Evidence map›Paper›PMID 37951903›Full record

Trial reportBMC health services research2023

An interdisciplinary intervention for children and adolescents with multiple referrals and complex health complaints: a feasibility study.

Ragnhild B Lygre, Rolf Gjestad, Tone M Norekvål, Stewart W Mercer, Irene Bircow Elgen

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04652154 (Transitioning Young Patients' Health Care Trajectories), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04652154 naunknown statusnot on this map

Transitioning Young Patients' Health Care Trajectories (TpT) Bridging the Gap Between Mental and Somatic Health Services "Tjenester på Tvers"

TypeinterventionalSponsorHaukeland University HospitalRan2020 to 2025Enrolled100ConditionsHealth Care Utilization, Mental Health Impairment, Child, Only, Multi-morbidityArmsTransitioning young patients' health care trajectories
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ragnhild B LygreDepartment of Clinical Medicine, University of Bergen, Postbox 7804, 5020, Bergen, Norway. ralyg0358@uib.no.
Rolf GjestadResearch Department, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Tone M NorekvålCentre on Patient-Reported Outcomes, Haukeland University Hospital, Bergen, Norway.
Stewart W MercerUsher Institute, University of Edinburgh, Edinburgh, Scotland.
Irene Bircow ElgenDepartment of Clinical Medicine, University of Bergen, Postbox 7804, 5020, Bergen, Norway.

Funding

Helse Vest Regionalt Helseføretak 4800005960
6 · The paper itself

Abstract

backgroundChildren and adolescents with complex health complaints are often referred to several different healthcare specialists for assessments and treatment. This may result in fragmented care, higher risks of medical errors, and sub-optimal health outcomes. The aim of this non-controlled open label trial was to evaluate the feasibility of implementing a new interdisciplinary intervention for children and adolescents with multiple referrals and complex health complaints and to gather experiences from participating children, adolescents and parents.

methodsIn all, 47 children and adolescents aged 6-16 years with multiple referrals at a tertiary hospital were invited to participate. The intervention was a half-day consultation based on a biopsychosocial model. The aim of the intervention was to clarify the child/adolescent's condition(s) and provide a joint understanding and treatment plan in collaboration with the family. A team consisting of a pediatrician, a physiotherapist and a psychologist delivered the intervention. Acceptance and completion rate was recorded, and child- and parent-experience measures were collected; the children and adolescents completed the Visual Consultation and Relational Empathy Scale (CARE) five questions and parents completed two de novo created measures about their experiences.

resultsAlmost all invited families consented to participate (96%) and ultimately received the interdisciplinary intervention (92%). Mean age of the children and adolescents was 12 years, and under half were boys (40%). Before the intervention, 39 (91%) parents completed a questionnaire about previous experiences with healthcare. After the consultation 39 children and adolescents (91%) and 40 (93%) parents completed the questionnaire regarding their experience with the interdisciplinary intervention. Of the children and adolescents, 18-30 (47-77%) rated relational empathy in the intervention as "Very good" or "Excellent". Of the parents, 35-39 (92-100%) rated their experience with the consultation using the more positive response options. The parents were significantly more content with the intervention compared to previously received healthcare (p < .001).

conclusionsThe present intervention was highly acceptable with positively reported experiences from parents of, and children and adolescents with, complex health complaints. A future randomized controlled trial is required to test the effectiveness of this intervention.

trial registrationThe study was registered at ClinicalTrials.gov NCT04652154 03.12.2020. Retrospectively registered.

Indexed as

ParentsReferral and ConsultationAdolescentChildFeasibility StudiesFemaleHumansMaleAdolescentsChildrenComplex health complaintsInterdisciplinaryMental healthcareMulti-referralParentPatient reported experiencesPediatrics

Identifiers

PMID37951903
PMCPMC10638682

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.