Evidence map›Paper›PMID 32964166›Full record

ArticleContemporary clinical trials communications2020

Randomized controlled trial evaluating a collaborative model of care for transitioning children with medical complexity from hospital to home healthcare: Study protocol.

Savithri Nageswaran, Douglas Easterling, Cobi W Ingram, Jamie E Skaar, Anna Miller-Fitzwater, Edward H Ip

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03978468 (Interagency Collaboration To Improve Home Care of Children With Medical Complexity.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 86% 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.

NCT03978468 nacompletednot on this map

Interagency Collaboration To Improve Home Care of Children With Medical Complexity.

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2023Enrolled96ConditionsChildren With Medical ComplexityArmsInteragency Collaboration (ICollab), Usual Care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 1 institution in 1 country.

Savithri NageswaranDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Douglas EasterlingDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Cobi W IngramDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Jamie E SkaarDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Anna Miller-FitzwaterDepartment of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Edward H IpDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Wake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article describes the study protocol for an evaluation of an innovative model of care that supports home health nurses (HHN) who serve children with medical complexity (CMC). CMC constitute a small proportion of children, but have very high need for health services, are hospitalized frequently, and account for significant proportion of pediatric healthcare expenditures. High-quality home health nursing services are important for CMC, but models of care of home healthcare, after discharge of CMC from the hospital, have not been tested. Our project aims are to develop, implement, and test a model of care, called ICollab, to improve home healthcare delivery for CMC. The ICollab model consists of collaboration between HHN, primary-care physicians and clinicians of the complex care program of a tertiary-care children's hospital in the care of CMC. In this randomized clinical trial, we will recruit 110 CMC discharged home on home health nursing services. The intervention group (n = 55) will receive the ICollab intervention for 6 months post-discharge from the hospital, in addition to usual care. Children in the control group (n = 55) will receive only usual care. Outcome measures will include healthcare utilization metrics (hospitalization rates, emergency room visit rates, and days to readmission), caregiver burden and caregiver satisfaction with home healthcare, HHN retention, and HHN collaboration with other healthcare providers. We hypothesize that ICollab will reduce healthcare utilization and caregiver burden, and improve caregiver satisfaction with home healthcare, increase HHN retention, and increase HHN collaboration with other healthcare providers. Results of this study have the potential to provide a critically needed evidence-base for interventions to improve the quality of healthcare delivery for CMC. This study is registered on clinicaltrials.gov (NCT03978468) and is ongoing.

Indexed as

ACO, Accountable Care OrganizationsBCH, Brenner Children's HospitalCAPHONQ, Caregiver Assessment of Pediatric Home Health Nursing QualityChildrenClinical trialCMC, Children with Medical ComplexityCollaborative healthcare modelEMR, Electronic Medical RecordER, Emergency RoomHHN, Home Health NursesHome health nursingICC, Intraclass CorrelationIRB, Institutional Review BoardMedical complexityPCP, Primary Care PhysicianPDN, Private Duty NursingPECP, Pediatric Enhanced Care ProgramRCT, Randomized Controlled Trial

Identifiers

PMID32964166
PMCPMC7498410
OpenAlexW3088061694

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.