The Impact of Just-in-time Information on Neonatal Intensive Care Unit (NICU) Discharges
Recruitment status was Recruiting
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
We, the investigators, will provide "Just-in-Time" information, physician educational material, to primary care pediatricians of Neonatal Intensive Care Unit (NICU) graduates at the time of NICU discharge. We will follow the rate of adverse events (deaths, re-hospitalizations, emergency room visits, and missed appointments) for 6 months after NICU discharge. We will assess levels of physician comfort in caring for NICU specific diseases, as well as physician satisfaction with the discharge process. We hypothesize that the provision of "Just-in-Time" information will decrease the rate of adverse events, and make physicians more comfortable in caring for complicated NICU graduates, and more satisfied with the discharge process.
| Condition | Intervention |
|---|---|
|
Patient Discharge |
Behavioral: Just-in-Time information |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Impact of "Just-in-time" Information on NICU Discharges |
- Adverse events [ Time Frame: 6 months from hospital discharge ] [ Designated as safety issue: Yes ]The rates of death, rehospitalization, emergency room visits, and missed appointments will be calculated for infants in the first 6 months after discharge from the NICU.
- Physician comfort levels [ Time Frame: 1 year ] [ Designated as safety issue: No ]Physicians will complete pre- and post- intervention surveys that consist of 5-point Likert scales that measure comfort levels with various disorders specific to former premature infants.
| Estimated Enrollment: | 250 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | June 2011 |
| Estimated Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Just-in-Time intervention
The infants and physicians in the experimental group will receive the "Just-in-Time" intervention sheets at the time of discharge.
|
Behavioral: Just-in-Time information
Infants and physicians assigned to the intervention group will receive Just-in-Time information at the time of NICU discharge, by email and facsimile, and the parents will receive a copy to bring to their first clinic appointment.
|
|
No Intervention: Routine discharge care
The infants and physicians in the routine discharge care arm will receive the same information and details as is per normal routine in the nursery.
|
Detailed Description:
The purpose of this protocol is to evaluate the impact of providing "Just-in-Time" information, or physician educational material at the time of discharge, to primary care pediatricians caring for Neonatal Intensive Care Unit (NICU) graduates. The material provided will be tailored to the needs of each infant. The educational material will be sent to the physicians via email and facsimile on the day of discharge, and a hard copy will be sent with the parents to bring to their first clinic appointment. Outcomes, including emergency room visits, hospital readmissions, deaths, missed appointments, and improvements in care in the areas of intervention will be assessed. Levels of physician comfort in caring for various disorders specific to NICU graduates will be assessed, and satisfaction with the discharge process will also be evaluated pre- and post- intervention.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Pediatric care providers will be identified when they accept into their practices babies who are part of a related study of an enhanced discharge process in the Texas Children's Hospital (TCH) NICU (ClinicalTrials.gov Identifier: NCT01088945)
- Participating providers must be part of Texas Children's Pediatrics Associates (TCPA), or accept Texas Children's Health Plan (TCHP) insurance.
Exclusion Criteria:
- Providers who are not part of Texas Children's Pediatrics Associates (TCPA), or do not accept Texas Children's Health Plan (TCHP) insurance.
Contacts and Locations| Contact: Amanda Vega | 832-822-3441 | axvega@texaschildrenshospital.org |
| United States, Texas | |
| Newborn Center, Texas Children's Hospital | Recruiting |
| Houston, Texas, United States, 77030 | |
| Contact: Virginia A Moyer, MD, MPH 832-822-3441 vamoyer@texaschildrens.org | |
| Principal Investigator: Virginia A Moyer, MD, MPH | |
| Sub-Investigator: Catherine C Cibulskis, MD | |
| Principal Investigator: | Virginia A Moyer, MD, MPH | Baylor College of Medicine |
More Information
No publications provided
| Responsible Party: | Virginia Moyer, MD MPH / Professor of Pediatrics, Baylor College of Medicine |
| ClinicalTrials.gov Identifier: | NCT01091688 History of Changes |
| Other Study ID Numbers: | H-25701 |
| Study First Received: | March 18, 2010 |
| Last Updated: | April 1, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Baylor College of Medicine:
|
neonatal discharge planning health transition educational needs assessment Intensive care, neonatal |
ClinicalTrials.gov processed this record on May 19, 2013