Implementing comprehensive data collection strategies within a randomized control trial for children with complex special health care needs

2.50
Hdl Handle:
http://hdl.handle.net/10755/308071
Category:
Abstract
Type:
Presentation
Title:
Implementing comprehensive data collection strategies within a randomized control trial for children with complex special health care needs
Author(s):
Erickson, Catherine A.
Lead Author STTI Affiliation:
Zeta
Author Details:
Catherine A. Erickson, BSN, RN, eric2528@umn.edu
Abstract:

Session presented on:Sunday, November 17, 2013

Background: Measuring effectiveness of an intervention in a randomized controlled trial is dependent on maximum response rates from subjects over time. TeleFamilies is a 4-year study testing the effectiveness of APRN care coordination on health outcomes of children with complex special health care needs (CCSHCN). The results of innovative strategies for increasing response rates from 164 subjects in the TeleFamilies study are presented.

Methods: The primary outcome is healthcare service utilization (HCSU); secondary outcomes include quality of life and satisfaction data collected annually during the study. Parents were asked to collect HCSU, which included clinic visits, ED visits and hospitalizations, on a standardized form to mail back each month over the 30 month enrollment period. Realizing families had limited time and energy for monthly form completion, strategies expanded from monthly mail-in forms to telephone, email, text messaging, medical record review and in-person contact at clinic visits. A 25% research assistant was added for monthly collection of HCSU by telephone. Annual surveys were mailed with stamped return envelopes and an introductory letter.  Low return rates prompted incorporation of all Dillman’s Tailored Design Method strategies including pre- and post- mailing reminders, ‘return by’ dates, telephone reminders, revision into user-friendly survey booklet and monetary incentives. 

Results: Over a two year period, over 3700 calendar forms were distributed and monthly data collection increased from 85% to 96%.  Annual survey returns rates increased from 62% to 86%, with a significant increase in survey return rate when the incentive was used (p<.05).

Conclusion: Families of CCSHCN have complex and competing demands on their time. Offering alternative methods of data collection supports the study relationship while being respectful of family time. Increased FTE support and comprehensive, flexible data collection strategies resulted in high levels of data retrieval which contribute to the reliability of TeleFamilies outcome measures.

Keywords:
data collection; randomized control trial; children with special health care needs
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleImplementing comprehensive data collection strategies within a randomized control trial for children with complex special health care needsen_GB
dc.contributor.authorErickson, Catherine A.en_GB
dc.contributor.departmentZetaen_GB
dc.author.detailsCatherine A. Erickson, BSN, RN, eric2528@umn.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308071-
dc.description.abstract<p>Session presented on:Sunday, November 17, 2013</p> Background: Measuring effectiveness of an intervention in a randomized controlled trial is dependent on maximum response rates from subjects over time. TeleFamilies is a 4-year study testing the effectiveness of APRN care coordination on health outcomes of children with complex special health care needs (CCSHCN). The results of innovative strategies for increasing response rates from 164 subjects in the TeleFamilies study are presented. <p>Methods: The primary outcome is healthcare service utilization (HCSU); secondary outcomes include quality of life and satisfaction data collected annually during the study. Parents were asked to collect HCSU, which included clinic visits, ED visits and hospitalizations, on a standardized form to mail back each month over the 30 month enrollment period. Realizing families had limited time and energy for monthly form completion, strategies expanded from monthly mail-in forms to telephone, email, text messaging, medical record review and in-person contact at clinic visits. A 25% research assistant was added for monthly collection of HCSU by telephone. Annual surveys were mailed with stamped return envelopes and an introductory letter.  Low return rates prompted incorporation of all Dillman’s Tailored Design Method strategies including pre- and post- mailing reminders, ‘return by’ dates, telephone reminders, revision into user-friendly survey booklet and monetary incentives.  <p>Results: Over a two year period, over 3700 calendar forms were distributed and monthly data collection increased from 85% to 96%.  Annual survey returns rates increased from 62% to 86%, with a significant increase in survey return rate when the incentive was used (p<.05). <p>Conclusion: Families of CCSHCN have complex and competing demands on their time. Offering alternative methods of data collection supports the study relationship while being respectful of family time. Increased FTE support and comprehensive, flexible data collection strategies resulted in high levels of data retrieval which contribute to the reliability of TeleFamilies outcome measures.en_GB
dc.subjectdata collectionen_GB
dc.subjectrandomized control trialen_GB
dc.subjectchildren with special health care needsen_GB
dc.date.available2013-12-19T17:26:29Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:29Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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