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NCT04895085

ReSET Aim 1a: Restarting Safe Education and Testing for Children With Medical Complexity - Feasibility of In-home Cohort COVID-19 Testing Strategies, and Associations With CMC Parent Perceptions About In-person School Attendance

Completed NA Results posted Last updated 7 June 2024
What this trial tests

NA trial testing BinaxNOW Rapid Antigen System in COVID-19 in 51 participants. Completed in 15 September 2023.

Timeline
27 April 2021
Primary endpoint
15 June 2023
15 September 2023

Quick facts

Lead sponsorUniversity of Wisconsin, Madison
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposehealth services research
Enrollment51
Start date27 April 2021
Primary completion15 June 2023
Estimated completion15 September 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Wisconsin, Madison

Who can join

18 and older, any sex, with COVID-19 or Children With Medical Complexity (CMC). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Protocol Uptake: Number of Participants Consented Compared to Number of Participants Approached Primary · Study duration (up to 21 months)

Feasibility of home based COVID-19 testing will be evaluated by protocol uptake. Data will be retrieved from the study log.

Number approached, consented
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)51
Number approached, not consented
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)33
Change in Mean Number of Weekly in Home COVID-19 Tests Primary · Every week up to 21 months

Feasibility of home based COVID-19 testing will be evaluated by the mean number of weekly in home COVID-19 tests run by parents/caregivers. Data will be collected by survey.

GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)1.8± 0.3
Change in COVID Test Rate at Home: Number of Total Tests Completed as Compared to Number of Tests Expected Primary · Study duration (up to 21 months)

Data will be collected by survey. * Tests expected: Various scenarios factor into the tests expected value. Caregivers were expected to test their child twice a week every week for the first three months. After that time, caregivers could opt-in to surveillance testing (expected testing twice a week every week) or proceed with symptomatic-only testing (no "expected" tests for caregivers). Additionally, caregivers were not expected to test for 90 days after their child tested positive. * Tests completed: Caregivers were allowed to test more often than twice a week if appropriate (e.g., exposur

Number of tests completed
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)3254
Number of tests expected
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)2572
Change in Symptomatic Test Rate: Number of Symptomatic Tests Completed Primary · Study duration (up to 21 months)

Data will be collected from parents via survey.

GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)729
Change in Positive Rate: Number of Positive COVID-19 Tests Compared to Total Number of Tests Performed Primary · Study duration (up to 21 months)

Data will be collected from parents via survey.

Number of positive COVID-19 tests
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)39
Total number of tests performed
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)3254
Change in False-positive Rate: Number of Negative Confirmatory Polymerase Chain Reaction (PCR) as Compared to Total PCR Run for COVID-19 Testing Primary · Study duration (up to 21 months)

Data will be collected from parents via survey.

Number of negative confirmatory PCR tests
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)1
Total COVID-19 PCR tests
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)109
Surveillance Opt in: Number of Participants Opting Into Surveillance Compared to Total Number of Enrolled Participants Primary · At month 3

Data will be collected from parents via survey. \- Caregivers were expected to test their child twice a week every week for the first three months. After that time, caregivers could opt-in to surveillance testing (expected testing twice a week every week) or proceed with symptomatic-only testing (no "expected" tests for caregivers).

GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)32
Caregiver of Children With Medical Complexity (CMC)19
Change in Susceptibility: Number of Fully Vaccinated People Who Interact With Participant's Child at School Primary · baseline, 3 month, 6 month, 9-12 month, 15 month, 18 month, 21 month, 24 month

"How many of the people who interact with your child at school have been fully vaccinated?" Response options: "None", "A few", "Some" "Most", "All", "Don't Know" Dichotomized into: ("Most" or "All") vs. ("None", "A few", "Some", "Don't Know)

Baseline
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)12
Caregiver of Children With Medical Complexity (CMC)39
3-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)9
Caregiver of Children With Medical Complexity (CMC)39
6-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)12
Caregiver of Children With Medical Complexity (CMC)34
9-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)10
Caregiver of Children With Medical Complexity (CMC)35
15-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)16
Caregiver of Children With Medical Complexity (CMC)23
18-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)15
Caregiver of Children With Medical Complexity (CMC)24
21-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)15
Caregiver of Children With Medical Complexity (CMC)26
24-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)17
Caregiver of Children With Medical Complexity (CMC)27
Change in Susceptibility: School Takes Precautions Primary · baseline, 3 month, 6 month, 9-12 month, 15 month, 18 month, 21 month, 24 month

The following question from the Participant's perceived susceptibility survey will be answered dichotomously and presented qualitatively: * How comfortable are you with...the ability of your child's school to take all precautions to stop the spread of COVID-19? * Response options: "Not at all", "A little", "Somewhat", "Very", "Extremely" * Dichotomized into: ("Not at all", "A little", "Somewhat") vs. ("Very", "Extremely")

Baseline
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)24
Caregiver of Children With Medical Complexity (CMC)27
3 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)17
Caregiver of Children With Medical Complexity (CMC)31
6 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)20
Caregiver of Children With Medical Complexity (CMC)26
9-12 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)24
Caregiver of Children With Medical Complexity (CMC)21
15 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)16
Caregiver of Children With Medical Complexity (CMC)23
18 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)16
Caregiver of Children With Medical Complexity (CMC)21
21 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)13
Caregiver of Children With Medical Complexity (CMC)30
24 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)21
Caregiver of Children With Medical Complexity (CMC)24
Change in Susceptibility: Likely to Get COVID-19 Primary · baseline, 3 month, 6 month, 9-12 month, 15 month, 18 month, 21 month, 24 month

Following questions from the Participant's perceived susceptibility survey will be answered dichotomously (agree or disagree) and presented qualitatively. * In your opinion, how likely is your child to get sick with COVID-19 by attending school in-person? * Response options: "Not at all", "A little", "Somewhat", "Very", "Extremely" * Dichotomized into: ("Not at all", "A little", "Somewhat") vs. ("Very", "Extremely")

Baseline
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)22
Caregiver of Children With Medical Complexity (CMC)29
3 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)18
Caregiver of Children With Medical Complexity (CMC)30
6 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)21
Caregiver of Children With Medical Complexity (CMC)24
9 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)16
Caregiver of Children With Medical Complexity (CMC)28
15 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)19
Caregiver of Children With Medical Complexity (CMC)20
18 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)23
Caregiver of Children With Medical Complexity (CMC)16
21 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)23
Caregiver of Children With Medical Complexity (CMC)19
24 months
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)25
Caregiver of Children With Medical Complexity (CMC)20
Change in Percentage of Participants for Perceived Severity Survey Question: Health Severely Affected Primary · 15 month, 18 month, 21 month, 24 month

Parent survey perceived severity construct variables will include: * If your child was sick with COVID-19, how likely would...their health be severely affected * Response options: "Not at all", "A little", "Somewhat", "Very", "Extremely" * Dichotomized into: ("Not at all", "A little", "Somewhat") vs. ("Very", "Extremely")

15 month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)20
Caregiver of Children With Medical Complexity (CMC)18
18 month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)25
Caregiver of Children With Medical Complexity (CMC)14
21 month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)29
Caregiver of Children With Medical Complexity (CMC)14
24 month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)26
Caregiver of Children With Medical Complexity (CMC)19
Change in Percentage of Participants to the Perceived Severity Survey Question: Health Permanently Reduced Primary · 15 month, 18 month, 21 month, 24 month

Parent survey perceived severity construct variables will be: * "If your child was sick with COVID-19, how likely would...their health be permanently reduced" * Response options: "Not at all", "A little", "Somewhat", "Very", "Extremely" * Dichotomized into: ("Not at all", "A little", "Somewhat") vs. ("Very", "Extremely")

15-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)17
Caregiver of Children With Medical Complexity (CMC)21
18-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)20
Caregiver of Children With Medical Complexity (CMC)19
21-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)18
Caregiver of Children With Medical Complexity (CMC)25
24-month
GroupValue95% CI
Caregiver of Children With Medical Complexity (CMC)19
Caregiver of Children With Medical Complexity (CMC)26

Sponsor's own description

The purpose of this research study is to learn about the factors parents consider when deciding whether their child will go to school in-person or attend from home. Investigators are also interested in learning whether access to in-home COVID testing is of value to parents and also whether it affects decision-making about returning to school. This study is being done at UW-Madison in partnership between the Department of Pediatrics and the Department of Industrial and Systems Engineering. A total of 50 caregivers (plus their children with medical complexity) will participate in this study. Additionally, 20 caregivers involved in the study may also be invited to participate in a one-hour, virtual visit in which the caregiver demonstrates and discusses how they perform in-home COVID testing with their child. The results of the study may help researchers advance their understanding of in-home testing strategies for children with medical complexity.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Implementation of School-Based COVID-19 Testing Programs in Underserved Populations.
    Haroz EE, Kalb LG, Newland JG, Goldman JL, et al · · 2022 · cited 24× · PMID 34737173 · DOI 10.1542/peds.2021-054268g
  2. Supporting COVID-19 School Safety for Children With Disabilities and Medical Complexity.
    Sherby MR, Kalb LG, Coller RJ, DeMuri GP, et al · · 2022 · cited 19× · PMID 34737172 · DOI 10.1542/peds.2021-054268h
  3. School-Academic Partnerships in Support of Safe Return to Schools During the COVID-19 Pandemic.
    D'Agostino EM, Haroz EE, Linde S, Layer M, et al · · 2022 · cited 8× · PMID 34737180 · DOI 10.1542/peds.2021-054268c
  4. In-Home COVID-19 Testing for Children With Medical Complexity: Feasibility and Association With School Attendance and Safety Perceptions.
    Coller RJ, Kelly MM, Howell KD, Warner G, et al · · 2022 · cited 6× · PMID 36108256 · DOI 10.2105/ajph.2022.306971

Verify or expand the search:

Other trials of BinaxNOW Rapid Antigen System

Trials testing the same drug.

Other recruiting trials for COVID-19

Currently open trials in the same condition.

Other University of Wisconsin, Madison trials

Trials by the same sponsor.

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