Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol
Abstract Background First Nations children hospitalised with acute lower respiratory infections (ALRIs) are at increased risk of future bronchiectasis (up to 15–19%) within 24-months post-hospitalisation. An identified predictive factor is persistent wet cough a month after hospitalisation and this...
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ftdoajarticles:oai:doaj.org/article:12338acda2a64fb69646419b962b1e8e 2023-05-15T16:14:52+02:00 Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol André Schultz Anne B. Chang Fenella Gill Roz Walker Melanie Barwick Sarah Munns Matthew N. Cooper Richard Norman Pamela Laird 2022-03-01T00:00:00Z https://doi.org/10.1186/s12890-022-01878-3 https://doaj.org/article/12338acda2a64fb69646419b962b1e8e EN eng BMC https://doi.org/10.1186/s12890-022-01878-3 https://doaj.org/toc/1471-2466 doi:10.1186/s12890-022-01878-3 1471-2466 https://doaj.org/article/12338acda2a64fb69646419b962b1e8e BMC Pulmonary Medicine, Vol 22, Iss 1, Pp 1-16 (2022) First Nations children Knowledge translation Chest infections Diseases of the respiratory system RC705-779 article 2022 ftdoajarticles https://doi.org/10.1186/s12890-022-01878-3 2022-12-31T08:24:21Z Abstract Background First Nations children hospitalised with acute lower respiratory infections (ALRIs) are at increased risk of future bronchiectasis (up to 15–19%) within 24-months post-hospitalisation. An identified predictive factor is persistent wet cough a month after hospitalisation and this is likely related to protracted bacterial bronchitis which can progress to bronchiectasis, if untreated. Thus, screening for, and optimally managing, persistent wet cough one-month post-hospitalisation potentially prevents bronchiectasis in First Nations’ children. Our study aims to improve the post-hospitalisation medical follow-up for First Nations children hospitalised with ALRIs and thus lead to improved respiratory health. We hypothesize that implementation of a strategy, conducted in a culturally secure manner, that is informed by barriers and facilitators identified by both parents and health care providers, will improve medical follow-up and management of First Nations children hospitalized with ALRIs. Methods Our trial is a multi-centre, pseudo-randomized stepped wedge design where the implementation of the strategy is tailored for each study site through a combined Participatory Action Research and implementation science approach informed by the Consolidated Framework of Implementation Research. Outcome measures will consist of three categories related to (i) health, (ii) economics and (iii) implementation. The primary outcome measure will be Cough-specific Quality of Life (PC-QoL). Outcomes will be measures at each study site/cluster in three different stages i.e., (i) nil-intervention control group, (ii) health information only control group and (iii) post-intervention group. Discussion If our hypothesis is correct, our study findings will translate to improved health outcomes (cough related quality of life) in children who have persistent wet cough a month after hospitalization for an ALRI. Trial registration ACTRN12622000224729, prospectively registered 8 February 2022, URL: ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles BMC Pulmonary Medicine 22 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
topic |
First Nations children Knowledge translation Chest infections Diseases of the respiratory system RC705-779 |
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First Nations children Knowledge translation Chest infections Diseases of the respiratory system RC705-779 André Schultz Anne B. Chang Fenella Gill Roz Walker Melanie Barwick Sarah Munns Matthew N. Cooper Richard Norman Pamela Laird Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol |
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First Nations children Knowledge translation Chest infections Diseases of the respiratory system RC705-779 |
description |
Abstract Background First Nations children hospitalised with acute lower respiratory infections (ALRIs) are at increased risk of future bronchiectasis (up to 15–19%) within 24-months post-hospitalisation. An identified predictive factor is persistent wet cough a month after hospitalisation and this is likely related to protracted bacterial bronchitis which can progress to bronchiectasis, if untreated. Thus, screening for, and optimally managing, persistent wet cough one-month post-hospitalisation potentially prevents bronchiectasis in First Nations’ children. Our study aims to improve the post-hospitalisation medical follow-up for First Nations children hospitalised with ALRIs and thus lead to improved respiratory health. We hypothesize that implementation of a strategy, conducted in a culturally secure manner, that is informed by barriers and facilitators identified by both parents and health care providers, will improve medical follow-up and management of First Nations children hospitalized with ALRIs. Methods Our trial is a multi-centre, pseudo-randomized stepped wedge design where the implementation of the strategy is tailored for each study site through a combined Participatory Action Research and implementation science approach informed by the Consolidated Framework of Implementation Research. Outcome measures will consist of three categories related to (i) health, (ii) economics and (iii) implementation. The primary outcome measure will be Cough-specific Quality of Life (PC-QoL). Outcomes will be measures at each study site/cluster in three different stages i.e., (i) nil-intervention control group, (ii) health information only control group and (iii) post-intervention group. Discussion If our hypothesis is correct, our study findings will translate to improved health outcomes (cough related quality of life) in children who have persistent wet cough a month after hospitalization for an ALRI. Trial registration ACTRN12622000224729, prospectively registered 8 February 2022, URL: ... |
format |
Article in Journal/Newspaper |
author |
André Schultz Anne B. Chang Fenella Gill Roz Walker Melanie Barwick Sarah Munns Matthew N. Cooper Richard Norman Pamela Laird |
author_facet |
André Schultz Anne B. Chang Fenella Gill Roz Walker Melanie Barwick Sarah Munns Matthew N. Cooper Richard Norman Pamela Laird |
author_sort |
André Schultz |
title |
Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol |
title_short |
Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol |
title_full |
Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol |
title_fullStr |
Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol |
title_full_unstemmed |
Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol |
title_sort |
implementation of a strategy to facilitate effective medical follow-up for australian first nations children hospitalised with lower respiratory tract infections: study protocol |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12890-022-01878-3 https://doaj.org/article/12338acda2a64fb69646419b962b1e8e |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Pulmonary Medicine, Vol 22, Iss 1, Pp 1-16 (2022) |
op_relation |
https://doi.org/10.1186/s12890-022-01878-3 https://doaj.org/toc/1471-2466 doi:10.1186/s12890-022-01878-3 1471-2466 https://doaj.org/article/12338acda2a64fb69646419b962b1e8e |
op_doi |
https://doi.org/10.1186/s12890-022-01878-3 |
container_title |
BMC Pulmonary Medicine |
container_volume |
22 |
container_issue |
1 |
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1766000606272552960 |