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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ftunivtoronto:oai:tspace.library.utoronto.ca:1807/110614 2023-05-15T16:15:09+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 Schultz, André Chang, Anne B. Gill, Fenella Walker, Roz Barwick, Melanie Munns, Sarah Cooper, Matthew N. Norman, Richard Laird, Pamela 2022-03-17 application/pdf http://hdl.handle.net/1807/110614 https://doi.org/10.1186/s12890-022-01878-3 en eng University of Toronto BMC Pulmonary Medicine. 2022 Mar 17;22(1):92 http://hdl.handle.net/1807/110614 https://doi.org/10.1186/s12890-022-01878-3 Article 2022 ftunivtoronto https://doi.org/10.1186/s12890-022-01878-3 2022-03-27T17:23:12Z 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: https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382886&isReview=true . Article in Journal/Newspaper First Nations University of Toronto: Research Repository T-Space BMC Pulmonary Medicine 22 1 |
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University of Toronto: Research Repository T-Space |
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ftunivtoronto |
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English |
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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: https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382886&isReview=true . |
format |
Article in Journal/Newspaper |
author |
Schultz, André Chang, Anne B. Gill, Fenella Walker, Roz Barwick, Melanie Munns, Sarah Cooper, Matthew N. Norman, Richard Laird, Pamela |
spellingShingle |
Schultz, André Chang, Anne B. Gill, Fenella Walker, Roz Barwick, Melanie Munns, Sarah Cooper, Matthew N. Norman, Richard Laird, Pamela Implementation of a strategy to facilitate effective medical follow-up for Australian First Nations children hospitalised with lower respiratory tract infections: study protocol |
author_facet |
Schultz, André Chang, Anne B. Gill, Fenella Walker, Roz Barwick, Melanie Munns, Sarah Cooper, Matthew N. Norman, Richard Laird, Pamela |
author_sort |
Schultz, André |
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 |
University of Toronto |
publishDate |
2022 |
url |
http://hdl.handle.net/1807/110614 https://doi.org/10.1186/s12890-022-01878-3 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
BMC Pulmonary Medicine. 2022 Mar 17;22(1):92 http://hdl.handle.net/1807/110614 https://doi.org/10.1186/s12890-022-01878-3 |
op_doi |
https://doi.org/10.1186/s12890-022-01878-3 |
container_title |
BMC Pulmonary Medicine |
container_volume |
22 |
container_issue |
1 |
_version_ |
1766000869383340032 |