Predictors of successful telephone follow-up in a multicenter study of infants with severe bronchiolitis
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Published on: August 7, 2017
Vickie Wu1, Nora Abo-Sido2, Janice A Espinola3
1Albany Medical College, Albany, NY.
Insights
Sociodemographic factors like income and insurance predict successful telephone follow-up for infants with severe bronchiolitis. Geographic location and child
Area of Science:
- Pediatric pulmonology
- Public health research
- Clinical epidemiology
Background:
- Infants hospitalized with severe bronchiolitis require follow-up to assess long-term respiratory issues.
- Effective telephone follow-up is crucial for data collection in pediatric cohort studies.
Purpose of the Study:
- To identify sociodemographic and geographic predictors of successful telephone follow-up with parents of infants hospitalized with severe bronchiolitis.
- To understand factors influencing participant engagement in long-term pediatric respiratory studies.
Main Methods:
- Prospective cohort study at 17 centers analyzing data from infants under 1 year hospitalized with bronchiolitis.
- Telephone interviews conducted at 6-month intervals post-discharge, with primary outcome being 12-month interview completion.
- Analysis of clinical and sociodemographic data, including insurance, income, race/ethnicity, household size, and geographic region.
Main Results:
- 87% of eligible infants completed the 12-month telephone interview.
- Successful follow-up was associated with private health insurance, higher household income, and residence in the Northeast, Midwest, or West.
- Lower follow-up rates were observed among non-Hispanic Black, Hispanic parents, and households with 3 or more children. Female infants had higher follow-up rates.
Conclusions:
- Sociodemographic characteristics and geographic location significantly predict successful telephone follow-up in this cohort.
- These findings are important for optimizing participant retention in studies involving infants with severe respiratory illnesses.
- Tailoring follow-up strategies based on identified predictors may improve data collection in pediatric research.
Purpose:
To identify the characteristics that predict successful telephone follow-up with parents of infants with severe bronchiolitis.
Methods:
We analyzed data from a 17-center, prospective cohort study of infants (age <1 year) hospitalized with bronchiolitis during three consecutive fall/winter seasons. Participant contact information and clinical data were collected during the index hospitalization. Parents were called at 6-month intervals (based on the child's age) after discharge to assess respiratory problems. The primary outcome was age 12-month telephone interview status. Participants were classified as unreachable after 28 days of unsuccessful attempts.
Results:
798 of 916 children (87%) completed the age 12-month telephone interview. In unadjusted analyses, factors associated with successful follow-up included: private health insurance, annual household income $60,000 or more, and residing in the Northeast, Midwest, or West. Follow-up was less common among non-Hispanic blacks, Hispanics, and households with 3 or more children. In multivariable analyses, follow-up was more likely among parents of females, and, compared with the South, in the Northeast and Midwest (all P < .05). Compared with non-Hispanic whites, non-Hispanic blacks and Hispanics remained less likely to complete the interview as did households with 3 or more children (all P < .05).
Conclusion:
Sociodemographic and geographic factors predict successful telephone follow-up, even among parents of infants with severe illness.
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