Transmural Care for Chronically Ill Children: Scientific Guidance and Evaluation of Pilot Projects (PETRACA)

Ghent University Hospital (UZ)

Status

Invitation-only

Conditions

Chronic Diseases in Children

Health Personnel

Chronic Diseases in Adolescence

Parents

Treatments

Other: Pilot project paediatric transmural care

Study type

Observational

Funder types

Other

Identifiers

NCT06679595

B670204000193

Details and patient eligibility

About

The goal of this Realist Evaluation is to evaluate the implementation of pilot projects for transmural care in chronically ill children.

The main question it aims to answer is: To what extent and how do the pilot projects for transmural care for chronically ill children provide an answer to the quintuple aim?

Participants will

Complete questionnaires at three timepoints
Participate in focus group interviews

Full description

Introduction Chronic diseases have been increasing over the past few years, including in children. The chronic condition affects their daily functioning and quality of life and leads to frequent hospital admissions. To avoid unneccessary hospital admissions and to offer alternative and innovative forms of care, the Belgian Federal Public Service of Public Health, Food Chain Safety and Environment selected five pilot projects for transmural care for chronically ill children. This study was designed to evaluate these projects.

Methods and design The overall approach is a two-year longitudinal prospective Realist Evaluation using a mixed-methods design.

The quantitative strand, using routine data and questionnaires, will examine whether data from children, parents/legal guardians and healthcare professionals involved in a pilot project for paediatric transmural care comply with the quintuple aim outcomes.

The qualitative strand will be used (1) to evaluate the structure of the interventions, (2) for process evaluation and context analysis, and (3) to gather more in-depth information. This includes document analysis (including logbooks), focus groups with children, parents/legal guardians and healthcare professionals, and non-participatory observations.

Ethical Informed consent is required prior to inclusion in the evaluation study. Informed assent is requested from children older than 12 years. For this study, advice is asked from the Research Ethics Committee of Ghent University Hospital

Enrollment

1,000 estimated patients

Sex

All

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Children: any child up to the age of 18 participating in a pilot project for paediatric transmural care.
Parent/Legal guardian: any parent or legal guardian of a child participating in a pilot project for paediatric transmural care
Healthcare professionals: any healthcare professional with patient contact involved within a pilot project for paediatric transmural care
Coordinators: all study and care coordinators involved within a pilot project for paediatric transmural care

Exclusion criteria