Challenges in conducting multicentre, multidisciplinary, longitudinal studies in children with chronic conditions

Hillary L Broder1, Canice E Crerand2, Ryan R Ruff3

  • 1New York University College of Dentistry, New York, NY, USA.

Insights

Longitudinal research on youth with cleft lip and palate presents challenges. Effective communication and flexibility were key to overcoming issues in this 6-year study.

Area of Science:

  • Cleft lip and palate research
  • Longitudinal study design
  • Chronic condition management

Background:

  • Longitudinal, multicentre research in chronic conditions is complex.
  • Investigative teams face foreseen and unforeseen challenges.
  • Adaptability is crucial for successful research execution.

Purpose of the Study:

  • Identify challenges in a longitudinal study of youth with cleft lip and palate (CLP).
  • Document solutions implemented to address these challenges.
  • Inform future longitudinal research on chronic conditions.

Main Methods:

  • Observational, longitudinal study of youth with CLP and caregivers.
  • 6-year duration (2009-2015) across six US multidisciplinary cleft treatment centers.
  • Examined oral health-related quality of life and clinical observations over time.

Main Results:

  • Key challenges included communication, protocol adherence, data quality, site variability, participant retention, and personnel turnover.
  • Balancing clinical and research tasks was also a significant issue.
  • Ongoing communication, commitment, and flexibility were vital for success.

Conclusions:

  • Longitudinal studies of children with CLP and their caregivers present unique challenges.
  • Solutions identified can guide future research design for chronic conditions.
  • Flexibility and strong communication are essential for navigating research complexities.
Abstract

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