To determine the added value of e-consultation compared to a visit to the well baby clinic.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
Opvoed- en opgroeiproblemen
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
* time-investment of the preventive child health care professionals.
* A safety and healthy development of childeren in the period of 18-30 months,
assessed by the ASQ and ASQ-SE and the judgement of the preventive child
health care professional.
Secondary outcome
* reach (percentage childeren at the age of 24 months living in the
participating areas, that participate in e- or physical consultations).
* experiences of parents and preventive child health care professionals.
Background summary
Preventive Child Health Care (PCHC) services focuses on prevention and early
detection of parenting and developmental health problems. PCHC in the
Netherlands is organized in pre-defined moments. However, a more flexible
schedule would enable PCHC professionals to adequately respond to different
needs of parents. Care-pathways have the potential to meet different needs of
parents. A care pathway with e-consultations was developed for families with
competent parents and low risks for parenting and developmental problems and
tested on feasiblity. The feasibility study shows this care pathway is feasible
and fits the needs of parents. It is unknown whether e-consults contribute in
an equally healthy and safe development of children compared with physical
consultations.
Study objective
To determine the added value of e-consultation compared to a visit to the well
baby clinic.
Study design
A randomized trial, with an inclusionperiod of 13 months and 12 months
follow-up. Childeren aged 24 months (N=1365) will be randomized for
e-consultation or physical consultation. When the child reached the age of 24
months, an e- or physical consultation will be performed. Six months later, at
the age of 30 months, the safety and healthy development of all childeren will
be assessed by a preventive child health care professional.
An e-consultation consists of three questionnaires (ASQ, ASQ-SE and PSS) and
questions about changes in family situation. Parents will be invited to fill in
the questionnaires when the child is 24 months. A physical consultation
consists of a regular consult with a Child Health Care (CHC)-professional. At
the age of 30 months, all parents (from intervention- and controlgroup) fill
in three questionnaires (ASQ, ASQ-SE and PSS). Changes in the family situation
will be discussed during assessment of the safety and healthy development.
Study burden and risks
Parents can miss or misjudge signals of (health) problems. In a physical
consultation, professionals might be able to respond to signals of (health)
problems. This risk is minimalized, by including competent parents with healthy
childeren and low risks for parenting and developmental problems and by the use
of valid and reliable instruments during the e-consultation. If parents do not
complete the questionnaires, CHC-professionals contact them for a visit to the
well baby clinic. An additional visit to the well-baby clinic at 30 months was
used for checking safe and healthy development of the child.
Westwal 37
Goes 4461CM
NL
Westwal 37
Goes 4461CM
NL
Listed location countries
Age
Inclusion criteria
Children who reached the age of 18 months during the study period in the
participating areas, who have low risk for parenting and developmental problems
according to the SPARK-method performed by the preventive child health nurse
during the consultation at 18 months. This includes normal development of the
child and competent parents with a healthy lifestyle.
Exclusion criteria
- Parents do not master digital communication devices.
- Parents do not master the Dutch language.
- Childeren who have experienced medical issues in the first 18 months, that
have to be monitored.
- Children who have a medical family history with high hypermetropia, high
myopia, anisometropy, amblyopia, astigmatism, strabismus.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL65369.041.18 |