About this trial

This is a multicenter study to test a decision-making support process for families and clinicians facing decisions about chronic home ventilation for a child. The investigators hypothesize that the intervention will increase family preparedness for decision-making and will improve clinician-family shared-decision making. Half of families will be assigned to "usual care" arm and half to the "intervention" arm. Intervention families will view the study website with study staff and will answer questions related to website content. All families will be interviewed and surveyed at 1, 6 and 12 months after enrollment. Each family will designate 1-2 physician involved in the decision about home ventilation; each physician will be interviewed and surveyed at 1 month.

Eligibility criteria

Qualifiers

English- or Spanish-speaking

Males and females; Age 18 and over.

Parent of a child facing a decision about home ventilation within 30 days. A "parent" will be defined as any self-identified primary caregiver (parents, grandparents, etc).

Provision of signed and dated informed consent form (parent) or completion of oral consent (physician)

Disqualifiers

Excluding children as they cannot be legal decision-makers

Non-English or Non-Spanish speaking parents, as the intervention website/ videos are only available in those two languages.

Trial design

Treatments tested in this trial

  • HomeVENT decision support tool

Treatment groups

600 Participants
are divided into 2 treatment groups

Locations

4
Johns Hopkins All Childrens Hospital33701, TampaFlorida, United States
Children's Hospital New Orleans70118, New OrleansLouisiana, United States
Johns Hopkins University School of Medicine21287, BaltimoreMaryland, United States
Seattle Childrens Hospital98145, SeattleWashington, United States

Sponsors and collaborators

Johns Hopkins University

Lead sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator