Clinical trials: Children With Medical Complexity
Children With Medical Complexity
A Novel mHealth Intervention to Improve Outcomes of Children With Medical Complexity
Children with medical complexity (CMC) are the most vulnerable of children with chronic diseases, who have complex, multisystem chronic diseases affecting ≥3 organ systems, severe functional limitations and technology…
- Trial name
- NCT06883045
- Testing
- MyChildCMC app (an app designed to facilitate home monitoring of CMC's health status)
- Where
- 2 sites in United States
- Volunteers
- 360 people
- Sponsor
- University of Utah
Chronic Disease Management, Infants Health
A Multi-Site Hybrid Type I Effectiveness-Implementation Randomized Trial of an Emergency Care Action Plan for Infants With Medical Complexity
Infants with medical complexity (IMC) are a challenging population with more emergency department visits, inpatient stays, and higher healthcare costs than other children. IMC also experience lower quality emergency health care.
- Conditions
- Chronic Disease Management, Infants Health, Emergency, Utilization, Health Care
- Trial name
- NCT06993129
- Testing
- Emergency Care Action Plan
- Where
- 4 sites in United States
- Volunteers
- 500 people
- Sponsor
- University of Vermont
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
Children with Medical Complexity, Child, Only
Emergency Care Action Plans for Infants with Medical Complexity
An Emergency Care Action Plan (ECAP) is a tool intended to be helpful to providers when treating a child with complex medical needs during an emergency.
- Conditions
- Children with Medical Complexity, Child, Only, Infant Morbidity, Infant Conditions
- Trial name
- ECAP (NCT06444282)
- Testing
- Emergency Care Action Plan
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- University of Vermont
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
Children with Medical Complexity
Bridging Hospital to Home for Children with Medical Complexity and Their Families
The goal of this observational study is to evaluate an innovative pediatric transitional care unit called the Jeroen Pit Huis (JPH).
- Trial name
- BRIDGE (NCT06599398)
- Testing
- Jeroen Pit Huis
- Where
- Netherlands
- Volunteers
- 150 people
- Sponsor
- Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
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
Child, Only, Disabilities Multiple
Pediatric Medication Therapy Management Trial
The purpose of this study is to evaluate whether an intervention called Pediatric Medication Therapy Management (pMTM) improves the identification and management of medication-related problems among children with medical…
- Conditions
- Child, Only, Disabilities Multiple, Medication Interaction, Medication Compliance
- Trial name
- pMTM (NCT05761847)
- Testing
- Pediatric Medication Therapy Management (pMTM)
- Where
- United States
- Volunteers
- 371 people
- Sponsor
- University of Colorado, Denver
Neurologic Disorder, Chronic Disease
Parent-Reported Symptom Assessments in Children Taking Multiple Medications
This study plans to learn about how to measure symptoms (like tiredness or rash) in children with special healthcare needs who take 5 or more medications. Sometimes symptoms change in severity over time or new symptoms develop.
- Conditions
- Neurologic Disorder, Chronic Disease, Pediatric Disorder
- Trial name
- PRSA (NCT03849066)
- Testing
- Parent-Reported Symptom Assessment
- Where
- United States
- Volunteers
- 136 people
- Sponsor
- University of Colorado, Denver
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
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 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
Children and Youth With Medical Complexity
Promoting Intensive Transitions for Children and Youth With Medical Complexity From Pediatric to Adult Care
Medical advances have allowed many more children and youth with medical complexity (CMC) to survive well into adulthood. However, this has not been matched with increases in knowledge of complex conditions or the availability of…
- Trial name
- PITCare (NCT06093386)
- Testing
- Intensive Transition Support
- Where
- Canada
- Volunteers
- 144 people
- Sponsor
- The Hospital for Sick Children
Children With Medical Complexity
ICOLLAB FOR Children With Medical Complexity
Background: Children with medical complexity (CMC) have higher hospitalizations and readmissions compared to children without medical complexity.
- Trial name
- ICOLLAB (NCT03978468)
- Testing
- Interagency Collaboration (ICollab), Usual Care
- Where
- United States
- Volunteers
- 96 people
- Sponsor
- Wake Forest University Health Sciences
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
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
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
Pneumonia
PICNIC Study - PatIent Centered aNtIbiotic Courses in Children With Medical Complexity
To determine if clinicians can safely reduce antibiotic exposure in children with medical complexity (CMC) who are diagnosed with pneumonia by implementing an intervention that bases total antibiotic duration on an individual's…
- Trial name
- NCT06364514
- Testing
- Clinical Stability Assessment
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- Boston Children's Hospital