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A Triple Perspective on the Triple Visit: Protocol for a Mixed Methods Evaluation of the Implementation of a
Aisling Curtin Wach1, Yasmin Lalani1,2, Alexandra Christofides3
1Humber River Health Research Institute, Toronto, ON, Canada.
Insights
This study evaluates a new holistic clinic model for pediatric inflammatory bowel disease (IBD) care. The multidisciplinary approach aims to improve care access and education for young patients with IBD.
Area of Science:
- Pediatric Gastroenterology
- Healthcare Management
- Patient-Centered Care
Background:
- Inflammatory Bowel Disease (IBD) significantly impacts pediatric patients' physical and psychosocial well-being.
- Current management often lacks a formalized, multidisciplinary clinic model for holistic care in pediatric IBD.
- Existing approaches do not fully address the comprehensive needs of young IBD patients.
Purpose of the Study:
- To evaluate the implementation of a novel clinic model for pediatric IBD.
- The model focuses on delivering holistic care, ensuring rapid access, and providing health education.
- This study aims to assess the effectiveness and challenges of this integrated approach.
Main Methods:
- A multiperspective mixed methods design was employed, integrating qualitative and quantitative data.
- Data collection involved chart reviews, observations, surveys, and interviews with clinicians, parents, and pediatric patients.
- Triangulation of diverse data sources ensures a comprehensive evaluation of the IBD clinic.
Main Results:
- Study ethics approval obtained December 23, 2024.
- Recruitment commenced January 30, 2025, with data collection concluding December 2025.
- This timeline facilitates a robust evaluation of the new clinic model.
Conclusions:
- The study protocol offers methodological guidance for evaluating similar pediatric IBD clinic models.
- Findings will illuminate successes and challenges in implementing multidisciplinary, holistic care for pediatric IBD.
- This evaluation is foundational for understanding the impact of integrated care models on pediatric IBD patients.
Background:
Given the impact of inflammatory bowel disease (IBD) on both physical health and psychosocial functioning, the management of pediatric IBD requires a multidisciplinary approach that provides holistic care, rapid access, and health education to young patients with IBD. Yet despite recommendations, a formalized clinic model for holistic pediatric IBD care remains an unmet need for this population.
Objective:
The objective of this study is to comprehensively evaluate the implementation of a new clinic model aimed at providing holistic care, rapid access, and health education for pediatric patients with IBD.
Methods:
This study uses a multiperspective mixed methods design, incorporating both qualitative and quantitative data collected simultaneously from clinicians, parents or guardians, and pediatric patients. The quantitative component includes a pre-post implementation chart review, structured observations of clinical practices, and surveys tailored to pediatric patients and their parents or guardians. The qualitative aspect encompasses semistructured interviews with clinicians and parents or guardians as well as play-based interviews with patients. Triangulation will be used to converge these different methodologies and to produce a holistic evaluation of the IBD clinic.
Results:
This study was approved by the Humber River Health Research Ethics Board on December 23, 2024. Recruitment for this study began on January 30, 2025, and we anticipate a data collection end date of December 2025.
Conclusions:
Given that this clinic model is relatively new, this protocol will provide sound methodological direction for other studies that aim to evaluate or implement this type of model in their setting. The evaluation itself will provide comprehensive insights into both the successes and challenges of implementing a multidisciplinary approach that provides a holistic model of care for pediatric patients with IBD. As such, this evaluation will be foundational in providing an applied understanding of the impact and effectiveness of this holistic approach in pediatric patients with IBD.
International Registered Report Identifier (Irrid):
PRR1-10.2196/72670.
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