Evidence map›Paper›PMID 25424455›Full record

ArticleMaternal and child health journal2015

Meeting the needs of children with medical complexity using a telehealth advanced practice registered nurse care coordination model.

Rhonda G Cady, Mary Erickson, Scott Lunos, Stanley M Finkelstein, Wendy Looman, Margaret Celebreeze, Ann Garwick

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal and child health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Comprehensive care programmes for children with medical complexity.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. Pooled it
  5. Effects of a Telehealth Care Coordination Intervention on Perceptions of Health Care by Caregivers of Children With Medical Complexity: A Randomized Controlled Trial.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  6. The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  7. Article
  8. Review
  9. Article
  10. Review
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  12. Review
  13. Article
  14. Strategies to Maximize Data Collection Response Rates in a Randomized Control Trial Focused on Children with Medical Complexity.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rhonda G CadyUniversity of Minnesota, 420 Delaware Street SE, MMC 609, Minneapolis, MN, 55455, USA, rhondagcady@gillettechildrens.com.
Mary Erickson
Scott Lunos
Stanley M Finkelstein
Wendy Looman
Margaret Celebreeze
Ann Garwick

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Telehealth nursing intervention for children with complex health care needsR01NR010883 · NINR · UNIVERSITY OF MINNESOTA · PI FINKELSTEIN, STANLEY M · 2009 to 2012
$2.0M
NCATS NIH HHS UL1 TR000114NINR NIH HHS R01 NR010883NINR NIH HHS R01NR010883
6 · The paper itself

Abstract

Effective care coordination is a key quality and safety strategy for populations with chronic conditions, including children with medical complexity (CMC). However, gaps remain in parent report of the need for care coordination help and receipt of care coordination help. New models must close this gap while maintaining family-centered focus. A three-armed randomized controlled trial conducted in an established medical home utilized an advanced practice registered nurse intervention based on Presler's model of clinic-based care coordination. The model supported families of CMC across settings using telephone only or telephone and video telehealth care coordination. Effectiveness was evaluated from many perspectives and this paper reports on a subset of outcomes that includes family-centered care (FCC), need for care coordination help and adequacy of care coordination help received. FCC at baseline and end of study showed no significant difference between groups. Median FCC scores of 18.0-20.0 across all groups indicated high FCC within the medical home. No significant differences were found in the need for care coordination help within or between groups and over time. No significant difference was found in the adequacy of help received between groups at baseline. However, this indicator increased significantly over time for both intervention groups. These findings suggest that in an established medical home with high levels of FCC, families of CMC have unmet needs for care coordination help that are addressed by the APRN telehealth care coordination model.

Indexed as

Advanced Practice NursingContinuity of Patient CareTelemedicineChildChild, PreschoolChronic DiseaseCommunity Health ServicesCooperative BehaviorFemaleHealth Care SurveysHealth Services AccessibilityHealth Services Needs and DemandHumansMaleNursing StaffOutcome and Process Assessment, Health Care

Identifiers

PMID25424455
PMCPMC4480777

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.