Transitioning Young Patients' Health Care Trajectories

Haukeland University Hospital

Status: Invitation-only

Conditions: Child, Only; Multi-morbidity; Mental Health Impairment; Health Care Utilization

Treatments: Other: Transitioning young patients' health care trajectories

Study type: Interventional

Funder types: Other

Identifiers

NCT04652154

2018/344

Details and patient eligibility

About

The project aims to transition the approach used to care for children with complex conditions and care pathways into a more holistic and coordinated model. The traditional model where specialists independently treat single diseases, makes joint and coordinated decisions about patients with multiple and unclear conditions difficult. In particular there is a gap between mental and somatic services.

In preparation for re-designing the care model, several pre-studies are conducted, both a register study and a collection of user reported experiences. Built on the results, we have invented multi-disciplinary teams of complementary competences including paediatricians, psychologists, and physiotherapists to meet the patient and family. The study includes:

• To implement the new team intervention in a clinical case-control study
• To scientifically evaluate the intervention
• To systematise lessons learned in regard to potential spread across systems and patient groups Children 6-16 years together with family and professionals will constitute the team. The assessment aims to clarify the patient's condition through shared decision making and to develop a treatment plan for the child. It is a clinical randomised controlled trial where TpT children will be compared to children following treatment as usual. It includes a one year follow-up regarding a set of evaluation domains: provider perspectives, user-centred experiences and outcomes, as well as health care outcomes.

Full description

200 children with multi-referrals will be invited to either intervention or treatment as usual at their third or more referral to Haukeland university hospital.

In the intervention group the child and family will meet a complementary team of professionals for more than two hours aimimg to get a clarification of the patient's condition and giving coping strategies for their condition. Outcome defined as better mental health and quality of life as well as increased school attendence are some of the measures being collected. These outcomes will be compared to the control group after 12 mth.

Enrollment: 100 estimated patients

Sex: All

Ages: 6 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 6-16 years,
• Previous referred to specialist health care service for 3 or more times, including mental health service as well paediatric service.

Exclusion criteria

• Not within age range
• Less than 3 referrals

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Control

Other group

Description:

Control group is recieving treatment as ususal

Treatment:

Other: Transitioning young patients' health care trajectories

Intervention group

Experimental group

Description:

The intervention group getting the new assessment by a complementary professional team

Treatment:

Other: Transitioning young patients' health care trajectories