Codesign and evaluation of advanced therapeutic information resources for and with families of children with neurological conditions: a mixed methods cross-sectional study.

IF 4.3 3区 医学 Q1 PEDIATRICS
Christian Elias Meagher, Didu S Kariyawasam, Kristine A Elias Concepcion, Russell Dale, Kate Hetherington, Shekeeb Mohammad, Elizabeth Emma Palmer, Susan Woolfenden, Michelle Anne Farrar
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引用次数: 0

Abstract

Objective: Parents and caregivers of children with neurological conditions express interest in new and developing treatments and trials; however, they have limited knowledge of, and access to, reliable information. This study aims to empower and equip decision-making and support communication in the application of advanced neurotherapeutics and personalised medicine, covering gene therapy, stem cell therapy, neurostimulation and neuroimmunotherapies.

Design: A suite of online psychoeducational resources has been created and evaluated to establish implementation success. A codesign approach was incorporated in this mixed methods cross-sectional study.

Setting: Quaternary children's hospital network.

Patients: Across three phases, 105 parents of children with neurological conditions, clinicians and advocacy group representatives participated.

Interventions: A suite of psychoeducational resources about advanced therapeutics in clinical trials was codeveloped with parents and evaluated.

Main outcome measures: Acceptability, Appropriateness, and Feasibility of Intervention Measures, Preparedness for Decision-Making Scale, Decision Self-efficacy Scale and open-ended qualitative feedback.

Results: The resources provide an acceptable, appropriate, credible and feasible source of information. Parents also established they help with preparedness and confidence in decision-making regarding the applications of neurotherapeutics.

Conclusions: This study and its results are aligned with, and supports, the needs and preferences of caregivers of children with neurological conditions, promoting information provision, healthcare engagement and clinical decision-making. These resources will form a foundation for accurate and contemporary scientific knowledge that is distilled and available to a wide range of stakeholders.

为神经系统疾病患儿家庭设计并评估高级治疗信息资源:一项混合方法横断面研究。
目的:神经系统疾病患儿的家长和护理人员对新的和正在开发的治疗方法和试验表示出浓厚的兴趣;然而,他们对可靠信息的了解和获取途径却十分有限。本研究旨在为先进的神经治疗学和个性化医学的应用提供决策支持和交流,包括基因治疗、干细胞治疗、神经刺激和神经免疫治疗:设计:创建了一套在线心理教育资源,并对其进行了评估,以确定实施是否成功。在这项混合方法横断面研究中,采用了代码设计方法:地点:四级儿童医院网络:患者:105 名神经系统疾病患儿的家长、临床医生和权益团体代表参与了三个阶段的研究:干预措施:与家长共同开发了一套关于临床试验中的先进疗法的心理教育资源,并对其进行了评估:主要结果测量:干预措施的可接受性、适当性和可行性,决策准备量表,决策自我效能量表和开放式定性反馈:结果:这些资源提供了可接受的、适当的、可信的和可行的信息来源。结果:这些资源提供了可接受的、适当的、可信的和可行的信息来源,家长们也认为它们有助于在神经治疗应用决策方面做好准备和增强信心:本研究及其结果符合并支持神经系统疾病患儿护理人员的需求和偏好,促进了信息提供、医疗保健参与和临床决策。这些资源将为提炼出准确的当代科学知识奠定基础,并提供给广泛的利益相关者。
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来源期刊
CiteScore
5.80
自引率
3.80%
发文量
291
审稿时长
3-6 weeks
期刊介绍: Archives of Disease in Childhood is an international peer review journal that aims to keep paediatricians and others up to date with advances in the diagnosis and treatment of childhood diseases as well as advocacy issues such as child protection. It focuses on all aspects of child health and disease from the perinatal period (in the Fetal and Neonatal edition) through to adolescence. ADC includes original research reports, commentaries, reviews of clinical and policy issues, and evidence reports. Areas covered include: community child health, public health, epidemiology, acute paediatrics, advocacy, and ethics.
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