GoalKeeper: Intelligent Information Sharing for Children With Medical Complexity
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About
This proposal addresses the major challenge of improving health outcomes for children with cancer and other complex conditions, for whom the effectiveness of outpatient care depends on care coordination across a diverse group of caregivers that includes parents, community support organizations and pediatric care providers. The investigators have developed GoalKeeper, a prototype system for supporting care coordination across multiple care providers. The primary aim of the clinical trial is to assess the potential for this new system, GoalKeeper, to improve meaningful use of goal-centered care plans in the care of children with cancer and other complex chronic conditions.
Full description
The overarching aim of the research is to improve care coordination and goal setting for children with medical complexity (CMC). Specific aims of the pilot clinical trail are as follows: (1) To assess the efficacy of GoalKeeper on goal-setting in the health care encounter. (2) To examine the roles of parent health literacy and parent activation in moderating the effect of the intervention.
Study Population: Stanford's Primary and Subspecialty Care Clinics at Stanford Children's Health will serve as the setting for study recruitment.
The pilot randomized controlled trial will enroll 60 parents of children with medical complexity and their health-care providers. Eligibility criteria for participants will be age 18 years or older, English-speaking, and (for parents) child<12 years old. Exclusion criteria are parent with known mental illness or neurocognitive impairment. A stepped wedge approach by provider will introduce families to GoalKeeper at different time points in the study. A pre-intervention period will occur at least 1 month before the trial start where clinical observations and baseline survey information will be obtained of each providers' practice.
Each family will be given training and 4-month access to the GoalKeeper application and participate in an exit interview at the end of study.
Enrollment
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Inclusion criteria
- Parent-child dyads and their medical provider
- Parent and provider age 18 years or older
- Parent English- or Spanish-speaking
- Child > age 12 months and <12 years old
Exclusion criteria
- Parent with known mental illness or neurocognitive impairment.
Trial design
Primary purpose
Allocation
Interventional model
Masking
67 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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