Recordable Cards for Optimizing Outcomes and Reducing Disparities after ED Discharge: The RECORD-ED Pilot Study
用于优化结果并减少 ED 出院后差异的可记录卡:RECORD-ED 试点研究
基本信息
- 批准号:10056976
- 负责人:
- 金额:$ 24.57万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-08-11 至 2022-07-31
- 项目状态:已结题
- 来源:
- 关键词:Accident and Emergency departmentAcuteAddressAdherenceAnxietyAsthmaCaregiversCaringChildChild HealthChild health careClinicalCommunicationComprehensionDay SurgeryDiagnosisEducationEffectivenessElectronic MailEnglish LanguageEnrollmentEnsureFamilyFutureGoalsHealthHealthcareHealthcare SystemsHome environmentHospitalsHuman ResourcesInstructionIntentionInterventionInterviewJointsLanguageLimited English ProficiencyLinguisticsLow incomeMeasuresMedicalModelingNursesOutcomePaperParentsPatternPediatric HospitalsPharmaceutical PreparationsPharmacistsPilot ProjectsPrimary Health CareProtocols documentationProviderQuality of lifeRandomizedRandomized Controlled TrialsReportingResearchResearch PersonnelRiskSiteSourceStandardizationSurveysSystemTelephoneTestingTimeUncertaintyVisitVulnerable Populationsacute careadverse outcomearmasthma exacerbationbasedisparity reductioneconomic evaluationevidence baseexperiencefollow-uphealth care disparityhealth care service utilizationhealth literacyimprovedimproved outcomeinnovationintervention costliteracymedication complianceparticipant retentionpatient home careprimary outcomereading abilitysatisfactionskillstooltreatment as usualtrial designusabilityuser-friendly
项目摘要
Project Summary
Families with low income and/or limited English proficiency (LEP) experience multiple communication- and
comprehension-related barriers to receiving high quality, safe, and effective medical care when their children
are ill. Limited education and low literacy also contribute, leading to difficulties understanding and implementing
discharge instructions. Few system-based interventions exist to improve discharge instruction comprehension
and most that exist rely on some combination of reading ability, health literacy, and English language skills,
limiting their ability to reach the families most at risk for poor understanding and adverse outcomes.
Paper-based, audio-recordable greeting cards offer a low-tech, inexpensive, and readily available
approach to addressing comprehension-based disparities. Cards can be shared with multiple caregivers,
including those not present at discharge, and can remain with the ill child for quick reference. The overall goal
of this study is to determine the feasibility, acceptability, and potential effect of the RECORD-ED intervention,
which consists of usual care augmented by a card with audio-recorded instructions in the parent's preferred
language for care (English or Spanish). The recorded instructions were developed collaboratively with parents
and clinical personnel, to ensure the information is useful and culturally and linguistically tailored. The goal is to
improve parent comprehension, recall, and implementation of discharge instructions, as families transition from
care in the emergency department (ED) to managing the child's medical care at home. The specific aims of the
study are to: 1) test the feasibility, acceptability, and potential effectiveness of the RECORD-ED intervention for
improving parent, child, and utilization outcomes among low-income children with asthma and their parents,
with and without LEP; and 2) characterize parent and provider experience with the RECORD-ED intervention,
to inform future implementation. To accomplish these aims, the investigators propose a pilot randomized
controlled trial, enrolling 100 families of children with asthma being discharged home from Seattle Children's
Hospital ED. Families will be contacted to complete telephone or email surveys two days, one week, and three
months after ED discharge. Intervention feasibility and acceptability will be primary outcomes, as
recommended for pilot studies. Potential effectiveness will be determined by assessing for clinically important
differences in instruction recall, medication adherence, comfort with home care, quality of life, primary care
follow-up, asthma control, and 3-month re-utilization between assigned study arms, in an intention-to-treat
analysis. Providers and nurses will be surveyed regarding intervention acceptability and perceived effect.
Parents and nurses will be interviewed to understand experiences using the card-based instructions. Study
results will inform a multi-site R01 proposal to rigorously determine the effect of the RECORD-ED intervention
on parent comprehension, adherence to discharge instructions, and child asthma control and healthcare
utilization.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Katherine Casey Lion其他文献
Katherine Casey Lion的其他文献
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{{ truncateString('Katherine Casey Lion', 18)}}的其他基金
The Family Bridge Program to Address Communication and Navigation-Related Inequities for Minority Children and Families: A Randomized Controlled Trial
解决少数族裔儿童和家庭与通讯和导航相关的不平等问题的家庭桥梁计划:一项随机对照试验
- 批准号:
10650280 - 财政年份:2022
- 资助金额:
$ 24.57万 - 项目类别:
The Family Bridge Program to Address Communication and Navigation-Related Inequities for Minority Children and Families: A Randomized Controlled Trial
解决少数族裔儿童和家庭与通讯和导航相关的不平等问题的家庭桥梁计划:一项随机对照试验
- 批准号:
10365525 - 财政年份:2022
- 资助金额:
$ 24.57万 - 项目类别:
Mobile Video interpretation to Optimize Communication Across Language barriers: mVOCAL
移动视频口译可优化跨语言障碍的沟通:mVOCAL
- 批准号:
10299517 - 财政年份:2021
- 资助金额:
$ 24.57万 - 项目类别:
Mobile Video interpretation to Optimize Communication Across Language barriers: mVOCAL
移动视频口译可优化跨语言障碍的沟通:mVOCAL
- 批准号:
10491101 - 财政年份:2021
- 资助金额:
$ 24.57万 - 项目类别:
Mobile Video interpretation to Optimize Communication Across Language barriers: mVOCAL
移动视频口译可优化跨语言障碍的沟通:mVOCAL
- 批准号:
10630872 - 财政年份:2021
- 资助金额:
$ 24.57万 - 项目类别:
Targeted Inpatient Navigation to Improve Care for Minority Children and Families
有针对性的住院导航,以改善对少数民族儿童和家庭的护理
- 批准号:
9104176 - 财政年份:2014
- 资助金额:
$ 24.57万 - 项目类别:
Targeted Inpatient Navigation to Improve Care for Minority Children and Families
有针对性的住院导航,以改善对少数民族儿童和家庭的护理
- 批准号:
8762875 - 财政年份:2014
- 资助金额:
$ 24.57万 - 项目类别:
Targeted Inpatient Navigation to Improve Care for Minority Children and Families
有针对性的住院导航,以改善对少数民族儿童和家庭的护理
- 批准号:
9309011 - 财政年份:2014
- 资助金额:
$ 24.57万 - 项目类别:
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