Child HCAHPS: Automated Day of Discharge Survey

NCT ID: NCT03441503

Last Updated: 2022-05-12

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

TERMINATED

Clinical Phase

NA

Total Enrollment

23578 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-10

Study Completion Date

2022-04-10

Brief Summary

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The goal of this study is to identify effective ways to assess the patient and family experience. Specifically, the study will examine automated administration of the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey on the day of discharge through an electronic interactive patient care system. The will be a multisite study that will take place at Boston Children's Hospital (BCH) as well as at several other hospitals across the United States.

Detailed Description

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Preliminary research conducted by BCH on alternative administration methods of Child HCAHPS has proven promising. Specifically, a pilot of administration on the day of discharge using tablet computers increased response rates, especially among hard to reach groups.

To further explore modes of Child HCAHPS day of discharge administration, the Center of Excellence for Pediatric Quality Measurement (CEPQM) at BCH is collaborating with GetWellNetwork (GetWell), a company that provides interactive education material for patient televisions, to enable parents and guardians to complete Child HCAHPS on the day of discharge from the inpatient television. For this multisite study, parents of hospitalized children from BCH and participating sites will be randomized at the time of discharge to either receiving Child HCAHPS on the day of discharge on the inpatient television or standard Child HCAHPS administration via mail or email. The study will continue for up to six months at each participating site.

Conditions

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Inpatient Experience Survey Administration Inpatient Experience Survey Response

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study is a rapid cycle randomized control trial. Participating units will alternate between the intervention arm (day of discharge survey via inpatient television) and control arm (post-discharge mailed survey). Patients will be assigned to the intervention or control arm depending on the status of their discharging unit. Units will alternate arms throughout the study period.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Child HCAHPS: Automated Administration

Child HCAHPS: Automated day-of-discharge survey

On the day of discharge at the hospital, parents will be contacted to solicit survey responses using patient televisions (GetWell) as follows:

Day 0 (Day of likely discharge): Respondent will be promoted to complete Child HCAHPS on their television as part of the routine discharge process. Respondent will also be asked for their email address to complete post-discharge items and their appropriate contact information will be collected.

Days 2-42: Standard hospital protocol (i.e., mail, email, or IVR) with the post-discharge questions.

Group Type EXPERIMENTAL

Child HCAHPS: Automated day-of-discharge survey

Intervention Type OTHER

Child HCAHPS surveys will be administered on the day of discharge via an electronic interactive patient care system on inpatient televisions.

Standard Administration of Child HCAHPS

Parents will be contacted to complete Child HCAHPS using the standard protocol for mail, email, or IVR survey administration. The surveys will be administered by the survey vendor contracted by the participating site to administer Child HCAHPS.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Child HCAHPS: Automated day-of-discharge survey

Child HCAHPS surveys will be administered on the day of discharge via an electronic interactive patient care system on inpatient televisions.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Their child's hospitalization includes at least one overnight stay

Exclusion Criteria

* Their child is aged 18 or older during the hospitalization
* Their child is hospitalized with a primary psychiatric diagnosis
* Their child dies during hospitalization
* Their child is in the hospital as a court/law enforcement patient
* Their child is a ward of the state
* Their child was admitted under DCF jurisdiction
* They are not fluent in English or Spanish
Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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GetWellNetwork

OTHER

Sponsor Role collaborator

Dayton Children's Hospital

OTHER

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sara Toomey

Principal Investigator and Director, Center of Excellence for Pediatric Quality Measurement; Chief Experience Officer, Boston Children's Hospital; Assistant Professor of Pediatrics, Harvard Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sara Toomey, MD, MPH, MPhil, MSc

Role: PRINCIPAL_INVESTIGATOR

Boston Children's Hospital, Harvard Medical School

Locations

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Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

Dayton Children's Hospital

Dayton, Ohio, United States

Site Status

Countries

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United States

References

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Toomey SL, Zaslavsky AM, Elliott MN, Gallagher PM, Fowler FJ Jr, Klein DJ, Shulman S, Ratner J, McGovern C, LeBlanc JL, Schuster MA. The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS. Pediatrics. 2015 Aug;136(2):360-9. doi: 10.1542/peds.2015-0966. Epub 2015 Jul 20.

Reference Type BACKGROUND
PMID: 26195542 (View on PubMed)

Toomey SL, Elliott MN, Zaslavsky AM, Klein DJ, Ndon S, Hardy S, Wu M, Schuster MA. Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS. Pediatrics. 2017 Apr;139(4):e20163372. doi: 10.1542/peds.2016-3372. Epub 2017 Mar 22.

Reference Type BACKGROUND
PMID: 28330970 (View on PubMed)

Gurland B, Alves-Ferreira PC, Sobol T, Kiran RP. Using technology to improve data capture and integration of patient-reported outcomes into clinical care: pilot results in a busy colorectal unit. Dis Colon Rectum. 2010 Aug;53(8):1168-75. doi: 10.1007/DCR.0b013e3181d87468.

Reference Type BACKGROUND
PMID: 20628281 (View on PubMed)

Martin P, Brown MC, Espin-Garcia O, Cuffe S, Pringle D, Mahler M, Villeneuve J, Niu C, Charow R, Lam C, Shani RM, Hon H, Otsuka M, Xu W, Alibhai S, Jenkinson J, Liu G. Patient preference: a comparison of electronic patient-completed questionnaires with paper among cancer patients. Eur J Cancer Care (Engl). 2016 Mar;25(2):334-41. doi: 10.1111/ecc.12318. Epub 2015 Apr 20.

Reference Type BACKGROUND
PMID: 25899560 (View on PubMed)

Turney BW, Reynard JM. Obtaining patient feedback in an outpatient lithotripsy service is facilitated by use of a touch-screen tablet (iPad) survey. Urolithiasis. 2014 Aug;42(4):317-21. doi: 10.1007/s00240-014-0662-3. Epub 2014 Apr 19.

Reference Type BACKGROUND
PMID: 24747981 (View on PubMed)

Hofmann JN, Checkoway H, Borges O, Servin F, Fenske RA, Keifer MC. Development of a computer-based survey instrument for organophosphate and N-methyl-carbamate exposure assessment among agricultural pesticide handlers. Ann Occup Hyg. 2010 Aug;54(6):640-50. doi: 10.1093/annhyg/meq038. Epub 2010 Apr 22.

Reference Type BACKGROUND
PMID: 20413416 (View on PubMed)

Mullen KH, Berry DL, Zierler BK. Computerized symptom and quality-of-life assessment for patients with cancer part II: acceptability and usability. Oncol Nurs Forum. 2004 Sep 17;31(5):E84-9. doi: 10.1188/04.ONF.E84-E89. Print 2004 Sep.

Reference Type BACKGROUND
PMID: 15378105 (View on PubMed)

Elliott MN, Zaslavsky AM, Goldstein E, Lehrman W, Hambarsoomians K, Beckett MK, Giordano L. Effects of survey mode, patient mix, and nonresponse on CAHPS hospital survey scores. Health Serv Res. 2009 Apr;44(2 Pt 1):501-18. doi: 10.1111/j.1475-6773.2008.00914.x.

Reference Type BACKGROUND
PMID: 19317857 (View on PubMed)

Other Identifiers

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U18HS025299

Identifier Type: AHRQ

Identifier Source: secondary_id

View Link

P00001745

Identifier Type: -

Identifier Source: org_study_id

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