Evidence map›Paper›PMID 25747391›Full record

Trial reportJournal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners

Effects of a Telehealth Care Coordination Intervention on Perceptions of Health Care by Caregivers of Children With Medical Complexity: A Randomized Controlled Trial.

Wendy S Looman, Megan Antolick, Rhonda G Cady, Scott A Lunos, Ann E Garwick, Stanley M Finkelstein

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03590509 (An Integrated Telemedicine-Home Visitation Program to Increase Outcomes for Children With Medical Complexity), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 4% of its field
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.

NCT03590509 nacompletednot on this map

An Integrated Telemedicine-Home Visitation Program to Increase Outcomes for Children With Medical Complexity: A Quality Improvement (QI) Pilot Trial

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2018 to 2020Enrolled422ConditionsChronic DiseaseArmsTelemedicine Program, Usual Comprehensive Care
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  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. 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
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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

6 authors at 2 institutions in 1 country.

Wendy S Looman
Megan Antolick
Rhonda G Cady
Scott A Lunos
Ann E Garwick
Stanley M Finkelstein
University of Minnesota · USGillette Children's Specialty Healthcare · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
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 TR002494NINR NIH HHS R01 NR010883
6 · The paper itself

Abstract

introductionThe purpose of this study was to evaluate the effect of advanced practice registered nurse (APRN) telehealth care coordination for children with medical complexity (CMC) on family caregiver perceptions of health care.

methodFamilies with CMC ages 2 to 15 years (N = 148) were enrolled in a three-armed, 30-month randomized controlled trial to test the effects of adding an APRN telehealth care coordination intervention to an existing specialized medical home for CMC. Satisfaction with health care was measured using items from the Consumer Assessment of Healthcare Providers and Systems survey at baseline and after 1 and 2 years.

resultsThe intervention was associated with higher ratings on measures of the child's provider, provider communication, overall health care, and care coordination adequacy, compared with control subjects. Higher levels of condition complexity were associated with higher ratings of overall health care in some analyses. DISCUSSION: APRN telehealth care coordination for CMC was effective in improving ratings of caregiver experiences with health care and providers. Additional research with CMC is needed to determine which children benefit most from high-intensity care coordination.

Indexed as

Advanced Practice NursingCaregiversSocial PerceptionTelemedicineAdolescentChildChild, PreschoolChronic DiseaseCommunity Health ServicesContinuity of Patient CareCooperative BehaviorFemaleHealth Care SurveysHealth Services AccessibilityHumansMalecare coordinationchronic conditionsMedical complexitysatisfactiontelehealth

Identifiers

PMID25747391
PMCPMC4478110
OpenAlexW1978636092

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.