ASKids! Inpatient Agenda-Setting Study for Hospitalized Children With Medical Complexity

Dartmouth Health

Status: Begins enrollment in 2 months

Conditions: Medical Complexity

Treatments: Other: Structured Agenda-Setting Tool

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07127666

STUDY02002855

UM1TR004772 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The goal of this open pilot is to co-design and test a clinical agenda-setting intervention in the inpatient pediatric environment. We pilot a co-designed structured agenda-setting intervention (SAS) for multi-family meetings about children with medical complexity. Our open pilot will evaluate the feasibility and acceptability of using the SAS during routine multidisciplinary family meetings (MFM) at Dartmouth Hitchcock Medical Center. By doing an open pilot, researchers will learn if the agenda-setting instrument and implementation process are feasible and acceptable to patients, their care partner and their clinicians.

Full description

In this open pilot, the researchers will adapt and administer a novel structured agenda-setting tool (SAS) in the inpatient pediatric environment. The researchers will determine if their procedures for screening eligible participants, administering the intervention, and administering outcome and other questionnaires are appropriate. Learnings from the open pilot will feed forward into procedures in applications for larger trials of the intervention.

This study only has one arm, the intervention arm. The intervention, the co-adapted SAS, will be administered to all enrolled participants.

Future Directions: This open pilot will provide preliminary data for potential future larger trials.

Enrollment: 20 estimated patients

Sex: All

Ages: 7+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pediatric Inpatients: Children aged 7-17 years
• Can communicate in English
• Able to provide verbal assent, with consent from their care partner
• Dartmouth Hitchcock Medical Center pediatric patient who currently or has recently (within the last 3 months) been hospitalized with a length of stay of 4≥ days Care Partners: - Adults aged 18≥ years
• Can communicate in English
• Able to provide verbal consent
• Care partners of Dartmouth Hitchcock Medical Center pediatric patients who are currently or have recently (within the last 3 months) been hospitalized with a length of stay of 4≥ days

Exclusion criteria

• For pediatric inpatients, children < aged 7
• For care partners, children aged <18 years
• Cannot communicate in English
• For pediatric inpatients, unable to provide verbal assent
• For care partners, unable to provide consent
• Prisoners

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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20 participants in 1 patient group

Treatment (Implements Structured Agenda-Setting Intervention)

Experimental group

Description:

The study team will implement a structured clinical visit agenda-setting (SAS) intervention customized for the pediatric inpatient environment.

Treatment:

Other: Structured Agenda-Setting Tool