Trial Outcomes & Findings for Self-Management in Parents of Technology-Dependent Children (NCT NCT04105244)

NCT ID: NCT04105244

Last Updated: 2024-06-06

Results Overview

Mental Health Related Quality of Life (The Patient-Reported Outcomes Measurement Information System \[PROMIS\] Short Form version 1.2- Global Health). Ten (10) Items. Score Range: 10 - 50. Global Mental Health (GMH) score converted to a T-Score metric - produces a physical and a mental health score. 10 points on the T-score metric is one standard deviation (SD). PROMIS scores have a mean of 50 and standard deviation (SD) of 10 in a referent population. A higher PROMIS T-score represents more of the concept being measured or better mental health.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

202 participants

Primary outcome timeframe

Change Measured over 9 months of the study (baseline and 6 weeks, 3 months, 6 months, 9 months after baseline

Results posted on

2024-06-06

Participant Flow

There were 5 participants who signed the consent form but did not complete the baseline surveys and therefore they were not randomized and therefore not analyzed.

Participant milestones

Participant milestones
Measure
Attention Control
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Overall Study
STARTED
97
100
Overall Study
COMPLETED
67
62
Overall Study
NOT COMPLETED
30
38

Reasons for withdrawal

Reasons for withdrawal
Measure
Attention Control
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Overall Study
Withdrawal by Subject
10
12
Overall Study
Lost to Follow-up
20
15
Overall Study
Parent no longer eligible- child not living at home
0
2
Overall Study
Unable to contact to complete the intervention.
0
9

Baseline Characteristics

Self-Management in Parents of Technology-Dependent Children

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: The intervention includes self-help and help-seeking skills.
Total
n=197 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
95 Participants
n=5 Participants
97 Participants
n=7 Participants
192 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Continuous
37.5 years
STANDARD_DEVIATION 9.58 • n=5 Participants
35.9 years
STANDARD_DEVIATION 10.7 • n=7 Participants
36.7 years
STANDARD_DEVIATION 10.2 • n=5 Participants
Sex: Female, Male
Female
91 Participants
n=5 Participants
88 Participants
n=7 Participants
179 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
12 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
90 Participants
n=5 Participants
93 Participants
n=7 Participants
183 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
18 Participants
n=5 Participants
16 Participants
n=7 Participants
34 Participants
n=5 Participants
Race (NIH/OMB)
White
71 Participants
n=5 Participants
77 Participants
n=7 Participants
148 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
97 participants
n=5 Participants
100 participants
n=7 Participants
197 participants
n=5 Participants
Duration of Caregiving for Technology-Dependent Child
43.3 months
STANDARD_DEVIATION 52.2 • n=5 Participants
49.5 months
STANDARD_DEVIATION 47.4 • n=7 Participants
46.3 months
STANDARD_DEVIATION 49.9 • n=5 Participants

PRIMARY outcome

Timeframe: Change Measured over 9 months of the study (baseline and 6 weeks, 3 months, 6 months, 9 months after baseline

Population: The number in the rows differs from the overall number analyzed because some of the participants withdrew or were lost to follow up.

Mental Health Related Quality of Life (The Patient-Reported Outcomes Measurement Information System \[PROMIS\] Short Form version 1.2- Global Health). Ten (10) Items. Score Range: 10 - 50. Global Mental Health (GMH) score converted to a T-Score metric - produces a physical and a mental health score. 10 points on the T-score metric is one standard deviation (SD). PROMIS scores have a mean of 50 and standard deviation (SD) of 10 in a referent population. A higher PROMIS T-score represents more of the concept being measured or better mental health.

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Psychological Outcome- Health Related Quality of Life
Baseline- Time 1
40.5 score on a scale
Standard Deviation 9.21
37.0 score on a scale
Standard Deviation 8.85
Psychological Outcome- Health Related Quality of Life
6 weeks- Time 2
41.9 score on a scale
Standard Deviation 8.95
39.70 score on a scale
Standard Deviation 9.31
Psychological Outcome- Health Related Quality of Life
3 months- Time 3
41.7 score on a scale
Standard Deviation 8.23
40.70 score on a scale
Standard Deviation 9.04
Psychological Outcome- Health Related Quality of Life
6 months- Time 4
42.60 score on a scale
Standard Deviation 9.41
41.00 score on a scale
Standard Deviation 10.00
Psychological Outcome- Health Related Quality of Life
9 months- Time 5
42.40 score on a scale
Standard Deviation 8.87
42.50 score on a scale
Standard Deviation 8.61

PRIMARY outcome

Timeframe: Change Measured over 9 months of the study (baseline and 6 weeks, 3 months, 6 months, 9 months after baseline

Population: The number in the rows differs from the overall number analyzed because some of the participants withdrew or were lost to follow up.

Screening Measure for Early Detection of Depressive Symptoms: The Depressive Cognition Scale. Measures depressive cognitions and negative thoughts that may lead to clinical depression. Eight (8) Items. Score Range: 0 - 40. Higher scores indicating more depressive cognitions.

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Depressive Cognitions
Baseline- Time 1
6.31 score on a scale
Standard Deviation 5.09
8.27 score on a scale
Standard Deviation 6.63
Depressive Cognitions
6 weeks- Time 2
6.93 score on a scale
Standard Deviation 5.73
8.62 score on a scale
Standard Deviation 6.27
Depressive Cognitions
3 months- Time 3
6.13 score on a scale
Standard Deviation 2.08
8.17 score on a scale
Standard Deviation 6.56
Depressive Cognitions
6 months- Time 4
5.84 score on a scale
Standard Deviation 5.78
8.20 score on a scale
Standard Deviation 7.32
Depressive Cognitions
9 months- Time 5
6.24 score on a scale
Standard Deviation 6.06
6.69 score on a scale
Standard Deviation 6.10

PRIMARY outcome

Timeframe: Change Measured over 9 months of the study (baseline and 6 weeks, 3 months, 6 months, 9 months after baseline

Population: The number in the rows differs from the overall number analyzed because some of the participants withdrew or were lost to follow up.

(The Patient-Reported Outcomes Measurement Information System \[PROMIS\] Short Form version 1.2- Global Health). Ten (10) Items. Score Range: 10 - 50. Global Physical Health (GPH) score converted to a T-Score metric - produces a physical health score. 10 points on the T-score metric is one standard deviation (SD). PROMIS scores have a mean of 50 and standard deviation (SD) of 10 in a referent population. Higher T-score means better physical health.

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Physical Outcome
Baseline- Time 1
44.90 score on a scale
Standard Deviation 7.58
44.00 score on a scale
Standard Deviation 7.28
Physical Outcome
6 weeks- Time 2
46.00 score on a scale
Standard Deviation 7.22
45.00 score on a scale
Standard Deviation 8.07
Physical Outcome
3 months- Time 3
45.00 score on a scale
Standard Deviation 7.31
46.10 score on a scale
Standard Deviation 8.01
Physical Outcome
6 months- Time 4
45.10 score on a scale
Standard Deviation 8.07
46.40 score on a scale
Standard Deviation 8.53
Physical Outcome
9 months- Time 5
46.00 score on a scale
Standard Deviation 7.23
48.20 score on a scale
Standard Deviation 8.19

PRIMARY outcome

Timeframe: Change Measured over 9 months of the study (baseline, 3 months, 6 months, 9 months after baseline

Population: The number in the rows differs from the overall number analyzed because some of the participants withdrew or were lost to follow up.

Appraised Sleep Quality (Pittsburgh Sleep Quality Index), Pittsburgh Sleep Quality Index The Pittsburgh Sleep Quality Index (PSQI). Assesses sleep quality and disturbances over a l-month time interval. Nineteen (19) items are grouped into seven component scores, each weighted equally on a 0-3 scale. Score Range (Global PSQI Score) is 0-21. Higher scores indicate worse sleep quality. Sub Scales are summed

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Self-Management- Sleep- Subjective
3 months- Time 3
6.278 score on a scale
Standard Deviation 3.4
6.768 score on a scale
Standard Deviation 2.68
Self-Management- Sleep- Subjective
Baseline- Time 1
7.134 score on a scale
Standard Deviation 3.239
7.59 score on a scale
Standard Deviation 2.903
Self-Management- Sleep- Subjective
6 months- Time 4
6.058 score on a scale
Standard Deviation 3.014
6.406 score on a scale
Standard Deviation 2.866
Self-Management- Sleep- Subjective
9 months- Time 5
6.254 score on a scale
Standard Deviation 2.93
6.161 score on a scale
Standard Deviation 2.729

PRIMARY outcome

Timeframe: Change Measured over 9 months of the study (baseline and 6 weeks, 3 months, 6 months, 9 months after baseline

Population: The number in the rows differs from the overall number analyzed because some of the participants withdrew or were lost to follow up.

Personal Lifestyle Questionnaire- Positive Health Practices Personal Lifestyle Questionnaire (PLQ). Measures the positive health practices of exercise, substance use, nutrition, relaxation, safety, and health promotion. Twenty-four (24) items 4-point summated rating scale with a range of possible scores from 24 to 96 Higher scores reflect the practice of more health behaviors. Total scores are reported.

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Positive Health Practices
Female Baseline- Time 1
64.515 score on a scale
Standard Deviation 8.963
64.4 score on a scale
Standard Deviation 8.357
Positive Health Practices
Female 6 weeks- Time 2
65.767 score on a scale
Standard Deviation 9.054
65.811 score on a scale
Standard Deviation 9.727
Positive Health Practices
Female 3 months- Time 3
66.805 score on a scale
Standard Deviation 9.159
67.352 score on a scale
Standard Deviation 8.626
Positive Health Practices
Female 6 months- Time 4
67.743 score on a scale
Standard Deviation 8.421
68.277 score on a scale
Standard Deviation 8.592
Positive Health Practices
Female 9 months- Time 5
66.642 score on a scale
Standard Deviation 8.433
69.0 score on a scale
Standard Deviation 9.987
Positive Health Practices
Male Baseline- Time 1
63.227 score on a scale
Standard Deviation 8.433
63.35 score on a scale
Standard Deviation 8.158
Positive Health Practices
Male 6 weeks- Time 2
64.233 score on a scale
Standard Deviation 8.714
64.757 score on a scale
Standard Deviation 9.379
Positive Health Practices
Male 3 months- Time 3
65.439 score on a scale
Standard Deviation 8.844
66.254 score on a scale
Standard Deviation 8.397
Positive Health Practices
Male 6 months- Time 4
66.329 score on a scale
Standard Deviation 8.156
67.2 score on a scale
Standard Deviation 8.337
Positive Health Practices
Male 9 months- Time 5
65.269 score on a scale
Standard Deviation 8.288
67.597 score on a scale
Standard Deviation 9.565

PRIMARY outcome

Timeframe: Change Measured over 9 months of the study (baseline and 6 weeks, 3 months, 6 months, 9 months after baseline

Population: The number in the rows differs from the overall number analyzed because some of the participants withdrew or were lost to follow up.

"Patient Reported Outcomes Measurement Information System (PROMIS)Short Form - Depressive Symptoms "Patient Reported Outcomes Measurement Information System (PROMIS)Short Form Version 1.0 - Depression 8a. Assess self-reported negative mood , views of self , social cognition, and decreased positive affect and engagement." Eight (8) Items. Score Range: 5 (Min)-40 (Max). Total Score is reported. The score is converted to a T-Score metric. 10 points on the T-score metric is one standard deviation (SD). PROMIS scores have a mean of 50 and standard deviation (SD) of 10 in a referent population. A higher PROMIS T-score represents more of the concept (depression) being measured thus a T-score of 60 is one standard deviation worse related to the concept of depression than average.

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Depressive Symptoms
Baseline- Time 1
51.80 score on a scale
Standard Deviation 7.56
55.10 score on a scale
Standard Deviation 7.87
Depressive Symptoms
6 weeks- Time 2
51.00 score on a scale
Standard Deviation 7.53
53.10 score on a scale
Standard Deviation 8.36
Depressive Symptoms
3 months- Time 3
50.10 score on a scale
Standard Deviation 8.30
52.20 score on a scale
Standard Deviation 8.11
Depressive Symptoms
6 months- Time 4
50.20 score on a scale
Standard Deviation 8.45
50.90 score on a scale
Standard Deviation 9.05
Depressive Symptoms
9 months- Time 5
49.90 score on a scale
Standard Deviation 8.74
50.80 score on a scale
Standard Deviation 7.86

SECONDARY outcome

Timeframe: Up to 9 months

Number of Technology-Dependent Children with ER Visits over the time period the parent was enrolled and participating in the study from review of the children's charts.

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Number of Technology-Dependent Children With ER Visits
0.9592 Number of ER visits
Standard Deviation 1.566
0.9108 Number of ER visits
Standard Deviation 1.569

SECONDARY outcome

Timeframe: Up to 9 months

Number of Technology-Dependent Children with Rehospitalizations over the time period the parent was enrolled and participating in the study from review of the children's charts.

Outcome measures

Outcome measures
Measure
Attention Control
n=97 Participants
The Attention Control arm will receive weekly phone calls for the first 4 weeks and at 2 and 4 months post-enrollment plus the current standard of care, whereby caregivers phone their healthcare providers when they have questions or concerns.
Resourcefulness Training Intervention©
n=100 Participants
The Resourcefulness Training© arm will receive (a) individually tailored instruction on personal and social resourcefulness skills via the Resourcefulness Video and intervention nurse, (b) journal-writing instruction to describe resourcefulness application, (c) access to the study website with videotape vignettes of caregivers of technology-dependent children describing resourcefulness skill application in daily life and Resourcefulness Video, and (d) boosters at 2 and 4 months post-enrollment that will include reinforcement of skills learned and additional journal writing. Resourcefulness Training©: Cognitive-behavioral intervention includes personal (self-help) and social (help-seeking) resourcefulness skills.
Number of Technology-Dependent Children With Rehospitalizations
0.7755 Number of rehospitalizations
Standard Deviation 1.343
0.8415 Number of rehospitalizations
Standard Deviation 1.384

Adverse Events

Attention Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Resourcefulness Training Intervention©

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Valerie Boebel Toly, PhD, RN, CPNP-PC, FAAN

Frances Payne Bolton School of Nursing, Case Western Reserve University

Phone: 216-534-5844

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place