RED KARD: Reducing Disparities in Knee Arthroscopy for Adolescents
Ann & Robert H Lurie Children's Hospital of Chicago
Summary
Hundreds of thousands of youth athletes require surgery for knee injuries annually. The incidence of operative knee injuries has skyrocketed, but surgery can be delayed due to late recognition and barriers, such as insurance, language, and difficulty navigating the healthcare system. Delays may have lifelong effects, including arthritis, persistent instability, poor patient reported outcomes, and reoperation. There is little patient-centered research on barriers to orthopaedic care, and none on interventions to reduce disparities in pediatric sports medicine. This study will focus on Hispanic children, a growing population nationally and 38% of the Chicago's children, who are at increased risk of delayed knee surgery and its sequelae compared to white, non-Hispanic patients. The overall objectives are to identify barriers to timely knee surgery in Hispanic athletes and develop an intervention to implement evidence on expedient treatment. The aim of this study is to evaluate feasibility, acceptability, and appropriateness of a culturally-tailored intervention in a pilot study of Hispanic youth soccer leagues. The proposed study will drive creation of a future community trial of a culturally-tailored intervention.
Description
Overview of study design: Teams from soccer leagues will be randomized to either participate in the intervention (aim 2) or only receive navigator information. Post-season surveys and focus groups will assess feasibility, acceptability, and appropriateness of the intervention as well as feedback for further iterative UCD. Data completeness will be tracked to assess study feasibility. Baseline and post-season surveys will compare athletes' attitudes and familiarity with surgical knee injuries and likeliness to seek care. We will collect data on injuries and clinical care, but these are secondar…
Eligibility
- Age range
- 14–18 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Predominantly Hispanic soccer team * Players between 14-18 years of age Exclusion Criteria: -Players younger than 14 or older than 18 years of age
Interventions
- BehavioralEducational program and patient navigator
Players, coaches, and families randomized to the intervention arm will participate in a brief evidence-based presentation on surgical knee injuries led by a bilingual navigator and be encouraged to contact the navigator with injury concerns throughout the season.
Location
- Ann & Robert H. Lurie Children's Hospital of ChicagoChicago, Illinois