CClinicalTrials.gg
CompletedNCT05019144TOBIUpdated Jul 11, 2025Results posted

Telemedicine Optimized Burn Intervention

An interventional study of Face-to-face burn care and Telemedicine enhanced burn care in Burns and Pediatric ALL, sponsored by Medical University of South Carolina. Completed at 1 site in United States. Open to participants aged 0 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-07-11.

Sponsored by Medical University of South Carolina · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
0 Years to 80 Years
Sex
All
01

Study summary

Because burn patients and their caregivers often live long distances from regional burn centers, access to expert burn care is limited, resulting in a negative effect on adherence to treatment and a higher risk of wound complication. A novel smartphone application synchronized with a web portal for providers, called the Telemedicine Optimized Burn Intervention (TOBI), was recently developed to enable burn experts to direct burn wound care while the patient and caregiver are home through text messaging, image transfer, and video-conferencing. The goal of the present study is evaluate TOBI compared to face-to-face care as usual for pediatric patients/caregivers visiting a burn center. This study will also assess the feasibility of conducting a larger-scale clinical trial in several burn centers. The app will allow the physician and patient/caregivers to make instant decisions regarding treatment, allowing for "turn on a dime" treatment decisions, rather than having the patients and families wait for scheduled clinic appointments, often hours away from home. This "on demand" medical care takes an innovative approach to increasing access to burn experts through smartphone technology and addressing adherence to prescribed treatment by increasing communication between provider and patients.

02

Conditions studied

  • Burns
  • Pediatric ALL

Keywords

  • Pediatrics
  • Telemedicine
  • Mobile health
  • Burns
03

In context

Burns

719 studies on the registry are indexed under Burns; 145 are open to participants now.

This study's enrollment of 130 is above the median of 40 across 524 interventional studies indexed under Burns.

Browse Burns studies →

Lead sponsor

Medical University of South Carolina is the lead sponsor of 852 studies on the registry; 165 are open to participants now.

Of its 128 completed or terminated interventional studies of FDA-regulated products, 101 (79%) have results posted.

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

04

Who can participate

Ages eligible
0 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Caregiver parents and their children (patients) will be considered as participants and will be eligible for enrollment if:

  1. the patient (child) is \< 18 years of age; caregiver age >18 years of age
  2. the patient is diagnosed with a partial thickness burn between \<1% TBSA - 20% TBSA by a pediatric burn surgeon;
  3. the patient's burn is being treated with advanced burn dressing therapy (e.g., Silvadene™, Polysporin™, Acticoat™, Mepilex™, or Mepitel™);
  4. the patient's burn is evaluated by the MUSC burn team within 48 hours of injury;
  5. the patient's caregiver (parent or legal guardian) is able to speak, hear, and understand English, as determined during study recruitment procedures;
  6. the caregiver owns and is capable of using a smart device (an Android or iOS smartphone) with permission to download TOBI app from the Google Store or AppStore;
  7. able to comply with outpatient clinic visits.

Exclusion criteria

Exclusion Criteria:

  • There are no exclusion criteria. All participants who meet inclusion criteria would be eligible to participate in the study.
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
130 participants (actual)

Study arms

  • Active comparator
    Face-to-face arm

    Standard face-to-face burn care.

    Procedure: Face-to-face burn care

  • Experimental
    TOBI arm

    A novel smartphone application for burn wound care, called the Telemedicine Optimized Burn Intervention (TOBI), was recently developed to enable burn experts to direct burn wound care while the patient and caregiver are home through text messaging and video-conferencing. The app was designed to bring expert wound care directly to the patient's home to address barriers to healthcare, including high cost burden and time commitment (e.g., geographic limitations, transportation to burn centers, parking, lodging, meals, time away from school and work), particularly for patients/families in rural and medically underserved communities. TOBI is synced with a portal used by providers, as an adjunct to standard therapy. This burn app provides education through frequently asked questions, instructional burn dressing change videos in addition to direct communication between patient and burn expert through store-and-forward pictures and videoconferencing.

    Procedure: Telemedicine enhanced burn care

Interventions

  • ProcedureFace-to-face burn care

    If the participants are assigned to FTF care, they will receive standard burn care including a return follow-up in the burn clinic on a routine basis as prescribed by the clinical burn team (at least once per week) until the burn has healed.

  • ProcedureTelemedicine enhanced burn care

    Participants assigned to TOBI will be given instructions how to download and use TOBI on a smartphone, including how to interface with burn clinicians using text-messaging, videoconferencing, and sending photos of the child's burn(s). The participants will have scheduled video visits with the care provider at least weekly until the burn has healed. The participants will be able to use other features of the app, such as text-messaging and sending photos of the burn(s), as needed. The participants will be able to use standard FTF burn care as well. They will be given instructions how to contact the burn team through the hospital paging operator if TOBI is unavailable or there is an emergency.

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Agree to Participate in the Study

    Looking at the number of participants (parents and children) who agree to enroll in the study at the time of burn injury versus the total number of participants who were approached to participate in the study.

    Time frame: At enrollment

  2. Number of Participants Retained in the Study Over Time

    Looking at the number of participants retained in the study versus those lost to attrition

    Time frame: From enrollment to 30 days after burn wound has healed (up to 35 days after enrollment).

  3. Wound Care Treatment Adherence

    Looking at the percentage of patient/caregiver dyads who adhered to prescribed burn wound care treatment protocol. A wound care fidelity checklist was used at each visit to determine the percentage of wound care adherence per visit. These percentages were then averaged for each weekly visit to give the value below.

    Time frame: Assessed weekly at clinic/telemedicine visit until burn wound was healed, up to 35 days after injury

  4. Number of Child Participants That Experienced Adverse Events, Serious Adverse Events, and Unexpected Problems

    Looking at the number of child participants in each condition that experienced adverse events, serious adverse events, and unexpected problems. Adverse events in this study included infection, delay in wound care or non-healing wound. Adult caregivers are not included in this as they did not have burn wounds that were assesssed.

    Time frame: Assessed weekly until burn wound was healed, up to 35 days

  5. Number of Times Problems With Technology Happened in the TOBI Condition

    Looking at the number of times providers or participants experienced and reported technological problems with TOBI

    Time frame: Assessed weekly until burn wound was healed, up to 35 days

Secondary outcomes

  1. Number of Days Until Wound is Healed

    Looking at the number of days it takes for wound to heal following burn injury in both conditions

    Time frame: Measured during the treatment phase (2-4 weeks)

  2. Number of Unscheduled ED or Clinic Visits

    Looking at the number of times participants had unscheduled visits (in the ED or the clinic)

    Time frame: Measured during the treatment phase (2-4 weeks)

  3. Number of Wound Complications

    Looking at the number of wound complications (e.g., infection, conversion to deeper burn requiring surgery, conversion to deeper burn requiring a change in therapy).

    Time frame: Measured during the treatment phase (2-4 weeks)

  4. Patient-reported Pain Scores

    Looking at average pain score at follow up visits between the two groups using the Wong-Baker Scale (0-10, with higher scores = more pain). Most patients only attended one follow up visit but if more than one, the average score is reported below.

    Time frame: Measured during the treatment phase (week 1 clinic visit)

  5. Caregiver's Perception of Child's Pain Scores

    Looking at average caregiver's perception of child's pain score at follow up visits between the two groups using the Wong-Baker Scale (0-10, with higher scores = more pain). Most dyads only attended one follow up visit but if more than one, the average score is reported below.

    Time frame: Measured during the treatment phase (week 1 clinic visit)

  6. Attitudes Towards Technology and Telemedicine Questionnaire

    Looking at the change in group average scores on the Attitudes Towards Technology and Telemedicine Questionnaire (caregiver-reported) from baseline to 1 month follow-up. Scores may range between 26-130, with higher scores = more positive attitudes towards technology and telemedicine.

    Time frame: Measured at baseline and 1-month follow-up

  7. Perception of Healthcare Access

    Looking at the change in group average scores on the Barriers to Care Questionnaire (BCQ), Pragmatics Subscale (caregiver-reported). Scores range from 0-100, with higher scores = fewer barriers and problems with access.

    Time frame: Measured at baseline and 1-month follow-up

  8. Positive And Negative Affect Schedule (PANAS) Scores

    Looking at the group average scores on the PANAS questionnaire measuring positive and negative affect (caregiver-reported). The means of the positive and negative scores for PANAS are reported below along with standard deviations. The scores range between 10-50, with higher scores = higher levels of affect (both positive and negative). For positive affect, a higher score is a better outcome and for negative affect, a lower score is a better outcome. Scores are reported for baseline and 1 month after burn wound healing.

    Time frame: Measured at baseline/enrollment and 1-month follow-up.

  9. Patient-Reported Outcomes Measurement Information System - Depression (PROMIS-Depression) Scores

    Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-Depression questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 8 to 40 with higher scores indicating greater severity of depression. The raw scores on the 8 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 37.1-81.1. T scores are interpreted as follows: \<55 (none to slight depression), 55-59.9 (mild depression), 60-69.9 (moderate depression), \>70 (severe depression). T scores and standard error are reported below.

    Time frame: Measured at baseline and 1-month follow-up

  10. Patient-Reported Outcomes Measurement Information System - Anxiety (PROMIS-Anxiety) Scores

    Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-Anxiety questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) range in score from 7 to 35 with higher scores indicating greater severity of anxiety. The raw scores on the 7 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 36.3-82.7. T scores are interpreted as follows: \<55 (none to slight anxiety), 55-59.9 (mild anxiety), 60-69.9 (moderate anxiety), \>70 (severe anxiety). T scores and standard error are reported below.

    Time frame: Measured at baseline and 1-month follow-up

  11. Patient-Reported Outcomes Measurement Information System - General Self-Efficacy (PROMIS-General-Self-Efficacy) Scores

    Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-General Self Efficacy questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) range in score from 8 to 40 with higher scores indicating greater self efficacy. The raw scores on the 7 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 22.72-64.98. A T-score value of 55 indicated that the respondent has greater self-efficacy for managing emotions. Higher scores indicating more self efficacy and lower scores with less self efficacy. T scores and standard error are reported below.

    Time frame: Measured at baseline only

  12. Patient-Reported Outcomes Measurement Information System - Self-Efficacy to Manage Emotions (PROMIS-Self-Efficacy-Manage-Emotions) Scores

    Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-Self-Efficacy Managing emotions questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) range in score from 4-20 with higher scores indicating greater severity of anxiety. The raw scores on the 4 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 36.3-82.7. A T-score of 55 and greater indicates that the respondent has greater self efficacy and ability to manage their emotions regarding disease. A higher score than 55 indicates even more self efficacy and lower score, less. T scores and standard error are reported below.

    Time frame: Measured at baseline only

  13. Peritraumatic Distress Inventory (PDI) Sores

    Looking at average scores on the Peritraumatic Distress Inventory (caregiver-reported). Scores range between 0-52, with higher scores = greater peritraumatic distress. An optimal cutoff score of 23 (sensitivity = 71%; specificity = 73%) is good for predicting clinically elevated PTSD 30-days post-injury.

    Time frame: Measured at baseline only

  14. Perceived Stress Scale (PSS) Scores

    Looking at average scores on the Perceived Stress Scale (caregiver-reported) between two conditions. Scores on the PSS can range from 0 to 40 with higher scores = higher perceived stress. Scores ranging from 0-13 would be considered low stress. Scores ranging from 14-26 would be considered moderate stress. Scores ranging from 27-40 would be considered high perceived stress.

    Time frame: Measured at 1-month follow-up only

  15. Posttraumatic Growth Inventory (PTGI) Scores

    Average scores on the Posttraumatic Growth Inventory (caregiver-reported). Scores range from 0-105, with higher scores = greater posttraumatic growth.

    Time frame: Measured at 1-month follow-up only

  16. Client Satisfaction Questionnaire-8 (CSQ-8) Scores

    Looking at average scores on the Client Satisfaction Questionnaire-8 scores (caregiver-reported). Scores range between 8-32, with higher scores = greater satisfaction.

    Time frame: Measured at 1-month follow-up only

  17. mHealth App Usability Questionnaire (MAUQ) Scores

    Looking at average scores on the MAUQ questionnaire measuring app usability (caregiver-reported in TOBI condition only). Raw scores range between 21-147 and average scores range between 1-7, with higher overall score equivalent to higher usability of the app. The average scores and standard deviation are reported below for the TOBI group.

    Time frame: Measured at 1-month follow-up only

  18. Total Number of Face-to-face Visits

    Looking at the total number of face-to-face visits

    Time frame: Treatment phase (weeks 2-4)

  19. Total Number of TOBI Visits

    Looking at the total number of TOBI visits

    Time frame: Treatment phase (weeks 2-4)

  20. Total Travel Time

    Looking at the total travel time in each condition as reported by the caregiver.

    Time frame: From enrollment through treatment phase (weeks 1-4)

  21. Direct Cost to Patient/Caregiver

    Looking at the direct cost to patient/caregiver as reported by caregiver

    Time frame: From enrollment through treatment phase (weeks 1-4)

  22. Time to Return to Work

    Looking at the average time it took patient/caregiver to return to work after burn wound injury.

    Time frame: From enrollment through the treatment phase (weeks 1-4). This included any time that the parent had was out of work because of the injury at time of occurrence or due to clinic follow up.

07

Results

Posted Jul 11, 2025

Participant flow

Burn patients were recruited from burn clinic and the inpatient hospital setting to participate a study comparing face to face outpatient wound care to virtual wound care.

Participant flow — Overall Study
MilestoneFace-to-face ArmTOBI Arm
Started6664
Caregivers3332
Children3332
Completed3642
Not completed3022

Outcome measures

PrimaryNumber of Participants Who Agree to Participate in the Study

Looking at the number of participants (parents and children) who agree to enroll in the study at the time of burn injury versus the total number of participants who were approached to participate in the study.

Time frame:
At enrollment
Reported as:
Number · participants
Number of Participants Who Agree to Participate in the Study
participantsFace-to-face ArmTOBI Arm
Number of Participants Who Agree to Participate in the Study6664
PrimaryNumber of Participants Retained in the Study Over Time

Looking at the number of participants retained in the study versus those lost to attrition

Time frame:
From enrollment to 30 days after burn wound has healed (up to 35 days after enrollment).
Reported as:
Number · participants
Number of Participants Retained in the Study Over Time
participantsFace-to-face ArmTOBI Arm
Number of Participants Retained in the Study Over Time3642
PrimaryWound Care Treatment Adherence

Looking at the percentage of patient/caregiver dyads who adhered to prescribed burn wound care treatment protocol. A wound care fidelity checklist was used at each visit to determine the percentage of wound care adherence per visit. These percentages were then averaged for each weekly visit to give the value below.

Time frame:
Assessed weekly at clinic/telemedicine visit until burn wound was healed, up to 35 days after injury
Reported as:
Mean · percentage of wound care adherence
Wound Care Treatment Adherence
percentage of wound care adherenceFace-to-face ArmTOBI Arm
Wound Care Treatment Adherence76.8 ± 40.184.9 ± 29.1
PrimaryNumber of Child Participants That Experienced Adverse Events, Serious Adverse Events, and Unexpected Problems

Looking at the number of child participants in each condition that experienced adverse events, serious adverse events, and unexpected problems. Adverse events in this study included infection, delay in wound care or non-healing wound. Adult caregivers are not included in this as they did not have burn wounds that were assesssed.

Time frame:
Assessed weekly until burn wound was healed, up to 35 days
Reported as:
Count of participants · Participants
Number of Child Participants That Experienced Adverse Events, Serious Adverse Events, and Unexpected Problems
ParticipantsFace-to-face ArmTOBI Arm
Number of Child Participants That Experienced Adverse Events, Serious Adverse Events, and Unexpected Problems00
PrimaryNumber of Times Problems With Technology Happened in the TOBI Condition

Looking at the number of times providers or participants experienced and reported technological problems with TOBI

Time frame:
Assessed weekly until burn wound was healed, up to 35 days
Reported as:
Number · number of technological problems
Number of Times Problems With Technology Happened in the TOBI Condition
number of technological problemsFace-to-face ArmTOBI Arm
Number of Times Problems With Technology Happened in the TOBI Condition—1
SecondaryNumber of Days Until Wound is Healed

Looking at the number of days it takes for wound to heal following burn injury in both conditions

Time frame:
Measured during the treatment phase (2-4 weeks)
Reported as:
Mean · days to wound healed
Number of Days Until Wound is Healed
days to wound healedFace-to-face ArmTOBI Arm
Number of Days Until Wound is Healed11.5 ± 4.311.4 ± 3.9
SecondaryNumber of Unscheduled ED or Clinic Visits

Looking at the number of times participants had unscheduled visits (in the ED or the clinic)

Time frame:
Measured during the treatment phase (2-4 weeks)
Reported as:
Number · number of unscheduled ED/clinic visits
Number of Unscheduled ED or Clinic Visits
number of unscheduled ED/clinic visitsFace-to-face ArmTOBI Arm
Number of Unscheduled ED or Clinic Visits02
SecondaryNumber of Wound Complications

Looking at the number of wound complications (e.g., infection, conversion to deeper burn requiring surgery, conversion to deeper burn requiring a change in therapy).

Time frame:
Measured during the treatment phase (2-4 weeks)
Reported as:
Number · number of wound complications
Number of Wound Complications
number of wound complicationsFace-to-face ArmTOBI Arm
Number of Wound Complications00
SecondaryPatient-reported Pain Scores

Looking at average pain score at follow up visits between the two groups using the Wong-Baker Scale (0-10, with higher scores = more pain). Most patients only attended one follow up visit but if more than one, the average score is reported below.

Time frame:
Measured during the treatment phase (week 1 clinic visit)
Reported as:
Mean · units on a scale
Patient-reported Pain Scores
units on a scaleFace-to-face ArmTOBI Arm
Patient-reported Pain Scores3.1 ± 31.8 ± 1.7
SecondaryCaregiver's Perception of Child's Pain Scores

Looking at average caregiver's perception of child's pain score at follow up visits between the two groups using the Wong-Baker Scale (0-10, with higher scores = more pain). Most dyads only attended one follow up visit but if more than one, the average score is reported below.

Time frame:
Measured during the treatment phase (week 1 clinic visit)
Reported as:
Mean · score on a scale
Caregiver's Perception of Child's Pain Scores
score on a scaleFace-to-face ArmTOBI Arm
Caregiver's Perception of Child's Pain Scores3.1 ± 3.01.8 ± 1.7
SecondaryAttitudes Towards Technology and Telemedicine Questionnaire

Looking at the change in group average scores on the Attitudes Towards Technology and Telemedicine Questionnaire (caregiver-reported) from baseline to 1 month follow-up. Scores may range between 26-130, with higher scores = more positive attitudes towards technology and telemedicine.

Time frame:
Measured at baseline and 1-month follow-up
Reported as:
Mean · units on a scale
Attitudes Towards Technology and Telemedicine Questionnaire
units on a scaleFace-to-face ArmTOBI Arm
Attitudes Towards Technology and Telemedicine Questionnaire79.5 ± 6.378.0 ± 8.4
SecondaryPerception of Healthcare Access

Looking at the change in group average scores on the Barriers to Care Questionnaire (BCQ), Pragmatics Subscale (caregiver-reported). Scores range from 0-100, with higher scores = fewer barriers and problems with access.

Time frame:
Measured at baseline and 1-month follow-up
Reported as:
Mean · units on a scale
Perception of Healthcare Access
units on a scaleFace-to-face ArmTOBI Arm
Perception of Healthcare Access64.5 ± 25.572.6 ± 20.3
SecondaryPositive And Negative Affect Schedule (PANAS) Scores

Looking at the group average scores on the PANAS questionnaire measuring positive and negative affect (caregiver-reported). The means of the positive and negative scores for PANAS are reported below along with standard deviations. The scores range between 10-50, with higher scores = higher levels of affect (both positive and negative). For positive affect, a higher score is a better outcome and for negative affect, a lower score is a better outcome. Scores are reported for baseline and 1 month after burn wound healing.

Time frame:
Measured at baseline/enrollment and 1-month follow-up.
Reported as:
Mean · units on a scale
Positive And Negative Affect Schedule (PANAS) Scores
units on a scaleFace-to-face ArmTOBI Arm
Baseline Positive Affect37 ± 732 ± 8
Baseline Negative Affect14 ± 413 ± 5
1 month follow up Positive Affect35 ± 833 ± 7
1 month follow up Negative Affect13 ± 411 ± 5
SecondaryPatient-Reported Outcomes Measurement Information System - Depression (PROMIS-Depression) Scores

Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-Depression questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 8 to 40 with higher scores indicating greater severity of depression. The raw scores on the 8 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 37.1-81.1. T scores are interpreted as follows: \<55 (none to slight depression), 55-59.9 (mild depression), 60-69.9 (moderate depression), \>70 (severe depression). T scores and standard error are reported below.

Time frame:
Measured at baseline and 1-month follow-up
Reported as:
Mean · T-score
Patient-Reported Outcomes Measurement Information System - Depression (PROMIS-Depression) Scores
T-scoreFace-to-face ArmTOBI Arm
Baseline47.5 ± 7.647.5 ± 6.2
1 month follow up47.5 ± 8.044.9 ± 6.1
SecondaryPatient-Reported Outcomes Measurement Information System - Anxiety (PROMIS-Anxiety) Scores

Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-Anxiety questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) range in score from 7 to 35 with higher scores indicating greater severity of anxiety. The raw scores on the 7 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 36.3-82.7. T scores are interpreted as follows: \<55 (none to slight anxiety), 55-59.9 (mild anxiety), 60-69.9 (moderate anxiety), \>70 (severe anxiety). T scores and standard error are reported below.

Time frame:
Measured at baseline and 1-month follow-up
Reported as:
Mean · T-score
Patient-Reported Outcomes Measurement Information System - Anxiety (PROMIS-Anxiety) Scores
T-scoreFace-to-face ArmTOBI Arm
Baseline50.7 ± 9.147.8 ± 7.8
1 month follow up50.4 ± 6.846.8 ± 7.6
SecondaryPatient-Reported Outcomes Measurement Information System - General Self-Efficacy (PROMIS-General-Self-Efficacy) Scores

Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-General Self Efficacy questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) range in score from 8 to 40 with higher scores indicating greater self efficacy. The raw scores on the 7 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 22.72-64.98. A T-score value of 55 indicated that the respondent has greater self-efficacy for managing emotions. Higher scores indicating more self efficacy and lower scores with less self efficacy. T scores and standard error are reported below.

Time frame:
Measured at baseline only
Reported as:
Mean · T-score
Patient-Reported Outcomes Measurement Information System - General Self-Efficacy (PROMIS-General-Self-Efficacy) Scores
T-scoreFace-to-face ArmTOBI Arm
Patient-Reported Outcomes Measurement Information System - General Self-Efficacy (PROMIS-General-Self-Efficacy) Scores53.5 ± 10.153.2 ± 8.8
SecondaryPatient-Reported Outcomes Measurement Information System - Self-Efficacy to Manage Emotions (PROMIS-Self-Efficacy-Manage-Emotions) Scores

Looking at the baseline and 1-month follow up scores on the Patient-Reported Outcomes Measurement Information System (PROMIS)-Self-Efficacy Managing emotions questionnaire (caregiver-reported). Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) range in score from 4-20 with higher scores indicating greater severity of anxiety. The raw scores on the 4 items should be summed to obtain a total raw score. Next, the T-score table is used to identify the T-score associated with the individual's total raw score. The mean T-scores is 50 with a standard deviation of 10. T-scores range between 36.3-82.7. A T-score of 55 and greater indicates that the respondent has greater self efficacy and ability to manage their emotions regarding disease. A higher score than 55 indicates even more self efficacy and lower score, less. T scores and standard error are reported below.

Time frame:
Measured at baseline only
Reported as:
Mean · T-score
Patient-Reported Outcomes Measurement Information System - Self-Efficacy to Manage Emotions (PROMIS-Self-Efficacy-Manage-Emotions) Scores
T-scoreFace-to-face ArmTOBI Arm
Patient-Reported Outcomes Measurement Information System - Self-Efficacy to Manage Emotions (PROMIS-Self-Efficacy-Manage-Emotions) Scores50.2 ± 9.150.7 ± 6.6
SecondaryPeritraumatic Distress Inventory (PDI) Sores

Looking at average scores on the Peritraumatic Distress Inventory (caregiver-reported). Scores range between 0-52, with higher scores = greater peritraumatic distress. An optimal cutoff score of 23 (sensitivity = 71%; specificity = 73%) is good for predicting clinically elevated PTSD 30-days post-injury.

Time frame:
Measured at baseline only
Reported as:
Mean · units on a scale
Peritraumatic Distress Inventory (PDI) Sores
units on a scaleFace-to-face ArmTOBI Arm
Peritraumatic Distress Inventory (PDI) Sores11.9 ± 8.113.8 ± 8.3
SecondaryPerceived Stress Scale (PSS) Scores

Looking at average scores on the Perceived Stress Scale (caregiver-reported) between two conditions. Scores on the PSS can range from 0 to 40 with higher scores = higher perceived stress. Scores ranging from 0-13 would be considered low stress. Scores ranging from 14-26 would be considered moderate stress. Scores ranging from 27-40 would be considered high perceived stress.

Time frame:
Measured at 1-month follow-up only
Reported as:
Mean · units on a scale
Perceived Stress Scale (PSS) Scores
units on a scaleFace-to-face ArmTOBI Arm
Perceived Stress Scale (PSS) Scores18.6 ± 2.719.4 ± 3.0
SecondaryPosttraumatic Growth Inventory (PTGI) Scores

Average scores on the Posttraumatic Growth Inventory (caregiver-reported). Scores range from 0-105, with higher scores = greater posttraumatic growth.

Time frame:
Measured at 1-month follow-up only
Reported as:
Mean · units on a scale
Posttraumatic Growth Inventory (PTGI) Scores
units on a scaleFace-to-face ArmTOBI Arm
Posttraumatic Growth Inventory (PTGI) Scores54.7 ± 31.939.5 ± 35.6
SecondaryClient Satisfaction Questionnaire-8 (CSQ-8) Scores

Looking at average scores on the Client Satisfaction Questionnaire-8 scores (caregiver-reported). Scores range between 8-32, with higher scores = greater satisfaction.

Time frame:
Measured at 1-month follow-up only
Reported as:
Mean · units on a scale
Client Satisfaction Questionnaire-8 (CSQ-8) Scores
units on a scaleFace-to-face ArmTOBI Arm
Client Satisfaction Questionnaire-8 (CSQ-8) Scores30.8 ± 330.5 ± 3
SecondarymHealth App Usability Questionnaire (MAUQ) Scores

Looking at average scores on the MAUQ questionnaire measuring app usability (caregiver-reported in TOBI condition only). Raw scores range between 21-147 and average scores range between 1-7, with higher overall score equivalent to higher usability of the app. The average scores and standard deviation are reported below for the TOBI group.

Time frame:
Measured at 1-month follow-up only
Reported as:
Mean · units on a scale
mHealth App Usability Questionnaire (MAUQ) Scores
units on a scaleFace-to-face ArmTOBI Arm
mHealth App Usability Questionnaire (MAUQ) Scores—6.3 ± 0.8
SecondaryTotal Number of Face-to-face Visits

Looking at the total number of face-to-face visits

Time frame:
Treatment phase (weeks 2-4)
Reported as:
Mean · number of visits
Total Number of Face-to-face Visits
number of visitsFace-to-face ArmTOBI Arm
Total Number of Face-to-face Visits2.1 ± 0.81.1 ± 0.3
SecondaryTotal Number of TOBI Visits

Looking at the total number of TOBI visits

Time frame:
Treatment phase (weeks 2-4)
Reported as:
Mean · number of visits
Total Number of TOBI Visits
number of visitsFace-to-face ArmTOBI Arm
Total Number of TOBI Visits—1.1 ± 0.6
SecondaryTotal Travel Time

Looking at the total travel time in each condition as reported by the caregiver.

Time frame:
From enrollment through treatment phase (weeks 1-4)
Reported as:
Mean · hours
Total Travel Time
hoursFace-to-face ArmTOBI Arm
Total Travel Time4.0 ± 3.12.3 ± 2.5
SecondaryDirect Cost to Patient/Caregiver

Looking at the direct cost to patient/caregiver as reported by caregiver

Time frame:
From enrollment through treatment phase (weeks 1-4)
Reported as:
Mean · dollars
Direct Cost to Patient/Caregiver
dollarsFace-to-face ArmTOBI Arm
Direct Cost to Patient/Caregiver339.10 ± 568.14258.81 ± 390.38
SecondaryTime to Return to Work

Looking at the average time it took patient/caregiver to return to work after burn wound injury.

Time frame:
From enrollment through the treatment phase (weeks 1-4). This included any time that the parent had was out of work because of the injury at time of occurrence or due to clinic follow up.
Reported as:
Mean · days
Time to Return to Work
daysFace-to-face ArmTOBI Arm
Time to Return to Work2.0 ± 2.21.3 ± 1.5

Adverse events

Collected over For each child participant dyad, adverse event data was only collected on the child participant up to 46 days after burn wound injury.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Face-to-face Arm0/33 (0%)0/33 (0%)0/33 (0%)
TOBI Arm0/32 (0%)0/32 (0%)2/32 (6.3%)
Most frequent other events
Most frequent other events
EventFace-to-face ArmTOBI Arm
Unscheduled visit to the ED or ClinicSkin and subcutaneous tissue disorders0/332/32

Baseline characteristics

Parents/caregivers and patients were considered to be enrolled so baseline characteristics will be listed for both patients and their caregivers.

Age, Categorical
Age, Categorical(Participants)Face-to-face ArmTOBI ArmTotal
Parents/Caregivers — <=18 years000
Parents/Caregivers — Between 18 and 65 years333265
Parents/Caregivers — >=65 years000
Patients — <=18 years333265
Patients — Between 18 and 65 years000
Patients — >=65 years000
Age, Continuous
Age, Continuous(years)Face-to-face ArmTOBI ArmTotal
Parents/Caregivers34 (23.2 to 44.8)35 (25.2 to 44.8)34 (23 to 45)
Patients5 (1 to 8)8 (2.25 to 15)6 (1 to 10)
Sex: Female, Male
Sex: Female, Male(Participants)Face-to-face ArmTOBI ArmTotal
Parents/Caregivers — Female283260
Parents/Caregivers — Male505
Patients — Female151631
Patients — Male181634
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Face-to-face ArmTOBI ArmTotal
Parents/Caregivers — American Indian or Alaska Native000
Parents/Caregivers — Asian000
Parents/Caregivers — Native Hawaiian or Other Pacific Islander000
Parents/Caregivers — Black or African American131326
Parents/Caregivers — White151833
Parents/Caregivers — More than one race000
Parents/Caregivers — Unknown or Not Reported516
Patients — American Indian or Alaska Native000
Patients — Asian000
Patients — Native Hawaiian or Other Pacific Islander000
Patients — Black or African American131326
Patients — White151833
Patients — More than one race000
Patients — Unknown or Not Reported516
Region of Enrollment
Region of Enrollment(participants)Face-to-face ArmTOBI ArmTotal
United States6664130
08

Study locations

1 site
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jul 1, 2023
  • Informed consent form · Jul 26, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05019144
Lead sponsor
Medical University of South Carolina
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Sponsor
First posted
Aug 24, 2021
Start date
Jun 1, 2022
Primary completion
Mar 8, 2024
Completion
Mar 8, 2024
Results posted
Jul 11, 2025
Last update
Jul 11, 2025

Oversight

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

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