Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections
Background: Aboriginal children hospitalised with acute lower respiratory infections (ALRIs) are at-risk of developing bronchiectasis, which can progress from untreated protracted bacterial bronchitis, often evidenced by a chronic (>4 weeks) wet cough following discharge. We aimed to facilitate f...
Published in: | The Lancet Regional Health - Western Pacific |
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Main Authors: | , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | unknown |
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Elsevier Ltd.
2023
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Online Access: | https://eprints.qut.edu.au/246605/ |
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Open Polar |
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Queensland University of Technology: QUT ePrints |
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ftqueensland |
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topic |
Chest infections First nations children Implementation science Knowledge translation |
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Chest infections First nations children Implementation science Knowledge translation Laird, Pamela J. Chang, Anne B. Walker, Roz Barwick, Melanie Whitby, Jack Cooper, Matthew N. Gill, Fenella McKinnon, Elizabeth Schultz, André Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections |
topic_facet |
Chest infections First nations children Implementation science Knowledge translation |
description |
Background: Aboriginal children hospitalised with acute lower respiratory infections (ALRIs) are at-risk of developing bronchiectasis, which can progress from untreated protracted bacterial bronchitis, often evidenced by a chronic (>4 weeks) wet cough following discharge. We aimed to facilitate follow-up for Aboriginal children hospitalised with ALRIs to provide optimal management and improve their respiratory health outcomes. Methods: We implemented an intervention to facilitate medical follow-up four weeks after hospital discharge from a paediatric hospital in Western Australia. The intervention included six-core components that focused on parents, hospital staff and hospital processes. Both health and implementation outcomes were measured for children grouped by three distinct temporal periods of recruitment: (i) nil-intervention, recruited after hospital admission; (ii) health-information only, received during recruitment at hospital admission, pre-intervention; (iii) post-intervention. The primary outcome was the cough-specific quality-of-life score (PC-QoL) in children with a chronic wet cough following discharge. Findings: Of the 214 patients that were recruited, 181 completed the study. Follow-up rates one-month post-discharge were higher in the post-intervention (50.7%) than the nil-intervention (13.6%) and health-information (17.1%) groups. PC-QoL in children with a chronic wet cough was also improved in the post-intervention group compared the health information and nil-intervention groups (difference in means between nil-intervention and post-intervention groups = 1.83, 95% CI: 0.75, 2.92, p = 0.002), aligning with an increase in the percentage who received evidence-based treatment, namely antibiotics at one-month post-discharge (57.9% versus 13.3%). Interpretation: Implementation of our co-designed intervention to facilitate effective and timely medical follow-up for Aboriginal children hospitalised with ALRIs improved their respiratory health outcomes. Funding: State, national grants and ... |
format |
Article in Journal/Newspaper |
author |
Laird, Pamela J. Chang, Anne B. Walker, Roz Barwick, Melanie Whitby, Jack Cooper, Matthew N. Gill, Fenella McKinnon, Elizabeth Schultz, André |
author_facet |
Laird, Pamela J. Chang, Anne B. Walker, Roz Barwick, Melanie Whitby, Jack Cooper, Matthew N. Gill, Fenella McKinnon, Elizabeth Schultz, André |
author_sort |
Laird, Pamela J. |
title |
Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections |
title_short |
Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections |
title_full |
Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections |
title_fullStr |
Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections |
title_full_unstemmed |
Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections |
title_sort |
evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for aboriginal children hospitalised with chest infections |
publisher |
Elsevier Ltd. |
publishDate |
2023 |
url |
https://eprints.qut.edu.au/246605/ |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
The Lancet Regional Health - Western Pacific |
op_relation |
doi:10.1016/j.lanwpc.2023.100708 Laird, Pamela J., Chang, Anne B., Walker, Roz, Barwick, Melanie, Whitby, Jack, Cooper, Matthew N., Gill, Fenella, McKinnon, Elizabeth, & Schultz, André (2023) Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections. The Lancet Regional Health - Western Pacific, 34, Article number: 100708. http://purl.org/au-research/grants/nhmrc/1040830 http://purl.org/au-research/grants/nhmrc/1170958 https://eprints.qut.edu.au/246605/ Australian Centre for Health Services Innovation; Faculty of Health; School of Public Health & Social Work |
op_rights |
2023 The Authors This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au |
op_doi |
https://doi.org/10.1016/j.lanwpc.2023.100708 |
container_title |
The Lancet Regional Health - Western Pacific |
container_volume |
34 |
container_start_page |
100708 |
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1798845915695415296 |
spelling |
ftqueensland:oai:eprints.qut.edu.au:246605 2024-05-12T08:03:47+00:00 Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections Laird, Pamela J. Chang, Anne B. Walker, Roz Barwick, Melanie Whitby, Jack Cooper, Matthew N. Gill, Fenella McKinnon, Elizabeth Schultz, André 2023-05 https://eprints.qut.edu.au/246605/ unknown Elsevier Ltd. doi:10.1016/j.lanwpc.2023.100708 Laird, Pamela J., Chang, Anne B., Walker, Roz, Barwick, Melanie, Whitby, Jack, Cooper, Matthew N., Gill, Fenella, McKinnon, Elizabeth, & Schultz, André (2023) Evaluation of the implementation and clinical effects of an intervention to improve medical follow-up and health outcomes for Aboriginal children hospitalised with chest infections. The Lancet Regional Health - Western Pacific, 34, Article number: 100708. http://purl.org/au-research/grants/nhmrc/1040830 http://purl.org/au-research/grants/nhmrc/1170958 https://eprints.qut.edu.au/246605/ Australian Centre for Health Services Innovation; Faculty of Health; School of Public Health & Social Work 2023 The Authors This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au The Lancet Regional Health - Western Pacific Chest infections First nations children Implementation science Knowledge translation Contribution to Journal 2023 ftqueensland https://doi.org/10.1016/j.lanwpc.2023.100708 2024-04-17T14:42:54Z Background: Aboriginal children hospitalised with acute lower respiratory infections (ALRIs) are at-risk of developing bronchiectasis, which can progress from untreated protracted bacterial bronchitis, often evidenced by a chronic (>4 weeks) wet cough following discharge. We aimed to facilitate follow-up for Aboriginal children hospitalised with ALRIs to provide optimal management and improve their respiratory health outcomes. Methods: We implemented an intervention to facilitate medical follow-up four weeks after hospital discharge from a paediatric hospital in Western Australia. The intervention included six-core components that focused on parents, hospital staff and hospital processes. Both health and implementation outcomes were measured for children grouped by three distinct temporal periods of recruitment: (i) nil-intervention, recruited after hospital admission; (ii) health-information only, received during recruitment at hospital admission, pre-intervention; (iii) post-intervention. The primary outcome was the cough-specific quality-of-life score (PC-QoL) in children with a chronic wet cough following discharge. Findings: Of the 214 patients that were recruited, 181 completed the study. Follow-up rates one-month post-discharge were higher in the post-intervention (50.7%) than the nil-intervention (13.6%) and health-information (17.1%) groups. PC-QoL in children with a chronic wet cough was also improved in the post-intervention group compared the health information and nil-intervention groups (difference in means between nil-intervention and post-intervention groups = 1.83, 95% CI: 0.75, 2.92, p = 0.002), aligning with an increase in the percentage who received evidence-based treatment, namely antibiotics at one-month post-discharge (57.9% versus 13.3%). Interpretation: Implementation of our co-designed intervention to facilitate effective and timely medical follow-up for Aboriginal children hospitalised with ALRIs improved their respiratory health outcomes. Funding: State, national grants and ... Article in Journal/Newspaper First Nations Queensland University of Technology: QUT ePrints The Lancet Regional Health - Western Pacific 34 100708 |