MyChildCMC app to help families monitor children with medical complexity

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial will enroll children ages 1–18 who meet an operational definition of medical complexity and their caregivers at two comprehensive care clinics. Caregivers use the MyChildCMC mobile app to report regular health status information, enabling remote monitoring for early signs of deterioration. The program is offered in English and Spanish and requires access to a smartphone or tablet with internet. Outcomes include healthcare utilization (ED/hospital admissions) and measures of quality of life and care coordination compared between users and usual care.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* CMC, ages 1-18 years and their parents (or primary caregivers)
* CMC (inpatients or outpatients) who receive care at participating sites (comprehensive care clinics for CMC)
* Own (or provided) a smartphone or tablet with internet access
* Speak English or Spanish.
* CMCs are identified using an operational definition, as having: 1) multisystem chronic diseases involving ≥3 organ systems, 2) ≥3 HCPs involved in their care, 3) high fragility or frequent (≥2) or 1 prolonged (\>10 days) hospitalization in the prior year, and/or 4) medical technology dependence.

Exclusion Criteria:

* Critically ill CMC and infants.
* CMC exhibit similar developmental and functional abilities and typically function below expected for a 7-year-old child, allowing inclusion of a wide age range in studies.
* Infants were excluded as many CMC \<1 year have prematurity-related conditions that may resolve by age 2.
* CMC \>18 years of age were not included as some may transition to adult health care.
* Note: No one will be excluded due to lack of smartphone/internet access. We estimated \<10% of families may not have a smartphone/internet, and will provide them low-cost tablets and cellular internet access.

Where it's running

• Ann & Robert H. Lurie Children's Hospital of Chicago
  Chicago, Illinois, United States Recruiting
• Primary Children's Hospital
  Salt Lake City, Utah, United States Recruiting

Study contacts

• Principal investigator: Flory Nkoy, MD, MS, MPH — University of Utah
• Study coordinator: Flory L Nkoy, MD, MS, MPH
• Email: flory.nkoy@hsc.utah.edu
• Phone: 8012134161

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.