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The overall goal of this research is to evaluate a new program designed to address basic human needs, create a safe and supportive environment for families, and help families build skills and confidence for navigating the health care system.
Specifically, we aim to pilot test the feasibility and acceptability of the Targeted Inpatient Navigation (TNav) program for families of low income, minority hospitalized children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Family Bridge Program | Experimental | Families receive Family Bridge Program services which include orientation to the hospital, concrete needs assessment, communication preferences assessment, communication coaching, follow-up during the hospital stay, and a follow-up phone call after discharge. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Family Bridge Program | Behavioral | Families receive Family Bridge Program services which include orientation to the hospital, concrete needs assessment, communication preferences assessment, communication coaching, follow-up during the hospital stay, and a follow-up phone call after discharge. |
| Measure | Description | Time Frame |
|---|---|---|
| Program acceptability to caregivers--qualitative | Program acceptability will be determined qualitatively, on the basis of thematic content analysis of semi-structured interviews with enrolled caregivers | 4-6 weeks after discharge |
| Program feasibility | Ability to deliver program elements as planned, calculated as the number of Family Bridge services delivered to a family divided by the services available to that family. | Calculated for each family after program involvement is complete, generally 1 week after discharge. |
| Program acceptability to providers--qualitative | Program acceptability will be determined qualitatively, on the basis of thematic content analysis of semi-structured interviews with the doctors, nurses, social workers and care coordinators who were involved in their hospital care. | Once per month, every month that they care for an enrolled family, up to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cultural Distance Scale | 4 items measuring perceived similarity or difference in norms and values between family and medical providers. Each of the 4 items is scored on a Likert scale from 1 to 6, with higher values reflecting greater difference. The total scale score is the average of the 4 responses, on a scale from 1 to 6. | Enrollment and 2-4 weeks after discharge. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| K.Casey Lion, MD, MPH | Seattle Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seattle Children's Hospital | Seattle | Washington | 98105 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37354947 | Derived | Lion KC, Arthur KC, Frias Garcia M, Hsu C, Sotelo Guerra LJ, Chisholm H, Griego E, Ebel BE, Penfold RB, Rafton S, Zhou C, Mangione-Smith R. Pilot Evaluation of the Family Bridge Program: A Communication- and Culture-Focused Inpatient Patient Navigation Program. Acad Pediatr. 2024 Jan-Feb;24(1):33-42. doi: 10.1016/j.acap.2023.06.021. Epub 2023 Jun 22. | |
| 34551342 |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 1, 2021 | |
| Reset | Jul 21, 2021 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 1, 2021 | Jul 21, 2021 |
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| Barriers to Care Questionnaire | 20 items measuring perceived barriers to medical care, with 4 sub-scales, each scored and reported separately: System as a whole, Skills barriers, Expectation barriers, and Knowledge barriers. Each subscale was scored 0-100, with higher scores indicating greater barriers. | Enrollment and 2-4 weeks after discharge. |
| Perceived Efficacy in Patient-Physician Interactions (PEPPI) | 10-item tool measuring understanding of and ability to interact with health professionals and organizations. | Enrollment and 2-4 weeks after discharge. |
| Perceived Stress Scale-short form | 4 items, scored from 0 (Never) to 4 (Very Often), related to perceived stress and control over one's life. Responses are summed for a total score from 0 to 16, with higher scores reflecting greater stress. | Enrollment and 2-4 weeks after discharge. |
| Local system navigation | 9 items assessing familiarity with navigating the local health care system. | Enrollment and 2-4 weeks after discharge. |
| Communication--Pediatric H-CAHPS | 9 items assessing quality of communication from doctors and nurses, including at discharge. | 2-4 weeks after discharge. |
| Partnership--Pediatric H-CAHPS | 3 items assessing provider-family partnership. | 2-4 weeks after discharge. |
| Health care transition questions | 10 items assessing quality of transition and comfort and understanding of home care. | 2-4 weeks after discharge. |
| Unmet need for navigation | 7 items to determine whether family's needs were identified and met during hospitalization | 2-4 weeks after discharge. |
| Chisholm H, Kershaw T, Sotelo Guerra L, Bocek K, Garcia Y, Lion KC. A Realist Evaluation Analysis of a Novel Multi-Faceted Inpatient Patient Navigation Program. Acad Pediatr. 2022 Jul;22(5):789-796. doi: 10.1016/j.acap.2021.09.009. Epub 2021 Sep 20. |