CClinicalTrials.gg
Status unknownNCT04519632PARAMOUNTUpdated Aug 19, 2020

Paediatric Palliative Care Pain Management in the Community

An observational study in Palliative Medicine and Pediatric ALL, sponsored by University of Southampton. Status unknown at 1 site in United Kingdom. Open to participants aged 6 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-19.

Sponsored by University of Southampton · Observational

The sponsor has not verified this record recently (last verified Aug 2020), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
68
Ages
6 Years to 99 Years
Sex
All
01

Study summary

To describe the the barriers and facilitators experienced by carers and healthcare professionals when managing medicines for pain relief for infants, children, and young people approaching the end of life in out of hospital settings.

Read the detailed description

This study aims to hear about the experiences of patients, carers and healthcare professionals when managing pain relief medicines for infants, children and young people (ICYP) at the end of their lives, when they are not in hospital.

The study plans to develop a guide to help educate and empower both carers and healthcare professionals in the best ways to manage pain in this group of patients. This guide will contain basic, easily understood information depending upon both the patient's and carers' needs. Family carers are important in looking after their ICYP with life-threatening illnesses, so they can be cared for at home if they wish. Even with varying levels of support from hospice, hospital or family doctors, such responsibility can be rewarding and scary.

Community based healthcare professionals often have little experience to be able to support good end of life pain care in these patients when at home and there may be problems which prevent them from giving effective treatment. If pain and other symptoms are not well controlled by medicines families often move from their chosen place of care. Carers need to be able to check symptoms to decide which medicines to give and how well they are working, without having any special training; some may have unhelpful views about medicines such as morphine.

Not much research has looked at the problems that carers and healthcare professionals come across when trying to manage a child's pain when they are not in hospital.

Research has already shown that being able to provide the right medicine at the right time means children can be looked after where they want, without unnecessary hospital admissions. It is hoped that the guide will make carers feel more confident in managing pain relief safely, so lessening any worries. Future research is planned to show the value of the guide in a larger study.

02

Conditions studied

  • Palliative Medicine
  • Pediatric ALL
03

In context

Lead sponsor

University of Southampton is the lead sponsor of 121 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Parents and carers of infants, children and young people at the end-of-life being cared for in the community, the healthcare professionals supporting them, and the children and young people who receive this care

Inclusion criteria

  • Carers of infants, children, and young people up to 18 years being cared for outside hospital at the end of life (defined as those patients who score as 'orange' or 'red' on the Spectrum of Palliative Care Needs tool and/or who have a symptom management plan (including pain management) written by a specialist palliative care team.
  • Self-reported full or partial responsibility for managing the patient's medicines, in particular having to select PRN (pro re nata or 'taken as needed') for pain and being responsible for the clinical decision making and the physical process of administering medicines.
  • Healthcare professionals in primary, secondary and tertiary care who are involved in the care of children at end-of-life (defined as those patients who score as 'orange' or 'red' on the Spectrum of Palliative Care Needs tool) outside hospital, some of whom may be caring for the families taking part.
  • Children and young people aged 6-18 years who are being cared for outside hospital at the end of life defined as those patients who score as 'orange' or 'red' on the Spectrum of Palliative Care Needs tool).

Exclusion criteria

Exclusion Criteria:

  • Carers judged by consultants or nurses to lack capacity to consent.
  • Carers judged by nurses to be 'struggling' too much (however, these carers will still be able to approach the researcher directly if they wish to take part as posters will be used to advertise the study).
  • CYP judged by carers or nurses to lack capacity to take part in an interview, who are too unwell or those who might find it too distressing.
05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
68 participants (estimated)
Patient registry
No

Groups and cohorts

  • Parents

    Qualitative interviews

    Other: Qualitative study

  • Healthcare Professionals

    Qualitative interviews

    Other: Qualitative study

  • Children

    Children and young people aged 6-18 years, Qualitative interviews

    Other: Qualitative study

Interventions

  • OtherQualitative study

    Qualitative interviews

06

What researchers measure

Primary outcomes

  1. Qualitative data obtained from semi-structured interviews

    Barriers and facilitators to managing pain in infants, children, and young people at end of life as reported by parents, caregivers, healthcare professionals and children and young people.

    Time frame: Baseline

07

Study locations

1 of 1 sites recruiting
  • University of Southampton
    Southampton, SO17 1BJ, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04519632
Lead sponsor
University of Southampton
Collaborators
Great Ormond Street Hospital for Children NHS Foundation Trust, Alder Hey Children's NHS Foundation Trust, Helen & Douglas House Hospice, Oxford, UK, Rainbow Hospice
Responsible party
Sponsor
First posted
Aug 19, 2020
Start date
Jul 15, 2019
Primary completion
Dec 31, 2020 (estimated)
Completion
Jan 31, 2021 (estimated)
Last update
Aug 19, 2020

Study contacts

Simone Holley, PhD
Contact
s.l.holley@soton.ac.uk
00442380595083
Christina Liossi, PhD
principal investigator · University of Southampton

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 status unknown, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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