Tracheostomy Care > Digital Health Pathway For Children With Medical Complexity Requiring Tracheostomy (DECIDE-T)
Digital Health Pathway for Tracheostomy Care (DECIDE-T Trial)
Recruiting in Palo Alto (17 mi)
+3 other locations
Age: < 65
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of Alberta
No Placebo Group
Approved in 1 jurisdiction
Trial Summary
What is the purpose of this trial?The DECIDE-T project is developing a standardized clinical pathway specifically for pediatric patients who require tracheostomy with or without long-term ventilation (tracheostomy/LTV). These patients represent a small portion of Alberta's population but account for over 50% of pediatric patients hospitalized for more than 180 days. The pathway will include a hospital-to-home directive that incorporates digital health solutions to provide support to families, caregivers, and healthcare professionals. Digital supports will include a Connect Care pathway, resources for informed decision-making, educational modules, high-fidelity simulations for family and caregiver education, an online parental resource center, and access to peer support within the hospital and community, as well as a post-discharge telehealth program.
The goal of the DECIDE-T project is to reduce hospital stays and associated costs for children requiring tracheostomy/LTV, as well as to decrease mental distress and burnout experienced by their caregivers and families.
What makes the DECIDE-T Pathway treatment unique for children with tracheostomy?
The DECIDE-T Pathway is unique because it uses a digital health approach to coordinate care for children with tracheostomy, focusing on education and tracking outcomes to improve care quality and reduce hospital stays, unlike traditional methods that may not use digital tools for comprehensive care management.
12467What data supports the effectiveness of the treatment Digital Health Pathway for Pediatric Tracheostomy?
Research on similar clinical pathways, like those for tracheostomy and other medical procedures, shows that standardized care pathways can reduce hospital stay lengths and maintain quality care. This suggests that the Digital Health Pathway for Pediatric Tracheostomy might also improve care efficiency and outcomes.
12345Will I have to stop taking my current medications?
The trial information does not specify whether participants must stop taking their current medications.
Eligibility Criteria
This trial is for children aged 0 to 18 who need a tracheostomy, which is a procedure that involves creating an opening in the neck to place a tube into a person's windpipe. There are no specific exclusion criteria, so all eligible children at participating sites can join.Inclusion Criteria
My child, aged 0-18, had a tracheostomy at a participating hospital.
Participant Groups
The DECIDE-T project tests a digital health pathway designed for kids needing tracheostomy care. It includes hospital-to-home guidelines with digital tools like educational resources, simulations for training, online support centers, and telehealth services after leaving the hospital.
2Treatment groups
Active Control
Group I: Post-implementation/InterventionActive Control1 Intervention
Subjects undergoing tracheostomy procedure after the implementation of DECIDE-T
Group II: Pre-implementationActive Control1 Intervention
Subjects undergoing tracheostomy procedure before the implementation of DECIDE-T
Digital Health Pathway for Children With Medical Complexity Requiring Tracheostomy (DECIDE-T) is already approved in Canada for the following indications:
🇨🇦 Approved in Canada as DECIDE-T Pathway for:
- Support for pediatric patients requiring tracheostomy with or without long-term ventilation
Find A Clinic Near You
Research locations nearbySelect from list below to view details:
Alberta Children's HospitalCalgary, Canada
Stollery Children's HospitalEdmonton, Canada
Alberta Children's HospitalCalgary, Canada
Stollery Children's HospitalEdmonton, Canada
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Who is running the clinical trial?
University of AlbertaLead Sponsor
Alberta Innovates Health SolutionsCollaborator
References
The path to a clinical pathway: collaborative care for the patient with an ostomy. [2019]A colostomy and ileostomy clinical pathway was developed at a southeastern teaching hospital in 1990 in response to excessive lengths of stay and costs at our hospital compared with national data for this patient group. A multidisciplinary clinical pathway team was formed and charged with the development, implementation, and ongoing monitoring of the clinical pathway tool and its effect on the outcomes of the population of patients with colostomies and ileostomies. Through this multidisciplinary collaboration, length of stay and cost have been reduced while quality care indicators have been maintained. This article presents the sample pathway we developed and describes the pathway development process, documentation, the variance analysis process, and the outcomes achieved with implementation. A urostomy/urinary diversion pathway that was developed after variance analysis review of the colostomy and ileostomy clinical pathway is also presented.
Changing practice and improving care using a low-risk tracheotomy clinical pathway. [2014]Tracheotomy is a common procedure. Postoperative care is usually managed by nonexpert clinicians. Prolonged decannulation is associated with a high incidence of complications. At present, no clinical protocol exists to guide clinicians through decannulation. To address this deficiency, we developed a low-risk tracheotomy clinical pathway.
A Strategy for the Renovation of a Clinical Pathways Program. [2022]Clinical pathways (CPs) translate best available evidence to the local care context and intend to inform clinical decision-making, optimize care, and decrease variation. This article describes a CPs program improvement process at a free-standing academic children's hospital. Aims: (1) improve the pathway development process; (2) identify and address gaps; (3) strengthen measurement; (4) increase efficiency in cycle time to build a pathway; (5) increase multidisciplinary participation; (6) integrate into the electronic health record ; and (7) and increase pathway utilization.
The Trach Trail: A Systems-Based Pathway to Improve Quality of Tracheostomy Care and Interdisciplinary Collaboration. [2020]To implement a standardized tracheostomy pathway that reduces length of stay through tracheostomy education, coordinated care protocols, and tracking patient outcomes.
Clinical pathway for the Fontan patient to standardise care and improve outcomes. [2021]The Fontan procedure is the final stage of surgical palliation for the children with functionally single ventricle anatomy. The post-operative medical management of this patient population can be variable and hospital length of stay prolonged. The purpose of this quality improvement project was to determine if the implementation of an evidence-based clinical pathway for post-operative management of the Fontan patient at a large Midwestern academic paediatric medical centre would standardise care and decrease length of stay.
"New Trach Mom Here…": A qualitative study of internet-based resources by caregivers of children with tracheostomy. [2021]Decision-making around tracheostomy placement and chronic respiratory support in children is complicated. Families often seek support and advice from outside the medical care team, including from social media. We undertook this study to characterize the content and nature of online resources created and managed primarily by caregivers of children living with tracheostomy and chronic mechanical ventilation.
Healthcare Trajectories and Outcomes in the First Year After Tracheostomy Based on Patient Characteristics. [2023]To define healthcare trajectories after tracheostomy to inform shared decision-making efforts for critically ill patients.