Follow-up Automatically vs. As-Needed Comparison (FAAN-C) Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 18
SponsorUniversity of Utah

About this trial

Compare the effectiveness of automatic vs as-needed (PRN) post-hospitalization follow-up for children who are hospitalized for common infections.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age <18 years at the time of randomization

Hospitalization due to a primary diagnosis of pneumonia, skin and soft tissue infection, acute gastroenteritis, or urinary tract infection.

Parent speaks English or Spanish.

Disqualifiers

Presence of a comorbid disease that is both chronic and complex

Principal disease required surgical intervention (beyond superficial incision and drainage)

Immunodeficiency

A well-child check-up or post-hospitalization follow-up visit is already scheduled within 7 days of hospital discharge

Trial design

Design model

Parallel

Treatments tested in this trial

  • As-needed follow up

    Behavioral

    At hospital discharge, participant receives a recommendation for PRN follow-up. Recommendation informs participant that scheduling a follow-up visit is not needed at discharge and suggests that participant follow symptoms after discharge to decide if a visit is ultimately needed or not.

  • Automatic follow-up

    Behavioral

    At hospital discharge, participant receives a recommendation for automatic follow-up. Recommendation instructs participant to schedule a follow-up visit and attend the visit even if symptoms get better.

Treatment groups

2,674 Participants
are divided into 2 treatment groups
Group A: As-needed (PRN) post-hospitalization follow-upExperimental treatment 1 intervention
Group B: Automatic post-hospitalization follow-upActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Hospital readmission

The proportion of participants who experience a hospital readmission within 14 days of their index hospital discharge.

Time frame
Within 14 days of hospital discharge

Secondary outcomes

1

Medical interventions

The proportion of participants who receive either a laboratory test, imaging test, or a new medication within 14 days of hospital discharge

Time frame
Within 14 days of hospital discharge
2

Child health-related quality of life

Mean health-related quality of life score 7 days after hospital discharge, measured by the Impact on Activities and Routines instrument.

Time frame
7 days after hospital discharge

Other outcomes

1

Cost burden

Mean total costs to parents (missed income and expenses) related to the participant's illness within 14 days of hospital discharge, measured by the cost burden survey.

Time frame
Within 14 days of hospital discharge
2

Child time

Mean number of hours of school or daycare missed by the participant within 14 days of hospital discharge as a result of their medical needs

Time frame
Within 14 days of hospital discharge
3

Parent time

Mean number of hours spent away from responsibilities (work or non-work related) by parents within 14 days of hospital discharge as a result of their child's medical needs

Time frame
Within 14 days of hospital discharge
4

Symptom duration

Proportion of participants who have completely recovered from their infection at 7 days after hospital discharge

Time frame
Within 7 days of hospital discharge

Sponsors and contacts

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University of Utah

Lead sponsor

Seattle Children's Hospital

Sponsor institution

Patient-Centered Outcomes Research Institute

Collaborator