Discharge to Home and Chronic Illness Care Pilot

Medical College of Wisconsin20 enrolled

Overview

The purpose of this study is to address a gap in knowledge needed for care of children with solid organ transplantation (SOT) and their parents by combining mHealth technology with an individualized family centered self-management intervention (referred to as myFAMI). This study is critical to the increased understanding of hospital to home transition and family management at home with the potential to transform the way clinicians approach the care of complex chronic illness children and families.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Solid Organ Transplant

Interventions

myFAMI iPad applicationBEHAVIORAL

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * parent's child has undergone a heart, kidney, or liver transplant and is being discharged home from the hospital * the parent is English speaking (to date the tools being used have been validated for English participants only) * parent is 18 years of age or older * patient is 17 years of age and younger. Exclusion Criteria: * presence of significant communication or cognitive impairment on the part of the parent that would preclude completion of questionnaires based on self-report * parent and child has experienced the discharge to home transition from a previous transplant.

Locations (1)

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, United States

Outcomes

Primary Outcomes

Evaluate the effectiveness of myFAMI on 30-day post-discharge outcomes.

Hypothesis: Compared to parents who received standard discharge preparation (usual care), parents receiving myFAMI will report: i) Better care coordination, ii) Higher quality of discharge teaching, iii) Greater readiness for hospital discharge, iv) Improved post-discharge coping, v) Improved family functioning, vi) Better self-management of medication and treatment regimens vii) Fewer emergency department visits and hospital readmissions

Time frame: 30 days following enrollment

Secondary Outcomes

Examine the acceptability of myFAMI:

2\. Examine the acceptability of myFAMI: The content of the interview will focus on strengths and weaknesses of iPad® technology in preparing parents for hospital discharge utilizing both survey and qualitative questions

Time frame: Enrollment plus 30 days

Data from ClinicalTrials.gov

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