Clinical trials: Child With Medical Complexity
Complex Care, Medical Complexity
Complexity in Health, Education, and Social Support for Children and Young People With Life-limiting Conditions.
Children and young people (CYP) with life-limiting conditions represent a growing population with complex care needs that span health, education, and social care systems.
- Conditions
- Complex Care, Medical Complexity, Pediatrics, Life-limiting Illness
- Trial name
- CHESS (NCT07102433)
- Testing
- Children and young people with life-limiting conditions, their parents/carers, and professionals across healthcare, education, and social care sectors.
- Where
- 5 sites in United Kingdom
- Volunteers
- 170 people
- Sponsor
- King's College London
Child With Medical Complexity, Symptom Management
Nurse Parental Support Using a Proactive Mobile App in Symptom Management for Children With Mechanical Ventilation
The aims of this study are to test the effectiveness of a nurse support using a proactive mobile app to enhance parental self-efficacy in symptom management for children using mechanical ventilations, and alongside identify…
- Conditions
- Child With Medical Complexity, Symptom Management, Self Efficacy, Mobile Application
- Trial name
- NCT06903052
- Testing
- Nurse parental support using a proactive mobile App
- Where
- Hong Kong
- Volunteers
- 52 people
- Sponsor
- The Hong Kong Polytechnic University
Chronic Illness
Trial to Reduce Hospitalizations in Children With Medical Complexity
The investigators hypothesize that an intervention, within an established patient-centered medical home, aimed at reducing modifiable risks for hospitalization, can decrease hospital utilization among medically complex children.
- Trial name
- NCT02277327
- Testing
- Plans of Action and Care Transitions, Routine Care
- Where
- United States
- Volunteers
- 200 people
- Sponsor
- University of California, Los Angeles
Medication Errors and Other Product Use Errors and Issues
Meds@HOME App to Support Medication Safety
This study determines whether the mHealth intervention, Meds@HOME, helps caregivers improve medication administration to Children with Medical Complexity (CMC) who use high-risk medications.
- Trial name
- NCT05816590
- Testing
- Med@HOME Mobile App
- Where
- United States
- Volunteers
- 336 people
- Sponsor
- University of Wisconsin, Madison
Children With Medical Complexity
Self-management Intervention for Children With Chronic Medical Complexity: Pilot Feasibility Trial
The investigators have developed a tool to facilitate self-management for children with medical complexity (complex, multisystem chronic diseases) called MyChildCMC (My Child's Complex Medical Condition).
- Trial name
- NCT04470193
- Testing
- MyChildCMC app
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- University of Utah
Sleep-Disordered Breathing
Home Initiation of Noninvasive Positive Pressure Ventilation in Children With Medical Complexity
Children with medical complexity (CMC) often have trouble breathing at night and need to use a breathing machine. This breathing machine is called noninvasive positive pressure ventilation (NiPPV).
- Trial name
- NCT05881031
- Testing
- Home Initiation of NiPPV
- Where
- Canada
- Volunteers
- 24 people
- Sponsor
- The Hospital for Sick Children
Child With Cancer, Muscular Atrophy, Spinal
A BHI to Increase Hope Level and Stress Level of Parents With a CMC
Being a parent of a child with medical complexity (CMC) poses an enormous stress because these CMC have a multisystem disease, a severe neurologic condition or cancer which may result in premature death.
- Conditions
- Child With Cancer, Muscular Atrophy, Spinal, Child With Cerebral Palsy, Endocrine System Diseases
- Trial name
- NCT05269693
- Testing
- Brief Hope Intervention
- Where
- China
- Volunteers
- 40 people
- Sponsor
- The Hong Kong Polytechnic University
Ventilator Weaning
Home-based Optimization of Mechanical Ventilation in Children
Some children who are born very early or have other congenital conditions may develop severe, long-term lung problems that make them need to use a breathing machine to live at home.
- Trial name
- HOMVent4Kids (NCT06055413)
- Testing
- Remote patient monitoring (RPM) bundle
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- Ann & Robert H Lurie Children's Hospital of Chicago
Children With Medical Complexity (CMC), Siblings
Sibling Caregiver CMC Pilot Study
Children with medical complexity require intense caregiving from their parents and other health care providers, such as family doctors and medical specialists.
- Conditions
- Children With Medical Complexity (CMC), Siblings, Mental Health
- Trial name
- NCT07756502
- Testing
- Mental health assessment and diagnosis, psychotherapy, and treatment
- Volunteers
- 63 people
- Sponsor
- The Hospital for Sick Children
Medical Complexity
ASKids! Inpatient Agenda-Setting Study for Hospitalized Children With Medical Complexity
The goal of this open pilot is to co-design and test a clinical agenda-setting intervention in the inpatient pediatric environment.
- Trial name
- ASKids (NCT07127666)
- Testing
- Structured Agenda-Setting Tool
- Where
- United States
- Volunteers
- 20 people
- Sponsor
- Dartmouth-Hitchcock Medical Center
Complex Care, Medical Education
Paediatric Resident Complex Care Curriculum RCT
Medical and technological advances have resulted in a growing cohort of children with medical complexity (CMC), many of whom would not have survived previously and are living and thriving within the community.
- Conditions
- Complex Care, Medical Education, Pediatric Residents, Children With Medical Complexity
- Trial name
- NCT03349541
- Testing
- Complex Care Curriculum
- Where
- 2 sites in Canada
- Volunteers
- 36 people
- Sponsor
- The Hospital for Sick Children
Children With Medical Complexity (CMC), Multiple Chronic Conditions
Developing an Innovative Decision Support Tool for Pediatric Neuromuscular Scoliosis
The goal of this pilot hybrid type I efficacy/implementation trial is to assess a newly developed decision support tool patients, parents, and providers to use during surgical treatment decision making for neuromuscular scoliosis…
- Conditions
- Children With Medical Complexity (CMC), Multiple Chronic Conditions, Neuromuscular Scoliosis, Shared Decision Making
- Trial name
- NCT07167927
- Testing
- Decision support tool
- Where
- 2 sites in United States
- Volunteers
- 110 people
- Sponsor
- University of Utah
Children With Medical Complexity (CMC), Family Caregivers
Legacy Photo-narrative Study
Children with medical complexity (CMC) live full meaningful lives that are often short. CMC and their families experience substantial distress, poor mental health, and low emotional well-being.
- Trial name
- NCT07774663
- Testing
- Photo-narratives
- Volunteers
- 40 people
- Sponsor
- Seattle Children's Hospital
Cerebral Palsy
Evaluating the Value of Telehealth for Care of Children With Medical Complexity
The specific aims of the study are to: 1. Assess the feasibility of a TytoCare telehealth device with remote audio/video connection for evaluation of children with medical complexity in the home environment. 2.
- Trial name
- NCT02849938
- Testing
- TytoCare Device
- Volunteers
- 24 people
- Sponsor
- Wake Forest University Health Sciences
Chronic Disease
An Integrated Telemedicine-Home Visitation Program to Increase Outcomes for Children With Medical Complexity
Children with medical complexity (CMC) account for <1% of all children but approximately 40% of all pediatric deaths and inpatient care spending in the U.S.1 Optimizing their outcomes requires a comprehensive approach to…
- Trial name
- NCT03590509
- Testing
- Telemedicine Program, Usual Comprehensive Care
- Where
- United States
- Volunteers
- 422 people
- Sponsor
- The University of Texas Health Science Center, Houston
Pediatrics, Medically Complex
Parental Adherence of a Mobile Application
This is a single-site, stratified grouping parallel- randomized control trial design comparing 30-day all-cause readmission rates and parent experience with two groups of pediatric participants.
- Conditions
- Pediatrics, Medically Complex, Children With Medical Complexity (CMC), Nursing
- Trial name
- PARAMETER (NCT06672042)
- Testing
- CHAMP App
- Where
- United States
- Sponsor
- Children's Mercy Hospital Kansas City
Quality of Life, Chronic Disease
Comprehensive Care of Children With Medical Complexity
Under the auspice of 'Specially for Children and with funding from the Seton Healthcare Family, Children's Comprehensive Care (CCC) in Austin, Texas, has developed a coordinated and integrated model of care for children with…
- Conditions
- Quality of Life, Chronic Disease, Chronic Illness
- Trial name
- NCT01834456
- Testing
- Med Complex Children Intervention
- Where
- United States
- Volunteers
- 300 people
- Sponsor
- Seton Healthcare Family
Children With Medical Complexity (CMC), Symptom Management
Nurse-led Integrated Home Service to Support Parents in Symptom Management for Children Requiring Respiratory Support
The aims of this study are to test the effectiveness of a nurse-led integrated home health service to enhance parental self-efficacy in symptom management for children requiring respiratory support, and alongside identify factors…
- Conditions
- Children With Medical Complexity (CMC), Symptom Management, Nurse-led Supportive Care, Self Efficacy
- Trial name
- NCT07652268
- Testing
- Nurse-led integrated home service
- Where
- 2 sites in China, Hong Kong
- Volunteers
- 80 people
- Sponsor
- Dr Winsome Lam
Chronic Illnesses
Inpatient Consultation for High-Risk Chronically Ill Children Receiving Care in an Enhanced Medical Home
The investigators will conduct a pilot quality improvement trial to assess the impact of offering inpatient consultation to further optimize coordination and improve care for high-risk chronically ill children receiving…
- Trial name
- NCT02870387
- Testing
- Comprehensive Care with Inpatient consultation, Usual Inpatient Care
- Where
- United States
- Volunteers
- 342 people
- Sponsor
- The University of Texas Health Science Center, Houston
Feeding Tube, Children With Medical Complexity
Let's E.A.T.! (Eating With Assistive Technology): An Intervention to Support Children With Feeding Tubes and Tracheostomies
The overall objective of this proposal is to test an interdisciplinary intervention to support the transition to oral feeding for children with feeding tubes and tracheostomies.
- Conditions
- Feeding Tube, Children With Medical Complexity, Tracheostomy, Feeding Disorder, Infancy or Early Childhood
- Trial name
- NCT06525818
- Testing
- Tube weaning therapy intervention, Feeding Group
- Where
- United States
- Volunteers
- 40 people
- Sponsor
- University of Chicago