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Transitional Telehealth Home Care: REACH

Children's Hospital of Philadelphia (CHOP) logo

Children's Hospital of Philadelphia (CHOP)

Status

Completed

Conditions

Post Cardiac Surgery
Congenital Heart Disease

Treatments

Behavioral: Daily Messages, Virtual Home Visits
Other: Usual Care

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT01941667
11-008246

Details and patient eligibility

About

The investigators want to determine if additional, increased contact with infants and families discharged to home after cardiac surgery improves infant and parent outcomes as compared to usual care.

Full description

The investigators want to compare videoconferencing (SKYPE or FACTIME) and a monitoring system called Buddy Check is helpful. Buddy Check is a web-based tool using speech and internet technology to maintain contact with the health care team.

Infants are randomized to usual care or the intervention which uses automated daily phone calls and 2 virtual home visits each week. Weights, oxygen levels, and amount of food taken are obtained by the primary caregiver (parent) daily and sent via automated phone call, text message or email messages based on primary caregiver's desired.

Enrollment

218 patients

Sex

All

Ages

2 weeks to 5 months old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Cardiac surgery within 2.5 weeks of life,
  • Diagnosis of congenital heart disease,
  • Post menstrual age 37 weeks and older;
  • Minimum birth weight 2500 grams,
  • At least one parent speaks and reads English,
  • Anticipated discharge by 21 days of life

Exclusion criteria

  • Cardiomyopathy,
  • Diagnosis of Genetic syndrome

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

218 participants in 2 patient groups, including a placebo group

Daily Messages, virtual home visits
Experimental group
Description:
Intervention includes: Measuring daily weights, 24 hour intake, heart rate, oxygen level Daily messages requesting weight, intake, pulse ox and pulse are automated Virtual home visits occur twice weekly where the investigators see the infant and families.
Treatment:
Behavioral: Daily Messages, Virtual Home Visits
Usual Care
Placebo Comparator group
Description:
Infants will have usual care as defined by cardiology.
Treatment:
Other: Usual Care

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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