biostudies-literatureColler RJNational Center for Advancing Translational SciencesNCATS NIH HHSU.S. Department of Health and Human ServicesNational Heart, Lung, and Blood InstituteNHLBI NIH HHSNational Institutes of HealthHealth Resources and Services AdministrationGovernment of South Australia109-115.e2https://www.ebi.ac.uk/biostudies/studies/S-EPMC9850432biostudies-literatureUnknown247<h4>Objective</h4>To test associations between parent-reported confidence to avoid hospitalization and caregiving strain, activation, and health-related quality of life (HRQOL).<h4>Study design</h4>In this prospective cohort study, enrolled parents of children with medical complexity (n = 75) from 3 complex care programs received text messages (at random times every 2 weeks for 3 months) asking them to rate their confidence to avoid hospitalization in the next month. Low confidence, as measured on a 10-point Likert scale (1 = not confident; 10 = fully confident), was defined as a mean rating <5. Caregiving measures included the Caregiver Strain Questionnaire, Family Caregiver Activation in Transition (FCAT), and caregiver HRQOL (Medical Outcomes Study Short Form 12 [SF12]). Relationships bThe Journal of pediatricsCaregiving and Confidence to Avoid Hospitalization for Children with Medical Complexity.PMC9850432R34HL153570UL1 TR002373UA6MC31101UL1TR000427R34 HL153570UL1 TR000427Thompson LRColler RJLerner CFGarrity BMChung PJEickhoff JBerry JGWarner GKlitzner TSNacht CLEhlenbach MLBowe TCushing CCfalseCaregiving and Confidence to Avoid Hospitalization for Children with Medical Complexity.<h4>Objective</h4>To test associations between parent-reported confidence to avoid hospitalization and caregiving strain, activation, and health-related quality of life (HRQOL).<h4>Study design</h4>In this prospective cohort study, enrolled parents of children with medical complexity (n = 75) from 3 complex care programs received text messages (at random times every 2 weeks for 3 months) asking them to rate their confidence to avoid hospitalization in the next month. Low confidence, as measured on a 10-point Likert scale (1 = not confident; 10 = fully confident), was defined as a mean rating <5. Caregiving measures included the Caregiver Strain Questionnaire, Family Caregiver Activation in Transition (FCAT), and caregiver HRQOL (Medical Outcomes Study Short Form 12 [SF12]). Relationships b2022-01-01T00:00:00Z2022 Aug2025-04-04T21:13:59.252Z2024-12-03T17:56:04.074ZS-EPMC98504323556952210.1016/j.jpeds.2022.05.011