ReSET: Restarting Safe Education and Testing for Children with Medical Complexity

The study objective is to increase safe return to school for CMC (children with medical complexity) and school personnel through 3 complementary approaches/aims. Aim 1 proposes to determine the feasibility of in-home and school-based testing strategies for CMC, as well as to gain understanding of parent perceptions about in-person school attendance. Activities in this aim involve 3 cohorts: Cohort 1 are caregivers and CMC enrolled in a complex care program. Subjects are offered in-home testing kits and asked to complete quarterly surveys on parent perceptions of safe school attendance during the pandemic. Cohort 2 involves students and staff of a preschool providing care to typically developing and special needs students. Subjects are offered in-school and in-home testing, and are asked to complete the quarterly surveys. Cohort 3 involves students enrolled at a K-12 school exclusively serving children with special needs. Parents are asked to complete the quarterly surveys and may also opt to share their child's COVID testing results performed at the school.
Aim 2 attempts to broaden understanding of parent perceptions predicting school attendance by soliciting parents of CMC receiving care at a large academic medical center to complete the quarterly survey on perceptions of safe school attendance during the pandemic. Aim 3 is to establish a consensus set of stakeholder priorities to facilitate safe school attendance for CMC.