Clinical trials: Medical Complexity
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
Pediatric Medical Complexity Based on PMCA Score of 3
Comprehensive Assessment of Reactions to Pharmacogenetics in Complex Care Patients
The goal of this clinical trial is to determine the feasibility and acceptability of Pharmacogenetic Testing, and the attitudes towards the same in caregivers of complex care patients in Cincinnati, OH.
- Trial name
- CAREPICC (NCT07060300)
- Testing
- Agree to Pharmacogenetic Testing
- Where
- United States
- Volunteers
- 500 people
- Sponsor
- Children's Hospital Medical Center, Cincinnati
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
Children With Medical Complexity (CMC), COVID-19
ReSET Aim 1b: Restarting Safe Education and Testing for Children With Medical Complexity - COVID-19 Testing in School With Children and Staff
The Coronavirus Disease 2019 (COVID-19), caused by the SARS-CoV-2 virus, is a worldwide pandemic that has resulted in large-scale quarantines in cities, states, and countries throughout the world.
- Trial name
- NCT04899245
- Testing
- BinaxNOW Rapid Antigen System
- Where
- United States
- Volunteers
- 112 people, healthy volunteers welcome
- Sponsor
- University of Wisconsin, Madison
Children With Medical Complexity (CMC), Multiple Chronic Conditions
Developing an Innovative Decision Support Tool for Pediatric Neuromuscular Scoliosis
The goal of this pilot hybrid type I efficacy/implementation trial is to assess a newly developed decision support tool patients, parents, and providers to use during surgical treatment decision making for neuromuscular scoliosis…
- Conditions
- Children With Medical Complexity (CMC), Multiple Chronic Conditions, Neuromuscular Scoliosis, Shared Decision Making
- Trial name
- NCT07167927
- Testing
- Decision support tool
- Where
- 2 sites in United States
- Volunteers
- 110 people
- Sponsor
- University of Utah
Cerebral Palsy
Evaluating the Value of Telehealth for Care of Children With Medical Complexity
The specific aims of the study are to: 1. Assess the feasibility of a TytoCare telehealth device with remote audio/video connection for evaluation of children with medical complexity in the home environment. 2.
- Trial name
- NCT02849938
- Testing
- TytoCare Device
- Volunteers
- 24 people
- Sponsor
- Wake Forest University Health Sciences
Child With Medical Complexity, Symptom Management
Nurse Parental Support Using a Proactive Mobile App in Symptom Management for Children With Mechanical Ventilation
The aims of this study are to test the effectiveness of a nurse support using a proactive mobile app to enhance parental self-efficacy in symptom management for children using mechanical ventilations, and alongside identify…
- Conditions
- Child With Medical Complexity, Symptom Management, Self Efficacy, Mobile Application
- Trial name
- NCT06903052
- Testing
- Nurse parental support using a proactive mobile App
- Where
- Hong Kong
- Volunteers
- 52 people
- Sponsor
- The Hong Kong Polytechnic University
Neurologic Disorder, Chronic Disease
Parent-Reported Symptom Assessments in Children Taking Multiple Medications
This study plans to learn about how to measure symptoms (like tiredness or rash) in children with special healthcare needs who take 5 or more medications. Sometimes symptoms change in severity over time or new symptoms develop.
- Conditions
- Neurologic Disorder, Chronic Disease, Pediatric Disorder
- Trial name
- PRSA (NCT03849066)
- Testing
- Parent-Reported Symptom Assessment
- Where
- United States
- Volunteers
- 136 people
- Sponsor
- University of Colorado, Denver
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
Pneumonia
PICNIC Study - PatIent Centered aNtIbiotic Courses in Children With Medical Complexity
To determine if clinicians can safely reduce antibiotic exposure in children with medical complexity (CMC) who are diagnosed with pneumonia by implementing an intervention that bases total antibiotic duration on an individual's…
- Trial name
- NCT06364514
- Testing
- Clinical Stability Assessment
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- Boston Children's Hospital
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)
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
Caregiver Burden, Quality of Life
Caregiver Burden, Quality of Life, Family Function and Family Resilience Among Caregivers of Children With Medical Complexity.
The purpose of this study is to employ a mixed methods research approach combining quantitative and qualitative methods to thoroughly understand the relationships among caregiver burden, quality of life, family functioning, and…
- Conditions
- Caregiver Burden, Quality of Life, Family Function, Family Resilience
- Trial name
- NCT06503419
- Testing
- non-intervention
- Volunteers
- 400 people, healthy volunteers welcome
- Sponsor
- National Taiwan University Hospital
Child With Cancer, Muscular Atrophy
Nurse Parental Support Using a Mobile App in Symptom Management for CMC
Parents of children with medical complexity (CMC) are suffering from high level of stress. These CMC get multisystem diseases, including severe neurologic conditions or cancer, resulting in potential premature death.
- Conditions
- Child With Cancer, Muscular Atrophy, Child With Cerebral Palsy, Child With Medical Complexity
- Trial name
- NCT05765643
- Testing
- Nurse parental support in symptom management using a mobile health App
- Where
- 2 sites in Hong Kong
- Volunteers
- 96 people
- Sponsor
- The Hong Kong Polytechnic University
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 Illness
Trial to Reduce Hospitalizations in Children With Medical Complexity
The investigators hypothesize that an intervention, within an established patient-centered medical home, aimed at reducing modifiable risks for hospitalization, can decrease hospital utilization among medically complex children.
- Trial name
- NCT02277327
- Testing
- Plans of Action and Care Transitions, Routine Care
- Where
- United States
- Volunteers
- 200 people
- Sponsor
- University of California, Los Angeles
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
Children with Medical Complexity, Child, Only
Emergency Care Action Plans for Infants with Medical Complexity
An Emergency Care Action Plan (ECAP) is a tool intended to be helpful to providers when treating a child with complex medical needs during an emergency.
- Conditions
- Children with Medical Complexity, Child, Only, Infant Morbidity, Infant Conditions
- Trial name
- ECAP (NCT06444282)
- Testing
- Emergency Care Action Plan
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- University of Vermont
D010051, Ovarian Cancer
Validation of ESGO Quality Indicators in Advanced Ovarian Cancer Surgery
This study, organized by the European Society of Gynaecological Oncology (ESGO), evaluates the clinical impact of adherence to ten ESGO-established quality indicators (QIs) in advanced ovarian cancer surgery.
- Conditions
- D010051, Ovarian Cancer, Advanced-stage Ovarian Cancer, FIGO Stages III and IV
- Trial name
- retroESGO ov1 (NCT07567573)
- Testing
- Preoperative Evaluations, Cytoreductive Surgery, Perioperative Management
- Where
- Belgium
- Volunteers
- 11,383 people
- Sponsor
- European Society of Gynaecological Oncology
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