Nurse-led Integrated Home Service to Support Parents in Symptom Management for Children Requiring Respiratory Support
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: Nurse-led integrated home service.
- Who it may be relevant to
- Registry conditions: Children With Medical Complexity (CMC), Symptom Management, Nurse-led Supportive Care, Self Efficacy. Basic parameters: 6 months — 22 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
- China
- 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
Nurse-led Integrated Home Health Service to Support Parents in Symptom Management for Children With Respiratory Support: an Effectiveness-implementation Hybrid 2 Study
Overview
The aims of this study are to test the effectiveness of a nurse-led integrated home health service to enhance parental self-efficacy in symptom management for children requiring respiratory support, and alongside identify factors facilitating or deterring the program implementation. A single group pre-post quasi-experimental study on parents of CMC requiring respiratory support. Parents will be recruited from non-government organizations, with an estimated sample size of 80 parents. Self-administrated questionnaire, and semi-structured interview guide will be used for data collection.
Detailed description
Parents of children required respiratory support are at risk of high stress levels because these children have multisystem diseases, including severe neurologic conditions, resulting in potential premature death. Literature suggested that increasing parental self-efficacy in managing their child's symptoms could improve the child's health.
Nurse-led integrated home health service in symptom management is an alternative method considered more comprehensive and health-parent interactivity to continue home-based support for these parents and their children.
Self-administrated questionnaire, and semi-structured interview guide will be used for data collection. Descriptive statistics, including proportions for categorical variables, mean, and SD for normally distributed continuous variables, and median and inter-quartile range for non-normally distributed variables, will be reported. Generalized estimating equation will be used to address the objectives with appropriate link function. Qualitative data will be analyzed using thematic analysis to identify the facilitator, and barriers of program implementation.
Interventions
- Other Nurse-led integrated home service
Nurse-led integrated home service to support parents in Symptom Management for Children With Respiratory Support for a 3-month period.
Primary outcome measures
- Caregiving Self-efficacy [Time frame: Time Frame: Day 0, Month 3, Month 6]
- Implementation evaluation [Time frame: Time Frame: month 6]
Secondary outcome measures (3)
- Modified Memorial Symptom Assessment Scale [Time frame: Time Frame: Day 0, Month 3, Month 6]
- Children health service utilization [Time frame: Time Frame: Day 0, Month 3, Month 6]
- Depression Anxiety Stress Scale (DASS) (Chinese version) [Time frame: Time Frame: Day 0, Month 3, Month 6]
Eligibility criteria
Inclusion criteria
- parent of a child with respiratory support aged 6-month to 22 years old
- having a Smartphone
- able to communicate in Chinese or in English
- living with his/her child at home.
Exclusion criteria
- a reported mental health disorder
- engaging in other structured programs related to symptom management
- living in an area with no internet coverage
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
China · 1 center
- School of Nursing The Hong Kong Polytechnic University — Hong Kong
Publications
- 1. Cohen, E., et al., Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics, 2011. 127(3): p. 529-538. 2. Chan, K.S., Palliative care: the need of the modern era. Hong Kong Med J, 2018. 24(4): p. 391-399. 3. Chung, W.W., et al., Improving Children's cancer pain management in the home setting: Development and formative evaluation of a web-based p
Identifiers
NCT: NCT07652268 · DonationHongKongPolyU