Mixed-methods evaluation of a structured primary care programme for children and adolescents with mental health problems (PrimA-QuO): a study protocol.
child & adolescent psychiatry
mental health
primary care
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
02 07 2021
02 07 2021
Historique:
entrez:
3
7
2021
pubmed:
4
7
2021
medline:
5
8
2021
Statut:
epublish
Résumé
More than 17% of German children and adolescents have clinically relevant mental health problems (MHP). Typically, general paediatricians are often the first contact for children with MHP, and referrals to specialised care tend to be the standard approach. A statutory health insurance fund developed a programme for children with MHP (Health Coaching (HC)) aiming to offer targeted but low-threshold services. However, little is known about whether HC has the potential for optimising patient care. The aim of the PrimA-QuO study is to examine the effectiveness and the acceptance, barriers and facilitators of all stakeholders of this structured primary care programme for children affected by the most frequently encountered MHP in paediatric practice. In this mixed-methods approach, children (n=800; aged 0-17 years) with MHP meeting all inclusion criteria will be identified in the health insurance database according to International Classification of Diseases, 10th Revision diagnoses between 2018 and 2019. The qualitative component uses a series of semistructured interviews with programme developers, paediatricians trained in HC, adolescents with MHP treated according to the programme guidelines and their parents. In addition, a prospective, pragmatic, parallel-group cohort study will be conducted using an online questionnaire to examine the effects of HC on health-related quality of life of affected children and their families as well as on change in MHP. Children treated according to the HC guidelines form the intervention group, whereas all others serve as controls. Primary data from the cohort study are linked to children's health insurance claims data to calculate the costs of care as proxies for healthcare utilisation. The hypothesis is that HC is an effective and efficient primary care programme with the potential to improve patients' and their families' health outcomes. The study was approved by the Ethical Committee of Ludwig-Maximilians-Universität München. Grant number 01VSF16032 (funded by the German Innovationsfonds).
Identifiants
pubmed: 34215615
pii: bmjopen-2021-052747
doi: 10.1136/bmjopen-2021-052747
pmc: PMC8256752
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e052747Informations de copyright
© Author(s) (or their employer(s)) 2021. 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.
Références
Z Kinder Jugendpsychiatr Psychother. 2018 Nov;46(6):523-533
pubmed: 29846123
Eur Child Adolesc Psychiatry. 2016 Apr;25(4):443-51
pubmed: 26250895
Qual Health Res. 2017 Mar;27(4):591-608
pubmed: 27670770
J Child Psychol Psychiatry. 1997 Jul;38(5):581-6
pubmed: 9255702
Clin Orthop Relat Res. 2015 Nov;473(11):3383-90
pubmed: 25488404
Pharmacoeconomics. 2018 Jun;36(6):663-674
pubmed: 29460066
Med Care. 2003 May;41(5):582-92
pubmed: 12719681
Health Policy. 1990 Dec;16(3):199-208
pubmed: 10109801
Z Kinder Jugendpsychiatr Psychother. 2002 May;30(2):105-12
pubmed: 12053874
J Epidemiol Community Health. 2012 Mar;66(3):194-203
pubmed: 20889591
Eur Child Adolesc Psychiatry. 2004;13 Suppl 2:II3-10
pubmed: 15243780
Gesundheitswesen. 2019 Aug;81(8-09):636-650
pubmed: 31394579
Br J Gen Pract. 2016 Oct;66(651):e693-707
pubmed: 27621291
Eur Child Adolesc Psychiatry. 2000 Dec;9(4):271-6
pubmed: 11202102