NCT06679595

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

• Status: Enrolling By Invitation
• Phase: —
• Study type: Observational
• Enrollment: 1,000 (estimated)
• Sponsor: University Hospital, Ghent · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Accepted

Summary

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

Detailed 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

Conditions

• Chronic Diseases in Children
• Chronic Diseases in Adolescence
• Health Personnel
• Parents

Interventions

Type	Name	Description
OTHER	Pilot project paediatric transmural care	The implementation of pilot projects for transmural care for chronically ill children

Timeline

• Start date: 2024-09-10
• Primary completion: 2026-02-28
• Completion: 2026-02-28
• First posted: 2024-11-07
• Last updated: 2024-11-07

Locations

11 sites across 1 country: Belgium