- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06034392
CHAMP App Cardiac Study and Repository (CHAMP)
CHAMP App Cardiac Study: Evaluation of Software Functions for Asynchronous Monitoring of Children With Complex Congenital Heart Disease in the Home Setting and Data Repository
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study objectives
- To evaluate whether data collection and transmission through the CHAMP software platform improves communication between health care providers and parents/LAR that positively affects the care of children with complex congenital heart disease in which asynchronous monitoring in the home setting is indicated
- To determine the accuracy of data obtained regarding observation by parent or caregiver of the condition of children with complex congenital heart disease in which asynchronous monitoring in the home setting is indicated.
- To evaluate the use of the CHAMP App for clinical purposes, including user satisfaction with the data entry, parental self-management, and transmission capabilities.
- To evaluate the real-world performance analytics (RWPA) of the CHAMP software platform for transfer of parent-entered data for children with complex congenital heart disease in which asynchronous monitoring in the home setting is indicated.
Endpoints
- To demonstrate that parents and caregivers for children with complex congenital heart disease in which asynchronous monitoring in the home setting is indicated can accurately identify and transmit to healthcare providers specific health-related data including intake of food, fluids and mediations; output, including urination, defecation, and vomiting; weight; vital signs including oxygen saturation as measured by pulse oximetry; heart rate as measured either by a heart rate monitor or manually by the parent or caregiver; and temperature, measured by a reliable thermometer; and the value and reliability of videos provided by parents and caregivers regarding behavior of pediatric study participants for use in evaluating participant's health status.
- To demonstrate that data obtained through the use of devices such as pulse oximeters, as entered into the app by parents and caregivers, provide valuable information regarding the health status of children with Complex Diagnoses in a home setting.
- To demonstrate characteristics of CHAMP through real world health analytics (RWHA), user experience analytics (UX), and product performance analytics (PPA).
The study duration is open-ended for safety, effectiveness, and performance of the CHAMP app. Unless consent is withdrawn, data will be kept and used for data analysis and, if consented to the research repository for multi-site research purposes indefinitely. At age 18, previously pediatric patients may be approached for reconsent.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
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District of Columbia
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Washington D.C., District of Columbia, United States, 20010
- Children's National Hospital
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Florida
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Miami, Florida, United States, 33155
- Nicklaus Variety Children's Hospital
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Louisiana
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New Orleans, Louisiana, United States, 70118
- Children's Hospital New Orleans
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Missouri
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Kansas City, Missouri, United States, 64108
- Children's Mercy Hospital
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Ohio
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Cincinnati, Ohio, United States, 45219
- Cincinnati Children's Hospital Medical Center
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Columbus, Ohio, United States, 43205
- Nationwide Children's Hospital
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Texas
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Forth Worth, Texas, United States, 76104
- Cook's Children's
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Houston, Texas, United States, 77030
- Children's Memorial Hermann Hospital
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Utah
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Salt Lake City, Utah, United States, 84108
- Primary Children's Hospital/University of Utah
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Pediatric patients with complex congenital heart disease in which asynchronous monitoring in the home setting is indicated in the home setting through a multi-regional approach.
Parents who utilize their CHAMP App and the healthcare team that log-in are also part of the CHAMP App study.
Description
Inclusion Criteria:
- Age 0-17 years with a parent/Legally authorized representative
- Diagnosed with a complex health condition in which asynchronous monitoring in the home setting is appropriate.
- Pediatric patient's cardiac care team has decided that the patient's treatment plan may benefit from remote home monitoring.
- Institution that the subject is followed through clinically has been an approved as site for the CHAMP app study with Children's Mercy Kansas City.
Adult participants
- Parents/Legally authorized representatives of pediatric subject.
- Healthcare team users at an institution that is an approved site for the CHAMP app Study with Children's Mercy Kansas City.
Exclusion Criteria:
- Inability to be discharged to care in the home setting.
- Those not meeting the above inclusion criteria.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Human factors/usability engineering: Login failures
Time Frame: Over a 3 month period
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Rate of attempts of log-in failures
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Over a 3 month period
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Human factors/usability engineering: Imprecision
Time Frame: Over a 3 month period
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Rate of data values reported with imprecision
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Over a 3 month period
|
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Clinical Safety: Anticipated adverse events
Time Frame: Over a 3 month period
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Anticipated Adverse event rates
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Over a 3 month period
|
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Clinical Safety: Event resolution- anticipated
Time Frame: Time in days, reported over the last 3 months
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Time to resolve anticipated adverse events
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Time in days, reported over the last 3 months
|
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Clinical Safety: Unanticipated Adverse events
Time Frame: Time in days, reported over the last 3 months
|
Unanticipated adverse event rates
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Time in days, reported over the last 3 months
|
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Clinical Safety: Event resolution- unanticipated
Time Frame: Time in days, reported over the last 3 months
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Time to resolve unanticipated adverse events
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Time in days, reported over the last 3 months
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Health Benefits: Adherence
Time Frame: Measurement of adherence to daily data entry per each patient/parent over 3 month period on non-hospitalized days, during the study period
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Rate of adherence to daily data entry
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Measurement of adherence to daily data entry per each patient/parent over 3 month period on non-hospitalized days, during the study period
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User Satisfaction: Complaints
Time Frame: Over a 3 month period
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Complaint rates via the healthcare team web portal
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Over a 3 month period
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CHAMP app performance: Downtime
Time Frame: Over a 3 month period
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Product Performance Analytics measured through Any system downtime
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Over a 3 month period
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CHAMP app performance: Cybersecurity
Time Frame: Over a 3 month period
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Product Performance Analytics measured through Any reported breaches
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Over a 3 month period
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CHAMP app performance
Time Frame: Quarterly review of CHAMP App Performance will be measure over the preceding 3 months for frequency of changes required
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Product Performance Analytics measured through --Bug/defect rate or Version failure rates
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Quarterly review of CHAMP App Performance will be measure over the preceding 3 months for frequency of changes required
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User Satisfaction CHAMP Video
Time Frame: through study completion, an average of 9 months
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Feedback from healthcare team will be received via treatment endpoint survey questions.
Likert scale questions 1-strongly disagree to 5 strongly agree (Using CHAMP videos for the interstage monitoring of this patient improved clinical decisions for the home monitoring team).
Available to put in comments.
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through study completion, an average of 9 months
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User Satisfaction: Communication
Time Frame: through study completion, an average of 9 months
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Feedback from healthcare team will be received via treatment endpoint survey questions Likert scale questions 1-strongly disagree to 5 strongly agree ( Using CHAMP for the interstage monitoring of this patient improved communication with the parents at home.)
Available to put in comments.
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through study completion, an average of 9 months
|
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User Engagement
Time Frame: Over a 3 month perriod
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Total number of registered users (Active, treatment endpoint reached) and data totals per parent entered measure.
De-identified Demographics and age areas utilization -Utilization across the number of pediatric sites, healthcare teams
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Over a 3 month perriod
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Research Repository
Time Frame: Ongoing
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Remote Patient Monitoring Research Repository
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Ongoing
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Lori Erickson, PhD, Director, Remote Health Solutions Children's Mercy
Publications and helpful links
General Publications
- Shirali G, Erickson L, Apperson J, Goggin K, Williams D, Reid K, Bradley-Ewing A, Tucker D, Bingler M, Spertus J, Rabbitt L, Stroup R. Harnessing Teams and Technology to Improve Outcomes in Infants With Single Ventricle. Circ Cardiovasc Qual Outcomes. 2016 May;9(3):303-11. doi: 10.1161/CIRCOUTCOMES.115.002452. Epub 2016 May 10.
- Bingler M, Erickson LA, Reid KJ, Lee B, O'Brien J, Apperson J, Goggin K, Shirali G. Interstage Outcomes in Infants With Single Ventricle Heart Disease Comparing Home Monitoring Technology to Three-Ring Binder Documentation: A Randomized Crossover Study. World J Pediatr Congenit Heart Surg. 2018 May;9(3):305-314. doi: 10.1177/2150135118762401.
- Aly DM, Erickson LA, Hancock H, Apperson JW, Gaddis M, Shirali G, Goudar S. Ability of Video Telemetry to Predict Unplanned Hospital Admissions for Single Ventricle Infants. J Am Heart Assoc. 2021 Aug 17;10(16):e020851. doi: 10.1161/JAHA.121.020851. Epub 2021 Aug 7.
- Erickson LA, Emerson A, Russell CL. Parental mobile health adherence to symptom home monitoring for infants with congenital heart disease during the single ventricle interstage period: A concept analysis. J Spec Pediatr Nurs. 2020 Oct;25(4):e12303. doi: 10.1111/jspn.12303. Epub 2020 Jul 14.
- Patel PS, Shah SK, Feldman K, Hancock HS, Moehlmann ML, Ricketts A, Files MD, McFarland C, Erickson L, Romans RA. Associations of Home Monitoring Data to Interventional Catheterization for Infants with Recurrent Coarctation of the Aorta and Hypoplastic Left Heart Syndrome. Pediatr Cardiol. 2023 Oct;44(7):1462-1470. doi: 10.1007/s00246-023-03224-8. Epub 2023 Jul 8.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15030113CMH
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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