the discretion of the pediatric hospitalist who is discharging the patient.
Who may be able to join
- Parents/legal guardians of patients recently discharged from the University of California Davis Children's Hospital pediatric hospitalist service, who were offered a telehealth follow-up visit following their child's discharge
- Pediatric hospitalists who discharged the above patients and offered a telehealth follow-up visit following discharge
Who cannot join
- Parents/legal guardians of children discharged from an intensive care or subspecialty service
About this study
Official title: Telehealth for Discharge Outcomes in Children: A Feasibility Study
This study will test the feasibility of a telehealth follow-up visit for patients and their caregivers who were recently discharged from a general pediatric inpatient unit.
Read the detailed description
Patient transitions from hospital to home have increasingly become recognized as a critical opportunity to promote patient safety and high quality care, both at University of California Davis Medical Center and nationwide. With over 16,000 children discharged from U.S. hospitals each day and a rate of 1 in 5 experiencing adverse events related to this process, it is estimated that hospital-to-home transition-related adverse events affect over 1.1 million children annually. The quality of hospital discharge also affects hospital readmission rates, length of hospital stay, and parental satisfaction.
Discharge transition difficulties stem largely from care coordination failures throughout the hospital-to-home transition. The investigators recently conducted a qualitative study analyzing perspectives from parents and physicians of 20 children readmitted within 30 days of hospital discharge. The study identified a theme of caregivers having difficulty re-connecting to the child's medical team for ongoing care after discharge. When problems arose, caregivers reported challenges in knowing who to contact, when to reach out for help, and how to navigate the health system to prevent readmission.
The advent of telehealth presents a unique opportunity to provide seamless follow-up for families following hospital discharge. Although telehealth has not previously been studied as a means of providing pediatric follow-up care after hospital discharge, similar methods of providing post-discharge hospital follow-up, including nurse- or physician-led phone calls and nurse home visits, were highly regarded by families, but failed to impact readmission rates. Telehealth provides a unique advantage over these alternate interventions by allowing face-to-face interaction via videoconference between the patient, caregiver, and hospital physician, who is already familiar with the patient's disease course and overall trajectory. At the investigators' site, although telehealth is readily available for use in most any clinical setting, it is not commonly used for hospital discharge follow-up. Therefore, this study proposes to test the feasibility of a telehealth follow-up visit for patients and their caregivers who were recently discharged from a general pediatric inpatient unit.
- Conditions
- Pediatric Hospital Discharge, Telehealth
- Being tested
- Telehealth follow-up
- Keywords
- telehealth, hospital discharge, pediatric, telemedicine
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Telehealth follow-upBehavioural
A telehealth follow-up visit will be conducted via the Epic electronic medical record with a pediatric hospitalist following hospital discharge.
| Study group | Role | What they receive |
|---|---|---|
| Telehealth | Patients/Caregivers who received a telehealth follow-up visit from a pediatric hospitalist following hospital discharge. Receives: Behavioral: Telehealth follow-up | |
| Usual Care | Patients/Caregivers who did not receive a telehealth follow-up visit from a pediatric hospitalist following hospital discharge. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility Objective 1: Telehealth visit offered on hospital discharge
This objective will assess what percentage of patients discharged from the pediatric hospital medicine service were offered a telehealth follow-up visit on hospital discharge.
Measured: Within 7 days of hospital discharge
Feasibility Objective 2: Parent agreement to engage in telehealth visit
This objective will assess what percentage of parents who were offered a telehealth visit following hospital discharge agreed to participate.
Measured: Within 7 days of hospital discharge
Feasibility Objective 3: Successful completion of telehealth
This objective will assess what percentage of scheduled telehealth visits were successfully completed, as reported by the involved pediatric hospitalist.
Measured: Within 14 days of hospital discharge
Feasibility Objective 4: Lack of technical issues
This objective will assess what percentage of scheduled telehealth visits had not technical issues, as reported by both the involved pediatric hospitalist and the involved caregiver.
Measured: Within 14 days of hospital discharge
Feasibility Objective 5: Survey response rates
This objective will assess what percentage of surveys administered to both pediatric hospitalists and caregivers were completed.
Measured: Within 30 days of hospital discharge
Secondary outcomes (3)
Hospital Readmission
This secondary outcome will assess 30-day hospital re-admission rates, by parental report.
Measured: Within 30 days of hospital discharge
Hospital Length of Stay
This secondary outcome will assess hospital length of stay. This information will be extracted from the electronic medical record.
Measured: Within 7 days of hospital discharge
3-Item Care Transitions Measure
This secondary outcome will evaluate parent scores on the 3-item Care Transitions Measure, reflecting on their child's recent care transition from hospital to home. The 3-question survey include 4 answer choices from 1 (strongly disagree) to 4 (strongly agree), with higher scores indicated a better outcome.
Measured: Within 30 days of hospital discharge
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Dec 2021
- Study start20 Jan 2023
- Primary completion1 May 2023 (estimated)
- Study completion1 May 2023
Why it stopped: No interested participants were recruited within a 4 month period.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pediatric Hospital DischargeStudies of the same condition, open and under way.
- More trials run by University of California, DavisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of California, Davis
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05156840
- Sponsor's protocol ID
- 1845410
- Acronym
- TeleDOC
- Status last verified
- Sep 2024
- First submitted
- 1 Dec 2021
- Last updated
- 23 Sep 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Telehealth for Discharge Outcomes in Children: A Feasibility Study
- ClinicalTrials.gov ID
- NCT05156840
- Acronym / sponsor ID
- TeleDOC / 1845410
- Conditions
- Pediatric Hospital Discharge, Telehealth
- Keywords
- telehealth, hospital discharge, pediatric, telemedicine
- Study type
- Observational
- Recruitment status
- WithdrawnReason stopped: No interested participants were recruited within a 4 month period.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- University of California, DavisUniversity, hospital or other
- Study start
- 20 Jan 2023 (actual)
- Primary completion
- 1 May 2023 (estimated)
- Study completion
- 1 May 2023 (actual)
- First posted
- 14 Dec 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will test the feasibility of a telehealth follow-up visit for patients and their caregivers who were recently discharged from a general pediatric inpatient unit.
Detailed description
Patient transitions from hospital to home have increasingly become recognized as a critical opportunity to promote patient safety and high quality care, both at University of California Davis Medical Center and nationwide. With over 16,000 children discharged from U.S. hospitals each day and a rate of 1 in 5 experiencing adverse events related to this process, it is estimated that hospital-to-home transition-related adverse events affect over 1.1 million children annually. The quality of hospital discharge also affects hospital readmission rates, length of hospital stay, and parental satisfaction.
Discharge transition difficulties stem largely from care coordination failures throughout the hospital-to-home transition. The investigators recently conducted a qualitative study analyzing perspectives from parents and physicians of 20 children readmitted within 30 days of hospital discharge. The study identified a theme of caregivers having difficulty re-connecting to the child's medical team for ongoing care after discharge. When problems arose, caregivers reported challenges in knowing who to contact, when to reach out for help, and how to navigate the health system to prevent readmission.
The advent of telehealth presents a unique opportunity to provide seamless follow-up for families following hospital discharge. Although telehealth has not previously been studied as a means of providing pediatric follow-up care after hospital discharge, similar methods of providing post-discharge hospital follow-up, including nurse- or physician-led phone calls and nurse home visits, were highly regarded by families, but failed to impact readmission rates. Telehealth provides a unique advantage over these alternate interventions by allowing face-to-face interaction via videoconference between the patient, caregiver, and hospital physician, who is already familiar with the patient's disease course and overall trajectory. At the investigators' site, although telehealth is readily available for use in most any clinical setting, it is not commonly used for hospital discharge follow-up. Therefore, this study proposes to test the feasibility of a telehealth follow-up visit for patients and their caregivers who were recently discharged from a general pediatric inpatient unit.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Telehealth | – | Behavioral: Telehealth follow-upPatients/Caregivers who received a telehealth follow-up visit from a pediatric hospitalist following hospital discharge. |
| Usual Care | – | –Patients/Caregivers who did not receive a telehealth follow-up visit from a pediatric hospitalist following hospital discharge. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- This study will conduct surveys and interviews to evaluate the feasibility of a telehealth follow-up visit between parents/guardians and pediatric hospitalists of children discharged from the University of California Davis Children's Hospital's pediatric hospitalist service. Telehealth follow-up visits will be offered to discharging pediatric patients at the discretion of the pediatric hospitalist who is discharging the patient.
Key inclusion criteria (2 listed)
- Parents/legal guardians of patients recently discharged from the University of California Davis Children's Hospital pediatric hospitalist service, who were offered a telehealth follow-up visit following their child's discharge
- Pediatric hospitalists who discharged the above patients and offered a telehealth follow-up visit following discharge
Key exclusion criteria (1 listed)
- Parents/legal guardians of children discharged from an intensive care or subspecialty service
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Telehealth follow-upA telehealth follow-up visit will be conducted via the Epic electronic medical record with a pediatric hospitalist following hospital discharge. | Behavioural | Telehealth |
Primary outcome
Feasibility Objective 1: Telehealth visit offered on hospital discharge
Time frame: Within 7 days of hospital discharge
This objective will assess what percentage of patients discharged from the pediatric hospital medicine service were offered a telehealth follow-up visit on hospital discharge.
Feasibility Objective 2: Parent agreement to engage in telehealth visit
Time frame: Within 7 days of hospital discharge
This objective will assess what percentage of parents who were offered a telehealth visit following hospital discharge agreed to participate.
Feasibility Objective 3: Successful completion of telehealth
Time frame: Within 14 days of hospital discharge
This objective will assess what percentage of scheduled telehealth visits were successfully completed, as reported by the involved pediatric hospitalist.
Feasibility Objective 4: Lack of technical issues
Time frame: Within 14 days of hospital discharge
This objective will assess what percentage of scheduled telehealth visits had not technical issues, as reported by both the involved pediatric hospitalist and the involved caregiver.
Feasibility Objective 5: Survey response rates
Time frame: Within 30 days of hospital discharge
This objective will assess what percentage of surveys administered to both pediatric hospitalists and caregivers were completed.
3 secondary outcomes
Hospital Readmission
Time frame: Within 30 days of hospital discharge
Hospital Length of Stay
Time frame: Within 7 days of hospital discharge
3-Item Care Transitions Measure
Time frame: Within 30 days of hospital discharge
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Sep 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
An observational study of Pediatric Hospital Discharge and Telehealth, run by University of California, Davis.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 23 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility Objective 1: Telehealth visit offered on hospital discharge (time frame: Within 7 days of hospital discharge). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Sep 2024.