This study will be a pilot test of using telehealth with an interpreter as an additional option for parents with limited English proficiency to join family-centered rounds in the neonatal intensive care unit.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
36
The care team will use a computer with a speaker camera, mounted on a stand with wheels to launch telehealth visits using the application ExtendedCare. This platform meets HIPAA security rules and launches from the patient's electronic health record. From within this telehealth visit, a care team member will send a message (via text or email) to the parent(s) that includes a link that can be clicked to open a browser that allows the parent to join the telehealth visit. Parent do not need to download or use an application. The care team will invite the video interpreter to join the visit if a parent is present. Family-centered rounds will then proceed in usual fashion with the care team and \[if in attendance\] parent(s). Parents can participate in virtual family-centered rounds as much, or as little, as they choose.
University of California Davis Medical Center
Sacramento, California, United States
Family-Centered Rounds Parent Attendance
Proportion of the number of weekday round encounters with at least one parent present - either virtually or in-person - divided by the infant's total number of weekday round encounters
Time frame: From date of randomization until the date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)
Patient length of stay
Days in the neonatal intensive care unit. Obtained from electronic health record.
Time frame: From date of admission to the neonatal intensive care unit until the date of disposition from the unit for any cause (assessed up to 396 days)
Breastmilk feeding at discharge
Dichotomous outcomes. Include (a) breastmilk feeding initiation, (b) any breastmilk feeding at the time of discharge from the neonatal intensive care unit, and (c) exclusive breastmilk feeding at the time of discharge from the neonatal intensive care unit. Breastmilk feeding includes consuming milk from the birth parent via any delivery method (e.g., bottle, feeding tube, breast). Any breastmilk feeding will be defined as the infant consuming any amount of milk from the birth parent, with or without the addition of formula or fortifier. Exclusive breastmilk feeding will be defined as 100% of base feeding type as milk from the birth parent, with or without a bovine or human fortifier. Obtained from electronic health record (0 days)
Time frame: Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)
Medical errors and adverse events
Include the rates of harmful errors, non-harmful errors, and overall errors (harmful errors plus non-harmful errors). Obtained via review of data from electronic health record and solicited reports. Two neonatologists will independently categorize each event as a harmful error (preventable adverse event), non-harmful error, non-preventable adverse event, or exclusion.
Time frame: Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Patient Experience
Unit of measure: mean score; Measure/Tool: Emergency Department CAHPS (Consumer Assessment of Healthcare Providers and Systems) (parent survey, 2 items measuring overall experience).
Time frame: Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)
Patient Activation
Unit of measure: mean score; Measure/Tool: Parent-Patient Activation Measure (P-PAM) (parent survey)
Time frame: Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)
Parent Quality of Life
Unit of measure: mean score. Measure/Tool: PedsQL Family Impact Module (parent survey)
Time frame: Date of disposition from the neonatal intensive care unit for any cause (assessed up to 396 days)