Impact of Home Weight Tele-monitoring on the Number of Office Visits in the First Six Weeks of Life in Infants.

Completed · Not applicable

Conditions studied: Failure to Thrive, Newborn Morbidity

In brief

Currently American Academy of Pediatrics (AAP) Bright Futures Guideline recommends 2 visits for all healthy term newborn infants in the first 6 weeks of life, first at 3-5 days of life and the second at around a month. However, compliant parents of infants are known to get at least 1-2 extra visits due to primary care provider's concern about appropriate weight gain. These weight check visits as they take up extra time, car gas, parking charges, loss of work time and paying for childcare during the visits. Clinic resources are also unnecessarily utilized. Remote home monitoring of infant weights with the use of technology could reduce the need for office visits and improve efficiency on the provider side, enhance parental satisfaction and decrease transmission of viruses in the winter season. The main objective is to monitor the daily weight of term infants born at 37 completed weeks of greater, discharged from the newborn nursery, remotely through the electronic medical record by the primary care provider and to reduce any extra visit in the first six weeks of life. Using block randomization, the infants will be assigned to either group A, where no home telemonitoring of weight will take place or group B, where the parent will be provided with a weighing scale. The parent will enter the weight into the MyChart application on the smartphone or on the computer which will be tracked by the pediatrician. The pediatrician will take the decision whether to bring the infant in for a weight check visit based on the weight information. If the weight gain is satisfactory, the pediatrician will see the patient at around 1 month of age per recommendation and the parents will stop the weight checks at that time. The sample size required was 16 on each arm (total 32) which has been increased to 20 each arm to account for technical problems and/or loss to follow up.

Key facts

Study ID

NCT04985227

Run by

The Cleveland Clinic

People needed

40

Starts

2021-08-09

Expected to finish

2023-02-24

Last updated by the study team

2023-03-13

Who can join

Age: any. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Born at Fairview Hospital and discharged from the newborn nursery
• Gestation of 37 weeks and 0 days or greater and weight appropriate for gestation age
• Weight loss is within the range of normal per standard guidelines for the postnatal day (need to elaborate)
• Parents who agree to download the patient portal application of Cleveland Clinic and have access to the infant's information on it.

You may not qualify if…

• Admitted to the NICU after birth
• Congenital malformations or complex health care issues requiring outpatient monitoring by any other provider other than the pediatrician.
• History of drug abuse in mother
• Twin or triplet birth
• Mother does not speak English

Where it is running

• Fairview Hospital — Cleveland, Ohio, United States

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