Status:

RECRUITING

The PediQUEST Response to Pain Of Children With Neurologic Disability Pilot Randomized Controlled Trial

Lead Sponsor:

Massachusetts General Hospital

Collaborating Sponsors:

National Institute of Nursing Research (NINR)

Boston Children's Hospital

Conditions:

Cerebral Palsy Infantile

Disabilities Multiple

Eligibility:

All Genders

1+ years

Phase:

NA

Brief Summary

The goal of this pilot randomized controlled trial is to test the feasibility of running a full scale randomized controlled trial that compares the effect of the PQ-ResPOND intervention versus usual c...

Detailed Description

Background: In the US, tens of thousands of children, adolescents, and young adults (AYA) are estimated to live with severe neurologic impairment (SNI). Over 60% of these children endure uncontrolled ...

Eligibility Criteria

Inclusion

  • Parent-child dyads will be included based on the following criteria:
  • Child participants will be selected from the base population of patients who are:
  • ≥ 1 year old,
  • receiving routine (ongoing) care at Boston Children's Hospital, AND
  • followed by the Neurology, Cerebral Palsy or Complex Care services.
  • All patients from the base population will be screened to include any patient who:
  • has severe neurological impairment, defined as:
  • a Central Nervous System disorder resulting in motor and cognitive impairment and an inability to communicate either verbally or through sign language, AND
  • has complete caregiver dependency for activities of daily living AND
  • date of diagnosis of SNI is ≥ 4 months prior to the date of screening

Exclusion

  • Parent-child dyads will be excluded if any of the following apply:
  • the child,
  • is already followed by the palliative care team, OR
  • is not expected to survive at least 2 months after enrollment; OR
  • does not have "moderate to severe recurrent pain", as measured through the baseline Child Pain Survey (PPP). Specifically, we will exclude participants whose:
  • "Good days" AND "Difficult days" PPP scores are \<14, AND
  • "Most troublesome pain" PPP score is \<30, AND
  • Number of "difficult days" are \<8 in past month, AND
  • Number of days with "most troublesome pain" are \<4 in past month; OR • both parents,
  • do not have legal guardianship, OR
  • are unable to read, write, and speak English OR Spanish
  • are unable to understand and complete surveys.

Key Trial Info

Start Date :

May 8 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 31 2025

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06075797

Start Date

May 8 2024

End Date

July 31 2025

Last Update

July 30 2025

Active Locations (4)

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Page 1 of 1 (4 locations)

1

University of Alabama, Birmingham

Birmingham, Alabama, United States, 35294

2

Boston Children's Hospital

Boston, Massachusetts, United States, 02115

3

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02115

4

Deakin University

Burwood, Victoria, Australia, 3125