PFC I-PASS+ Study for Improved Hospital Communication
The Patient and Family Centered I-PASS LISTEN Study: Language, Inclusion, Safety, and Teamwork for Equity Now
Recruiting
N/AInterventional Study
Communication
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Sex
Any
Study type
Interventional
Purpose
Health Services Research
Participants needed
14,400 (estimated)
Sponsor
Boston Children's Hospital · Other
Who this trial is looking for
This trial is looking for patients who are admitted to pediatric hospital units, as well as their parents and caregivers, to help improve communication between families and hospital staff. Participants will be asked to share their experiences and feedback about hospital rounds and communication.
Are You a Good Fit for This Trial?
You may be able to join if
I am a patient age 13 or older.
I am a parent or caregiver of a patient of any age.
I speak one of the following languages: English, Arabic, Armenian, Bengali, Chinese, Karen, Korean, Nepali, Quiche, Spanish, Somali, or Vietnamese.
I am a nurse working in the pediatric units.
I am a resident working in the pediatric units.
I am a medical or nursing student working in the pediatric units.
I am a hospital leader at a participating hospital.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
In 2014, a team of parents, nurses, and physicians created Patient and Family Centered I-PASS (PFC I-PASS), a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. PFC I-PASS changed how doctors and nurses talk to patients and families on…
In 2014, a team of parents, nurses, and physicians created Patient and Family Centered I-PASS (PFC I-PASS), a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. PFC I-PASS changed how doctors and nurses talk to patients and families on rounds when they're admitted to the hospital. (Rounds are when a team of doctors visit patients every morning to do a checkup and make a plan for the day.) Rounds used to happen in a way that left out patients and families. Doctors talked at, not with patients, used big words and medical talk, and left nurses out. PFC I-PASS changed rounds by including families and nurses, using simple non-medical words, and talking in an organized way so nothing is left out. When PFC I-PASS was put in place in 7 hospitals, patients had fewer adverse events and better hospital experience. But it didn't focus on how to talk with patients with language barriers. This project builds upon upon PFC I-PASS to make it better and focus on the special needs of patients who speak languages other than English. This new intervention is known as PFC I-PASS+. PFC I-PASS+ includes all parts of PFC I-PASS plus having interpreters on and after rounds and training doctors about communication and cultural humility. The study team will now conduct a stepped-wedge cluster randomized trial to compare the effectiveness of PFC I-PASS+ and PFC I-PASS to usual care at 8 hospitals.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* All patients admitted to the pediatric inpatient study units of participating hospitals
* Patients themselves who are age 13 and up (if they provide assent and their parent or guardian gives permission)\*
* Parents/caregivers of patients of all ages who speak English, Arabic, …
Inclusion Criteria:
* All patients admitted to the pediatric inpatient study units of participating hospitals
* Patients themselves who are age 13 and up (if they provide assent and their parent or guardian gives permission)\*
* Parents/caregivers of patients of all ages who speak English, Arabic, Armenian, Bengali, Chinese (Mandarin and Cantonese), Karen, Korean, Nepali, Quiche, Spanish, Somali, and Vietnamese (and/or other languages if resources allow)
* Nurses working on these units
* Residents working on these units
* Medical and nursing students working on these units
* Hospital leaders working at these hospitals
* \*Note for Consenting: Patients (13-18yo) who are in state custody and assent for themselves to complete surveys but lack legal guardian/caregiver present to offer consent are not being approached to complete surveys. These patients may still be enrolled in the study but not consented to complete patient-facing forms.
Exclusion Criteria: None
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