Communities Helping the Hearing of Infants by Reaching Parents
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Other Indications |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any - 99 |
| Updated: | 3/16/2019 |
| Start Date: | August 1, 2019 |
| End Date: | August 1, 2024 |
| Contact: | Kris P Dyer, BS |
| Email: | kris.dyer@uky.edu |
| Phone: | 859-218-2167 |
Communities Helping the Hearing of Infants by Reaching Parents: The CHHIRP Navigator Trial
Hearing loss is the most common sensory congenital disorder and this condition is diagnosable
and treatable. Children that are born with hearing loss have to undergo several hearing tests
to diagnose the condition and many families are delayed in receiving this testing or never
obtain the needed testing. This research employs a new method for helping children with
hearing loss receive timely care by using a patient navigator, who is someone who teaches and
provides emotional/social support for the families of these children.
The hypothesis of this study is that a patient navigator will hasten the timing of pediatric
audiological testing, improve compliance with scheduled appointments, and expand parental
knowledge of pediatric hearing loss.
and treatable. Children that are born with hearing loss have to undergo several hearing tests
to diagnose the condition and many families are delayed in receiving this testing or never
obtain the needed testing. This research employs a new method for helping children with
hearing loss receive timely care by using a patient navigator, who is someone who teaches and
provides emotional/social support for the families of these children.
The hypothesis of this study is that a patient navigator will hasten the timing of pediatric
audiological testing, improve compliance with scheduled appointments, and expand parental
knowledge of pediatric hearing loss.
For Specific Arm 1:
The investigators will (1) use a stepped-wedge trial design to deliver patient navigation
(PN) sequentially in 10 state-funded Kentucky Commission for Children with Special Healthcare
Needs (CCSHCN) clinics randomized to cross from usual care to PN in steps of 6-month
intervals over the project period. Prior to initiation of PN at each clinic, the control
condition will be the standard of care. The overall effectiveness of PN will be tested by
comparing non-adherence rates during the PN condition to those during the standard of care
condition. Simultaneously, the investigators will (2) assess preliminary implementation
outcomes (i.e., acceptability, adoption, recruitment/retention, and fidelity) as well as
multilevel factors influencing implementation of PN in each clinic.
For Specific Arm 2:
Patient navigators will not be used for all subjects at participating clinics.
The investigators will (1) use a stepped-wedge trial design to deliver patient navigation
(PN) sequentially in 10 state-funded Kentucky Commission for Children with Special Healthcare
Needs (CCSHCN) clinics randomized to cross from usual care to PN in steps of 6-month
intervals over the project period. Prior to initiation of PN at each clinic, the control
condition will be the standard of care. The overall effectiveness of PN will be tested by
comparing non-adherence rates during the PN condition to those during the standard of care
condition. Simultaneously, the investigators will (2) assess preliminary implementation
outcomes (i.e., acceptability, adoption, recruitment/retention, and fidelity) as well as
multilevel factors influencing implementation of PN in each clinic.
For Specific Arm 2:
Patient navigators will not be used for all subjects at participating clinics.
Inclusion Criteria:
Inclusion criteria for parent-infant dyads:
1. Infant failed a hearing screening in one or both ears before postnatal hospital
discharge
2. Infant was referred for follow-up diagnostic testing at one of the 10 participating
CCSHCN clinics.
3. Parent able to speak either English or Spanish
Exclusion Criteria:
1. Children and parents live outside Kentucky or who will be moving out of Kentucky within
the first three months of life.
We found this trial at
2
sites
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