Transitional Telehealth Home Care: REACH

NCT ID: NCT01941667

Last Updated: 2017-10-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2017-07-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Congenital Heart Disease Post Cardiac Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Daily Messages, virtual home visits

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.

Group Type EXPERIMENTAL

Daily Messages, Virtual Home Visits

Intervention Type BEHAVIORAL

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.

Usual Care

Infants will have usual care as defined by cardiology.

Group Type PLACEBO_COMPARATOR

Usual Care

Intervention Type OTHER

Usual care as defined by by the Cardiology Department.

Interventions

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Daily Messages, Virtual Home Visits

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.

Intervention Type BEHAVIORAL

Usual Care

Usual care as defined by by the Cardiology Department.

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

2 Weeks

Maximum Eligible Age

5 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Hospital Medical Center, Cincinnati

OTHER

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Children's Hospital of Philadelphia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Barbara Medoff-Cooper, PhD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Philadelphia

Locations

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Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Children's Hospital of PHiladelphia

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Lisanti AJ, Golfenshtein N, Min J, Medoff-Cooper B. Early growth trajectory is associated with psychological stress in parents of infants with congenital heart disease, but moderated by quality of partner relationship. J Pediatr Nurs. 2023 Mar-Apr;69:93-100. doi: 10.1016/j.pedn.2022.12.016. Epub 2023 Jan 23.

Reference Type DERIVED
PMID: 36696826 (View on PubMed)

Golfenshtein N, Lisanti AJ, Cui N, Cooper BM. Predictors of Post-traumatic stress symptomology in parents of infants with Congenital Heart Disease post-surgery and after four months. J Pediatr Nurs. 2022 Jan-Feb;62:17-22. doi: 10.1016/j.pedn.2021.11.013. Epub 2021 Nov 25.

Reference Type DERIVED
PMID: 34839196 (View on PubMed)

Medoff Cooper B, Marino BS, Fleck DA, Lisanti AJ, Golfenshtein N, Ravishankar C, Costello JM, Huang L, Hanlon AL, Curley MAQ. Telehealth Home Monitoring and Postcardiac Surgery for Congenital Heart Disease. Pediatrics. 2020 Sep;146(3):e20200531. doi: 10.1542/peds.2020-0531.

Reference Type DERIVED
PMID: 32817266 (View on PubMed)

Other Identifiers

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11-008246

Identifier Type: -

Identifier Source: org_study_id