Transition from child to adult health services for young people with cerebral palsy in Ireland: a mixed-methods study protocol.

adult neurology developmental neurology & neurodisability neurology paediatric neurology rehabilitation medicine

Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
22 12 2020
Historique:
entrez: 29 12 2020
pubmed: 30 12 2020
medline: 15 5 2021
Statut: epublish

Résumé

The transition from child to adult health services is a challenging and complex process for young people with cerebral palsy (CP). Poorly managed transition is associated with deterioration in health, increased hospitalisations and reduced quality of life. While international research identifies key practices that can improve the experience and outcomes of transition, there is a paucity of data in the Irish context. This research study aims to gain an insight into the experience of transition for young people with CP in Ireland. A convergent parallel mixed-methods design will be used to collect, analyse and interpret quantitative and qualitative data. Participants will be young people aged 16-22 years with CP, their parent(s)/carer(s) and service providers. Quantitative and qualitative data will be collected through questionnaires and interviews, respectively. Quantitative data will be reported using descriptive statistics. Where sufficient data are collected, we will examine associations between the experience of transition practices and sociodemographic and CP-related factors, respectively, using appropriate regression models. Associations between service provider characteristics and provision of key transition practices may also be explored using appropriate regression models. Qualitative data will be analysed using the Framework Method. A coding matrix based on key transitional practices identified from the literature will be used to identify convergence and divergence across study components at the integration stage. The study has been approved by the RCSI University of Medicine and Health Sciences Research Ethics Committee (REC201911010). Results will be presented to non-academic stakeholders through a variety of knowledge translation activities. Results will be published in open access, peer-reviewed journals and presented at national and international scientific conferences.

Identifiants

pubmed: 33371036
pii: bmjopen-2020-041425
doi: 10.1136/bmjopen-2020-041425
pmc: PMC7757447
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e041425

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Jennifer M Ryan (JM)

Department of Public Health and Epidemiology, RCSI University of Medicine and Health Sciences, Dublin, Ireland jenniferryan@rcsi.ie.

Jennifer Fortune (J)

Department of Public Health and Epidemiology, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

Aisling Walsh (A)

Department of Public Health and Epidemiology, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

Meriel Norris (M)

College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, UK.

C Kerr (C)

School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.

Owen Hensey (O)

Medical Department, Central Remedial Clinic, Dublin, Ireland.

Thilo Kroll (T)

School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, UK.

Grace Lavelle (G)

Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Mary Owens (M)

Physiotherapy Department, Central Remedial Clinic, Dublin, Ireland.

M Byrne (M)

National Disability Children & Families Team, Social Care Division, Health Service Executive, Dublin, Ireland.

Michael Walsh (M)

Office of the Chief Clinical Officer, Health Service Executive, Dublin, Ireland.

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