NCT06843564

Remote Enhanced Assessment for Care at Home (REACH)

Enhanced Primary Care Telemedicine at Home: a Pilot Feasibility Trial

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (estimated)
• Sponsor: University of Pittsburgh · Academic / Other
• Sex: All
• Age: 6 Months – 20 Months
• Healthy volunteers: Not accepted

Summary

The goal of this single arm pilot clinical trial is to test the feasibility and acceptability of providing families of infants with kits of tele-peripheral devices to use during telemedicine visits with their usual primary care practice. The main question it aims to answer are: \- the feasibility of providing families of infants with a kit to tele-peripheral devices to use during at-home, same-day live-interactive primary care telemedicine visits. Participants will receive a kit with tele-peripheral devices which they will have the option to use during telemedicine visits with their primary care practice. Participants will be asked to consent to electronic record review and to complete surveys about their experiences receiving care.

Detailed description

The investigators will prospectively enroll 100 children (6 month 0 days to 8 months 30 days) in this one-arm pilot feasibility study. Enrolled participants will receive kits including pulse oximeters, thermometers, and tele-otoscopes as well as respiratory viral swab tests and will complete a test call with study team members to confirm ability to connect and use the devices. After enrollment, families will continue to seek care based on their own preferences and primary care clinic guidance, but will have the ability to provide additional information to their primary care clinicians when primary care telemedicine visits occur. The investigators will ask families to complete online surveys at 0, 30, and 180 days, and the investigators will perform chart reviews to capture visits (telemedicine and in-person to primary care, urgent care, and emergency department) and antibiotic receipt.

Conditions

• Common Childhood Illnesses

Interventions

Type	Name	Description
OTHER	Remote Enhanced Assessment for Care at Home (REACH) Kit	Families of 6 month old infants will receive tele-device kits that include thermometers, pulse oximeters, and tele-otoscopes and respiratory swab tests, which families will then have the option to use when they schedule telemedicine visits with their usual primary care practice. Note that the investigators are not studying the devices themselves; the investigators are instead studying health care use and experiences when these devices are made available.

Timeline

• Start date: 2025-05-07
• Primary completion: 2026-05-01
• Completion: 2026-08-01
• First posted: 2025-02-25
• Last updated: 2025-10-02

Locations

2 sites across 1 country: United States