CClinicalTrials.gg
TerminatedNCT03441503Updated May 12, 2022

Child HCAHPS: Automated Day of Discharge Survey

An interventional study of Child HCAHPS: Automated day-of-discharge survey in Inpatient Experience Survey Administration and Inpatient Experience Survey Response, sponsored by Boston Children's Hospital. Terminated at 2 sites in United States. Open to participants aged Up to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-05-12.

Sponsored by Boston Children's Hospital · Not applicable, Interventional, and Health services research

Why this study was terminated
We were not able to enroll partner hospitals.
Phase
Not applicable
Study type
Interventional
Enrollment
23,578
Allocation
Randomized
Ages
Up to 17 Years
Sex
All
01

Study summary

The goal of this study is to identify effective ways to assess the patient and family experience. Specifically, the study will examine automated administration of the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey on the day of discharge through an electronic interactive patient care system. The will be a multisite study that will take place at Boston Children's Hospital (BCH) as well as at several other hospitals across the United States.

Read the detailed description

Preliminary research conducted by BCH on alternative administration methods of Child HCAHPS has proven promising. Specifically, a pilot of administration on the day of discharge using tablet computers increased response rates, especially among hard to reach groups.

To further explore modes of Child HCAHPS day of discharge administration, the Center of Excellence for Pediatric Quality Measurement (CEPQM) at BCH is collaborating with GetWellNetwork (GetWell), a company that provides interactive education material for patient televisions, to enable parents and guardians to complete Child HCAHPS on the day of discharge from the inpatient television. For this multisite study, parents of hospitalized children from BCH and participating sites will be randomized at the time of discharge to either receiving Child HCAHPS on the day of discharge on the inpatient television or standard Child HCAHPS administration via mail or email. The study will continue for up to six months at each participating site.

02

Conditions studied

  • Inpatient Experience Survey Administration
  • Inpatient Experience Survey Response
03

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Their child's hospitalization includes at least one overnight stay

Exclusion criteria

Exclusion Criteria:

  • Their child is aged 18 or older during the hospitalization
  • Their child is hospitalized with a primary psychiatric diagnosis
  • Their child dies during hospitalization
  • Their child is in the hospital as a court/law enforcement patient
  • Their child is a ward of the state
  • Their child was admitted under DCF jurisdiction
  • They are not fluent in English or Spanish
04

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
23,578 participants (actual)

Study arms

  • Experimental
    Child HCAHPS: Automated Administration

    Child HCAHPS: Automated day-of-discharge survey On the day of discharge at the hospital, parents will be contacted to solicit survey responses using patient televisions (GetWell) as follows: Day 0 (Day of likely discharge): Respondent will be promoted to complete Child HCAHPS on their television as part of the routine discharge process. Respondent will also be asked for their email address to complete post-discharge items and their appropriate contact information will be collected. Days 2-42: Standard hospital protocol (i.e., mail, email, or IVR) with the post-discharge questions.

    Other: Child HCAHPS: Automated day-of-discharge survey

  • No intervention
    Standard Administration of Child HCAHPS

    Parents will be contacted to complete Child HCAHPS using the standard protocol for mail, email, or IVR survey administration. The surveys will be administered by the survey vendor contracted by the participating site to administer Child HCAHPS.

Interventions

  • OtherChild HCAHPS: Automated day-of-discharge survey

    Child HCAHPS surveys will be administered on the day of discharge via an electronic interactive patient care system on inpatient televisions.

05

What researchers measure

Primary outcomes

  1. Child HCAHPS Response Rate

    Change in response rate to the Child HCAHPS survey

    Time frame: up to 1 year

Secondary outcomes

  1. Child HCAHPS Measure Top-Box Scores

    Change in Child HCAHPS top-box scores (i.e., percent of respondents selecting the most positive response option \[0-100%\]). Higher top-box scores imply better patient/family experience.

    Time frame: up to 1 year

  2. Patient and respondent characteristics

    Difference in patient/respondent characteristics

    Time frame: up to 1 year

06

Study locations

2 sites
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Dayton Children's Hospital
    Dayton, Ohio 45404, United States
07

References and documents

Publications

  • Toomey SL, Zaslavsky AM, Elliott MN, Gallagher PM, Fowler FJ Jr, Klein DJ, Shulman S, Ratner J, McGovern C, LeBlanc JL, Schuster MA. The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS. Pediatrics. 2015 Aug;136(2):360-9. doi: 10.1542/peds.2015-0966. Epub 2015 Jul 20. PubMed 26195542 ↗
  • Toomey SL, Elliott MN, Zaslavsky AM, Klein DJ, Ndon S, Hardy S, Wu M, Schuster MA. Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS. Pediatrics. 2017 Apr;139(4):e20163372. doi: 10.1542/peds.2016-3372. Epub 2017 Mar 22. PubMed 28330970 ↗
  • Gurland B, Alves-Ferreira PC, Sobol T, Kiran RP. Using technology to improve data capture and integration of patient-reported outcomes into clinical care: pilot results in a busy colorectal unit. Dis Colon Rectum. 2010 Aug;53(8):1168-75. doi: 10.1007/DCR.0b013e3181d87468. PubMed 20628281 ↗
  • Martin P, Brown MC, Espin-Garcia O, Cuffe S, Pringle D, Mahler M, Villeneuve J, Niu C, Charow R, Lam C, Shani RM, Hon H, Otsuka M, Xu W, Alibhai S, Jenkinson J, Liu G. Patient preference: a comparison of electronic patient-completed questionnaires with paper among cancer patients. Eur J Cancer Care (Engl). 2016 Mar;25(2):334-41. doi: 10.1111/ecc.12318. Epub 2015 Apr 20. PubMed 25899560 ↗
  • Turney BW, Reynard JM. Obtaining patient feedback in an outpatient lithotripsy service is facilitated by use of a touch-screen tablet (iPad) survey. Urolithiasis. 2014 Aug;42(4):317-21. doi: 10.1007/s00240-014-0662-3. Epub 2014 Apr 19. PubMed 24747981 ↗
  • Hofmann JN, Checkoway H, Borges O, Servin F, Fenske RA, Keifer MC. Development of a computer-based survey instrument for organophosphate and N-methyl-carbamate exposure assessment among agricultural pesticide handlers. Ann Occup Hyg. 2010 Aug;54(6):640-50. doi: 10.1093/annhyg/meq038. Epub 2010 Apr 22. PubMed 20413416 ↗
  • Mullen KH, Berry DL, Zierler BK. Computerized symptom and quality-of-life assessment for patients with cancer part II: acceptability and usability. Oncol Nurs Forum. 2004 Sep 17;31(5):E84-9. doi: 10.1188/04.ONF.E84-E89. Print 2004 Sep. PubMed 15378105 ↗
  • Elliott MN, Zaslavsky AM, Goldstein E, Lehrman W, Hambarsoomians K, Beckett MK, Giordano L. Effects of survey mode, patient mix, and nonresponse on CAHPS hospital survey scores. Health Serv Res. 2009 Apr;44(2 Pt 1):501-18. doi: 10.1111/j.1475-6773.2008.00914.x. PubMed 19317857 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03441503
Lead sponsor
Boston Children's Hospital
Collaborators
GetWellNetwork, Dayton Children's Hospital
Responsible party
Sara Toomey (Principal Investigator and Director, Center of Excellence for Pediatric Quality Measurement; Chief Experience Officer, Boston Children's Hospital; Assistant Professor of Pediatrics, Harvard Medical School, Boston Children's Hospital) — Principal investigator
First posted
Feb 22, 2018
Start date
Apr 10, 2018
Primary completion
Apr 10, 2022
Completion
Apr 10, 2022
Last update
May 12, 2022

Study contacts

Sara Toomey, MD, MPH, MPhil, MSc
principal investigator · Boston Children's Hospital, Harvard Medical School

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in May 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion