DOSC and Association With Neighborhood Opportunity: Phase II
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Interview.
- Who it may be relevant to
- Registry conditions: Pediatric Day of Surgery Cancellations. Basic parameters: up to 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Pediatric Day-of-Surgery Cancellations and the Association With Neighborhood Opportunity and Indices of Vulnerability : Phase II
Overview
Prospective, qualitative interview study to explore factors associated with pediatric day of surgery cancellations (DOSC) from the prospective of parents with hopes the interviews will reveal additional vulnerabilities not included in COI 2.0 that predispose to DOSC.
Detailed description
We plan to prospectively study vulnerability factors that contribute to day of surgery cancellations (DOSC) by conducting a qualitative study using semi-structured interviews with families cancelled the day of surgery. We plan to enroll between 20-30 families using convenience sampling. Based on preliminary data, we anticipate that most families will come from minority racial and ethnic groups and parents of non-English primary language (NEPL) - these interviews will be conducted via an interpreter. Interviews will be structured to explore surgical care utilization themes based on the Gelberg-Anderson Behavioral Model for Vulnerable Populations including 1) Parental knowledge and attitudes regarding surgical services, 2) family and community resources, 3) Perceived surgical conditions and perceived need for surgical services, and 4) use of surgical services and difficulties accessing them. Family recruitment will be ongoing and will continue until we have reached saturation of themes. The data generated from this study will lay the foundation for a multi-layered intervention at the hospital level to allow patients to be triaged according to COI 2.0, race/ethnicity, NEPL status, and other vulnerabilities. This will enable adaptation of hospital pre-operative procedures (i.e. NPO preoperative calls) to reduce DOSC.
Interventions
- Other Interview
Prospective, semi-structured, qualitative interview.
Primary outcome measures
- Factors associated with DOSC [Time frame: Identified during interview.]
Secondary outcome measures (1)
- Additional vulnerabilities not included in COI 2.0 that predispose to DOSC [Time frame: Identified during interview.]
Eligibility criteria
Inclusion criteria
- Parents/guardians of children <18 who had a day of surgery cancellation
- Parents/guardians speak English, Spanish, Somali, Nepali or Arabic.
Exclusion criteria
- Parents/guardians speak a different language other than above listed.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Other
Study locations
United States · 1 center
- Nationwide Children's Hospital — Columbus
Identifiers
NCT: NCT05939570 · STUDY00003198