Empowering Families of Migrant Children and Youth with Special Healthcare Needs
NCT ID: NCT06373588
Last Updated: 2024-09-26
Study Results
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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RECRUITING
NA
324 participants
INTERVENTIONAL
2024-08-13
2027-08-31
Brief Summary
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The main questions are, for migrant families with a child or youth with special healthcare needs:
Does a patient navigator reduces barriers to care? Does a patient navigator improve care coordination, caregiver empowerment, caregiver stress and quality of life? What are the healthcare experiences for families with and without the patient navigator intervention?
Participants will:
* Receive the intervention, i.e., the patient navigator program, or continue with standard of care for 12 months
* Fill out questionnaires at 3 time points on barriers to care, caregiver stress, care coordination, and their child's health
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Usual Care
Participants will receive care usually provided within their clinics and a standard package with healthcare resources. In keeping with the pragmatic design, there will be variation in the support provided for navigation and care coordination, referral patterns to health and social services, as well as community resources. However, we will document these differences to provide context about potential differences in effects which may occur between sites.
No interventions assigned to this group
Patient Navigator
Participants will be paired with a patient navigator. The patient navigator will contact participants: 1) Within 7 days of randomization; 2) At least once every 3 months up to 12 months; 3) As needed to follow-up on tasks identified in previous visits; and 4) As initiated by the participant. Contacts will occur during in-person clinic visits (prioritized for first encounter, if possible), or over video, telephone, SMS, and/or emails. The navigator will tailor the topics addressed during these interactions according to the needs of the participant and compile a care plan with input from the patient, family, and clinicians. In addition, to assess intervention fidelity, patient navigators will document all participant contacts on standardized forms, including topics addressed, services and coordination provided, written care plan provided, and concurrent resources/interventions accessed (e.g., social worker, funding/housing applications, support from community organizations).
Patient Navigator
The patient navigator will meet the following requirements: a bachelor's degree in health or social sciences, or equivalent experiences; strong knowledge of the local health and social services system; trauma-informed care and cultural safety; strong interpersonal skills, ability to problem-solve, and autonomy; have prior experiences with migrant communities (including lived experiences) and working in healthcare setting. The navigator will be trained on topics related to their role, through case discussions, and role playing, as done in other navigator trials. Topics will include Indigenous cultural safety as applied to migrant health, systems navigation, care coordination, family-centred care, social determinants of health (health insurance, income supplements, etc.) and inequities, advanced communication and helping skills (e.g., motivational interviewing), ethics, privacy, and confidentiality, and others as determined through our co-design process.
Interventions
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Patient Navigator
The patient navigator will meet the following requirements: a bachelor's degree in health or social sciences, or equivalent experiences; strong knowledge of the local health and social services system; trauma-informed care and cultural safety; strong interpersonal skills, ability to problem-solve, and autonomy; have prior experiences with migrant communities (including lived experiences) and working in healthcare setting. The navigator will be trained on topics related to their role, through case discussions, and role playing, as done in other navigator trials. Topics will include Indigenous cultural safety as applied to migrant health, systems navigation, care coordination, family-centred care, social determinants of health (health insurance, income supplements, etc.) and inequities, advanced communication and helping skills (e.g., motivational interviewing), ethics, privacy, and confidentiality, and others as determined through our co-design process.
Eligibility Criteria
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Inclusion Criteria
* Children or youth with special health care needs, as defined by the CYSHCN Screener, which identifies children who are experiencing one or more functional limitation or service use due to a physical, emotional, behavioural, developmental, or other health condition that has lasted or is expected to last at least 12 months.
* Experiencing care transitions between at least 2 of the following: primary care, community-based care, secondary specialist care, and/or hospital-based (acute) care.
Exclusion Criteria
* Families who are receiving available peer navigation support at sites will be excluded to limit cross-over of interventions.
18 Years
ALL
No
Sponsors
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Unity Health Toronto
OTHER
Canadian Institutes of Health Research (CIHR)
OTHER_GOV
The Hospital for Sick Children
OTHER
McGill University Health Centre/Research Institute of the McGill University Health Centre
OTHER
Responsible Party
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Patricia Li
Associate Professor, Department of Pediatrics, Faculty of Medicine and Health Sciences
Principal Investigators
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Patricia Li
Role: PRINCIPAL_INVESTIGATOR
Research Institute of the McGill University Health Centre
Locations
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Unity Health Toronto, Compass Clinic
Toronto, Ontario, Canada
CIUSSS West-Central Montreal
Montreal, Quebec, Canada
Montreal Children's Hospital
Montreal, Quebec, Canada
Countries
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Central Contacts
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Facility Contacts
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Shazeen Suleman, MD MPH FRCPC
Role: backup
Patricia Li
Role: backup
Juan Carlos Chirgwin
Role: backup
Patricia Li
Role: backup
References
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Related Links
Access external resources that provide additional context or updates about the study.
United States Census Bureau. 2020 National Survey of Children's Health. Accessed December 31, 2021
Canadian Institutes of Health Research. (2021). Transitions in Care. Retrieved from Government of Canada: Canadian Institutes of Health Research. Accessed December 30, 2022
Barriers to Health Service Utilization by Immigrant Families Raising a Disabled Child: Unmet Needs and the Role of Discrimination
Children with an immigrant background: Bridging cultures
Statistics Canada. Social Assistance Receipt Among Refugee Claimants in Canada
Social Planning Toronto. Unequal City: The Hidden Divide Among Toronto's Children and Youth
National Care Coordination Standards for Children and Youth with Special Health Care Needs.
WHO guidelines on hand hygiene in health care.
Geographic distribution of immigrants and recent immigrants and their proportion within the population of census metropolitan areas, Canada
National Newcomer Navigation Network
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
MP-37-2023-9418
Identifier Type: -
Identifier Source: org_study_id
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