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Integrating clinician, caregiver and patient prioritized quality domains for home-based pediatric hospice and palliative care

Award Number: R01NR020608
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/17/2023
PERIOD OF PERFORMANCE END DATE: 02/28/2026

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Integrating clinician, caregiver and patient prioritized quality domains for home-based pediatric hospice and palliative care - Enter the text here that is the new abstract information for your application. This section must be no longer than 30 lines of text. Current research in pediatric hospice and palliative care focuses on inpatient hospice and palliative care settings and is still largely driven by adult-based data and paradigms, insufficiently addressing clinically significant needs of children and adolescents. The long-term goal is to design pediatric home-based hospice and palliative care (PHBHPC) care systems tailoring high-quality, goal-concordant, personalized care to children, adolescents, and families. The overall objective of this proposal is to develop a single set of PHBHPC quality domains integrating newly-identified, patient-prioritized perspectives with those from clinicians and parents. The central hypothesis is that pediatric patients will use different language to describe important aspects of their care than providers or parents. This hypothesis builds on the team’s prior collaboration, using a Delphi process through which PHBHPC providers identified two novel domains: Continuity of Care and Bereavement. This team’s subsequent study with parents of children receiving PHBHPC identified another domain: Compassionate Care. The rationale is that the proposed study provides the missing dimension of children themselves in defining PHBHPC, and integrates their voices with caregivers and providers to inform benchmarking and quality improvement, program development and evaluation. In order to achieve the objective, the following three specific aims will be pursued: 1) Establish and define factors children and adolescents identify as important in PHBHPC; 2) Extend and validate existing provider and caregiver datasets to maximize representativeness and minimize historical threat; and 3) Integrate patient-prioritized factors with those from providers and caregivers into a single document of PHBHPC domains of quality. The proposed research is innovative, in the applicants’ opinion, because it represents a substantive departure from the status quo by shifting current research paradigms in two ways. First, the perspectives of all stakeholders are collected and integrated: PHBHPC patients, parents or other caregivers, and providers. Second, the focus is on PHBHPC rather than on inpatient hospice and palliative care. This contribution is expected to be significant because it will be the first to study PHBHPC quality integrating all stakeholder input – patient, family, and clinician – enabling improved quality science through benchmarking and data sharing, patient-reported outcomes measure development, and future research to connect care delivery to health outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $425,513 )
2025	2025	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	1 PERKINS SQ	AKRON	OH	44308	SUMMIT	USA	Nursing Research	000	3	7/8/2025	NON-COMPETING CONTINUATION	$425,513
														Subtotal = $425,513

Issue Date FY: 2024 ( Subtotal = $434,103 )
2024	2024	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	1 PERKINS SQ	AKRON	OH	44308	SUMMIT	USA	Nursing Research	000	2	2/27/2024	NON-COMPETING CONTINUATION	$390,692
2024	2024	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON	1 PERKINS SQ	AKRON	OH	44308	SUMMIT	USA	Nursing Research	001	2	5/3/2024	NON-COMPETING CONTINUATION	$43,411
														Subtotal = $434,103

Issue Date FY: 2023 ( Subtotal = $442,612 )
2023	2023	CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON	1 PERKINS SQ	AKRON	OH	44308	SUMMIT	USA	Nursing Research	000	1	3/17/2023	NEW	$442,612
														Subtotal = $442,612

Grand Total All Awards = $1,302,228

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Integrating clinician, caregiver and patient prioritized quality domains for home-based pediatric hospice and palliative care

Award Number: R01NR020608

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 03/17/2023

PERIOD OF PERFORMANCE END DATE: 02/28/2026

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