Clinical trials: Child With Medical Complexity
Complex Care, Medical Education
Paediatric Resident Complex Care Curriculum RCT
Medical and technological advances have resulted in a growing cohort of children with medical complexity (CMC), many of whom would not have survived previously and are living and thriving within the community.
- Conditions
- Complex Care, Medical Education, Pediatric Residents, Children With Medical Complexity
- Trial name
- NCT03349541
- Testing
- Complex Care Curriculum
- Where
- 2 sites in Canada
- Volunteers
- 36 people
- Sponsor
- The Hospital for Sick Children
Invasive Mechanical Ventilation, Children With Medical Complexity
Parent-to-parent Coaching While Awaiting Hospital Discharge With a Child With a Ventilator
The objective of the study is to pilot a parent-to-parent coaching model with experienced family members of children with Invasive Mechanical Ventilation (IMV) as parent coaches.
- Conditions
- Invasive Mechanical Ventilation, Children With Medical Complexity, Home Nursing, Empowerment
- Trial name
- NCT05880953
- Testing
- Parent-to-parent coaching
- Where
- United States
- Volunteers
- 10 people, healthy volunteers welcome
- Sponsor
- University of Chicago
Children With Medical Complexity, Respiratory Tract Infections (RTI)
Automatic Versus As-Needed Follow-up After Hospitalization for Children With Medical Complexity
Children with medical complexity often receive a recommendation to see an outpatient clinician soon after leaving the hospital. It is uncertain whether every child needs this routine visit or whether follow-up can be guided by…
- Conditions
- Children With Medical Complexity, Respiratory Tract Infections (RTI), Urinary Tract Infection (UTI), Acute Gastroenteritis
- Trial name
- AFTERCARE (NCT07864636)
- Testing
- Automatic follow-up recommendation, As-needed follow-up recommendation
- Where
- United States
- Volunteers
- 160 people
- Sponsor
- Seattle Children's Hospital
Chronic Disease
An Integrated Telemedicine-Home Visitation Program to Increase Outcomes for Children With Medical Complexity
Children with medical complexity (CMC) account for <1% of all children but approximately 40% of all pediatric deaths and inpatient care spending in the U.S.1 Optimizing their outcomes requires a comprehensive approach to…
- Trial name
- NCT03590509
- Testing
- Telemedicine Program, Usual Comprehensive Care
- Where
- United States
- Volunteers
- 422 people
- Sponsor
- The University of Texas Health Science Center, Houston
Acceptance and Commitment Therapy, Child With Medical Complexity
Acceptance and Commitment Therapy-based Intervention for Parents of a Child With Medical Complexity
A pilot randomized controlled trial of an Acceptance and Commitment Therapy-based intervention will be conducted to decrease psychological symptoms, while increase psychological flexibility for parents of a child with medical…
- Conditions
- Acceptance and Commitment Therapy, Child With Medical Complexity, Psychological Flexibility, Randomised Controlled Trial
- Trial name
- NCT07033832
- Testing
- ACT-based intervention
- Where
- 2 sites in China, Hong Kong
- Volunteers
- 24 people
- Sponsor
- The Hong Kong Polytechnic University
Medical Complexity
ASKids! Inpatient Agenda-Setting Study for Hospitalized Children With Medical Complexity
The goal of this open pilot is to co-design and test a clinical agenda-setting intervention in the inpatient pediatric environment.
- Trial name
- ASKids (NCT07127666)
- Testing
- Structured Agenda-Setting Tool
- Where
- United States
- Volunteers
- 20 people
- Sponsor
- Dartmouth-Hitchcock Medical Center
Feeding Tube, Children With Medical Complexity
Let's E.A.T.! (Eating With Assistive Technology): An Intervention to Support Children With Feeding Tubes and Tracheostomies
The overall objective of this proposal is to test an interdisciplinary intervention to support the transition to oral feeding for children with feeding tubes and tracheostomies.
- Conditions
- Feeding Tube, Children With Medical Complexity, Tracheostomy, Feeding Disorder, Infancy or Early Childhood
- Trial name
- NCT06525818
- Testing
- Tube weaning therapy intervention, Feeding Group
- Where
- United States
- Volunteers
- 40 people
- Sponsor
- University of Chicago
COVID-19, Children With Medical Complexity (CMC)
ReSET Aim 1a: Restarting Safe Education and Testing for Children With Medical Complexity - Feasibility of In-home Cohort COVID-19 Testing Strategies, and Associations With CMC Parent Perceptions About In-person School Attendance
The purpose of this research study is to learn about the factors parents consider when deciding whether their child will go to school in-person or attend from home.
- Trial name
- NCT04895085
- Testing
- BinaxNOW Rapid Antigen System
- Where
- United States
- Volunteers
- 51 people, healthy volunteers welcome
- Sponsor
- University of Wisconsin, Madison
Children with Medical Complexity
Bridging Hospital to Home for Children with Medical Complexity and Their Families
The goal of this observational study is to evaluate an innovative pediatric transitional care unit called the Jeroen Pit Huis (JPH).
- Trial name
- BRIDGE (NCT06599398)
- Testing
- Jeroen Pit Huis
- Where
- Netherlands
- Volunteers
- 150 people
- Sponsor
- Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Children With Medical Complexity
Complex Care for Kids Ontario (CCKO)
There are ~6,200 children in Ontario with special and complex healthcare needs requiring multiple services from many different doctors and other healthcare providers.
- Trial name
- NCT02928757
- Testing
- Complex care clinic as part of the CCKO initiative
- Where
- 4 sites in Canada
- Volunteers
- 160 people
- Sponsor
- The Hospital for Sick Children
Tracheostomy
Digital Health Pathway for Children With Medical Complexity Requiring Tracheostomy
The DECIDE-T project is developing a standardized clinical pathway specifically for pediatric patients who require tracheostomy with or without long-term ventilation (tracheostomy/LTV).
- Trial name
- DECIDE-T (NCT06375369)
- Testing
- Digital health pathway for children with medical complexity requiring tracheostomy (DECIDE-T)
- Where
- 2 sites in Canada
- Volunteers
- 180 people
- Sponsor
- University of Alberta
Multiple Chronic Conditions, Children With Medical Complexity
Understanding Factors in Decision Making for Children With Medical Complexity
The goal of this clinical trial is to compare different strategies to communicate around potential risks and benefits related to treatment decision making in parents/adult caregivers of children with medical complexity.
- Trial name
- NCT05913206
- Testing
- Ambiguity, Complexity, Normalizing language
- Where
- 2 sites in United States
- Volunteers
- 831 people
- Sponsor
- University of Utah
Chronic Illnesses
Inpatient Consultation for High-Risk Chronically Ill Children Receiving Care in an Enhanced Medical Home
The investigators will conduct a pilot quality improvement trial to assess the impact of offering inpatient consultation to further optimize coordination and improve care for high-risk chronically ill children receiving…
- Trial name
- NCT02870387
- Testing
- Comprehensive Care with Inpatient consultation, Usual Inpatient Care
- Where
- United States
- Volunteers
- 342 people
- Sponsor
- The University of Texas Health Science Center, Houston
Chronic Illness
Virtually-integrated Co-management Between Complex Care and Community-based Primary Care Providers
This is a pilot trial to test whether tertiary center-affiliated pediatricians with expertise in medical complexity joining medical visits with patients' community primary care providers is feasible and acceptable.
- Trial name
- CoTS (NCT03530709)
- Testing
- videoconferencing
- Where
- United States
- Volunteers
- 36 people
- Sponsor
- University of Colorado, Denver
Children With Medical Complexity
Self-management Intervention for Children With Chronic Medical Complexity: Pilot Feasibility Trial
The investigators have developed a tool to facilitate self-management for children with medical complexity (complex, multisystem chronic diseases) called MyChildCMC (My Child's Complex Medical Condition).
- Trial name
- NCT04470193
- Testing
- MyChildCMC app
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- University of Utah
Ventilator Weaning
Home-based Optimization of Mechanical Ventilation in Children
Some children who are born very early or have other congenital conditions may develop severe, long-term lung problems that make them need to use a breathing machine to live at home.
- Trial name
- HOMVent4Kids (NCT06055413)
- Testing
- Remote patient monitoring (RPM) bundle
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- Ann & Robert H Lurie Children's Hospital of Chicago
Children With Medical Complexity (CMC), Family Caregivers
Legacy Photo-narrative Study
Children with medical complexity (CMC) live full meaningful lives that are often short. CMC and their families experience substantial distress, poor mental health, and low emotional well-being.
- Trial name
- NCT07774663
- Testing
- Photo-narratives
- Volunteers
- 40 people
- Sponsor
- Seattle Children's Hospital
Chronic Respiratory Failure
Family Connections
This study seeks to evaluate a Structured Family Deliberation that will serve as the primary intervention in a multicenter controlled trial involving families considering tracheostomy and home ventilation for the child.
- Trial name
- NCT05379439
- Testing
- Structured Family Deliberation
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- Johns Hopkins All Children's Hospital
Depression, Family Dynamics
The Mental Health Effects of a Mindfulness App in Parents of a Child With Medical Complexity
The number of children with special health care needs (CSHCN) in the US is nearly 20% of children representing approximately 14.6 million children nationally.
- Conditions
- Depression, Family Dynamics, Stress, Psychological, Chronic Illness
- Trial name
- NCT05925868
- Testing
- mindfulness app
- Where
- United States
- Volunteers
- 39 people, healthy volunteers welcome
- Sponsor
- Boise State University
Sleep-Disordered Breathing
Home Initiation of Noninvasive Positive Pressure Ventilation in Children With Medical Complexity
Children with medical complexity (CMC) often have trouble breathing at night and need to use a breathing machine. This breathing machine is called noninvasive positive pressure ventilation (NiPPV).
- Trial name
- NCT05881031
- Testing
- Home Initiation of NiPPV
- Where
- Canada
- Volunteers
- 24 people
- Sponsor
- The Hospital for Sick Children