Official Title: MedsHOME - Improving Medication Safety for Medically Complex Children With mHealth Across Caregiving Networks R18 Aim 2
Status: RECRUITING
Status Verified Date: 2023-12
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: This study determines whether the mHealth intervention MedsHOME helps caregivers improve medication administration to Children with Medical Complexity CMC who use high-risk medications A total of 152 primary caregivers 152 children and up to 304 secondary caregivers will be recruited and can expect to be on study for up to 6 months
Detailed Description: The investigators will test the hypothesis that MedsHOME use improves medication administration accuracy for caregivers by conducting a 6-month randomized controlled trial with caregivers of CMC
The study population will consist of 1 CMC who are prescribed at least one scheduled high-risk medication and receive care at UW Health and 2 their caregivers The study distinguishes between three types of caregivers 1 primary caregivers childs parent or legal guardian 2 secondary caregivers up to 2 individuals who regularly provide care for the child and who complete study surveys and 3 other caregivers invited to use the app but not complete study surveys CMC and their primary caregiver participants will be randomized into intervention MedsHOME I or control C groups Assessments at baseline and 6 months post-enrollment will assess the primary endpoint medication administration accuracy secondary outcomes and MedsHOME use by primary and secondary caregivers
Participant accrual will occur over 12 months at one site and participants can expect to be on study for 6 months
The primary study objective is to evaluate the effectiveness of MedsHOME on primary caregiver medication administration accuracy
The secondary objectives are to evaluate MedsHOMEs
effectiveness on secondary caregiver medication administration accuracy effect on adverse drug event ADE hospital use effect on adverse drug event ED use effect on parent-reported medication adherence effect on parent-reported medication activation effect on parent-reported medication confidence effect on parent-reported medication understanding effect on all-cause hospital use effect on all-cause ED use effect on mortality effect on the primary outcome measured as 5 individual components