NCT02063087

Shared Decision Making in Parents of Children With Head Trauma: Head CT Choice

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 971 (actual)
• Sponsor: Mayo Clinic · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The investigators will test the impact of a decision aid, Head CT Choice, to determine if its use improves parents' knowledge and engagement in decision making and safely decreases healthcare utilization in children presenting to the emergency department with blunt head trauma.

Detailed description

The investigators' long term goal is to promote evidence-based, patient-centered evaluation in the acute setting, to more closely tailor testing to disease risk. The investigators will compare the use of risk stratification tools with usual clinical approaches to treatment selection or administration through the following aim: Test if the decision aid, Head CT Choice, improves validated patient-centered outcome measures and safely decreases healthcare utilization. The investigators will randomize at the clinician level. Through the use of the intervention, Head CT Choice, the investigators aim to significantly increase parents' knowledge, engagement, and satisfaction, decrease the rate of head CT use, and decrease 7-day total healthcare utilization, with no significant increase in adverse events.

Conditions

• Head Injury

Interventions

Type	Name	Description
OTHER	Head CT Decision Aid	The decision aid, Head CT Choice, educates parents regarding how the clinician determined the severity of their child's head trauma, their child's quantitative risk for a clinically-important TBI, the pros and cons of cranial CT compared to active observation, and what signs and symptoms parents should watch for in the next 24 hours that should prompt a return visit to the ED.

Timeline

• Start date: 2014-04-01
• Primary completion: 2016-10-01
• Completion: 2017-01-01
• First posted: 2014-02-14
• Last updated: 2019-05-09
• Results posted: 2019-05-09

Locations

7 sites across 1 country: United States