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Chronic Diseases in ChildrenPETRACANCT06679595

Transmural Care for Chronically Ill Children: Scientific Guidance and Evaluation of Pilot Projects

An observational study of Chronic Diseases in Children and Chronic Diseases in Adolescence, run by University Hospital, Ghent at 11 sites in Belgium.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

The goal of this Realist Evaluation is to evaluate the implementation of pilot projects for transmural care in chronically ill children. The main question it aims to answer is: To what extent and how do the pilot projects for transmural care for chronically ill children provide an answer to the quintuple aim?… Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
What is being tested?
Pilot project paediatric transmural care
How many people
1,000 participants
Where
11 sitesBelgium
Study dates
10 Sep 2024to 28 Feb 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: The setting of the study is defined as the five pilot projects for paediatric transmural care, conducted by Belgian acute care hospitals in collaboration with primary care. These projects focus on transfusions of concentrated red blood cells at home, ventilation of children with a respiratory disease at home, home enzyme therapy by infusion for children suffering from lysosomal metabolic disease and early discharge of neonates with (partial) tube feeding. The study population consists of the people for whom the services offered by the pilot project are intended as defined in the implementation plan. This study population can be divided into four subgroups: the patients (children), their parents/legal guardians, healthcare professionals involved and the coordinators of the pilot projects.

Who may be able to join

  • Children: any child up to the age of 18 participating in a pilot project for paediatric transmural care.
  • Parent/Legal guardian: any parent or legal guardian of a child participating in a pilot project for paediatric transmural care
  • Healthcare professionals: any healthcare professional with patient contact involved within a pilot project for paediatric transmural care
  • Coordinators: all study and care coordinators involved within a pilot project for paediatric transmural care

Who cannot join

  • No signed informed consent form available

Trial locations and contacts

11 sites in 1 country. Contact the study team or a site near you to ask about taking part.

11 sites in 1 country

Belgium11 sites
  • Hôpital universitaire des enfants Reine Fabiola

    Brussels, 1020

  • Cliniques Universitaires Saint-Luc

    Brussels, 1200

  • Institut de Pathologie et de Génétique Charleroi

    Charleroi, 6041

  • University Hospital Antwerp

    Edegem, 2650

  • Universitair Ziekenhuis Gent

    Ghent, 9000

  • Universitair Ziekenhuis Brussel

    Jette, 1090

  • Centre Hospitalier Jolimont-Lobbes

    La Louvière, 7100

  • Universitaire Ziekenhuizen Leuven

    Leuven, 3000

  • Centre Hospitalier Régional de la Citadelle

    Liège, 4000

  • Centre Hospitaliere Universitaire de Liège

    Liège, 4000

  • Clinique CHC MontLégia

    Liège, 4000

Other trials in Belgium

About this study

The goal of this Realist Evaluation is to evaluate the implementation of pilot projects for transmural care in chronically ill children.

The main question it aims to answer is: To what extent and how do the pilot projects for transmural care for chronically ill children provide an answer to the quintuple aim?

Participants will

  • Complete questionnaires at three timepoints
  • Participate in focus group interviews
Read the detailed description

Introduction Chronic diseases have been increasing over the past few years, including in children. The chronic condition affects their daily functioning and quality of life and leads to frequent hospital admissions. To avoid unneccessary hospital admissions and to offer alternative and innovative forms of care, the Belgian Federal Public Service of Public Health, Food Chain Safety and Environment selected five pilot projects for transmural care for chronically ill children. This study was designed to evaluate these projects.

Methods and design The overall approach is a two-year longitudinal prospective Realist Evaluation using a mixed-methods design.

The quantitative strand, using routine data and questionnaires, will examine whether data from children, parents/legal guardians and healthcare professionals involved in a pilot project for paediatric transmural care comply with the quintuple aim outcomes.

The qualitative strand will be used (1) to evaluate the structure of the interventions, (2) for process evaluation and context analysis, and (3) to gather more in-depth information. This includes document analysis (including logbooks), focus groups with children, parents/legal guardians and healthcare professionals, and non-participatory observations.

Ethical Informed consent is required prior to inclusion in the evaluation study. Informed assent is requested from children older than 12 years. For this study, advice is asked from the Research Ethics Committee of Ghent University Hospital

Being tested
Pilot project paediatric transmural care
Keywords
Realist Evaluation, Chronic Disease, Child, Adolescent, Infant, Home Care Services, Hospital-Based
Medical subject headings
Chronic Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pilot project paediatric transmural careOther

    The implementation of pilot projects for transmural care for chronically ill children

Study groups in NCT06679595
Study groupRoleWhat they receive
ChildrenChildren up to the age of 18 with a chronic condition included in a pilot project for paediatric transmural care
Receives: Other: Pilot project paediatric transmural care
ParentsParents/ legal guardians of children included in a pilot project for paediatric transmural care
Receives: Other: Pilot project paediatric transmural care
Healthcare professionalsProject coordinators and healtcare professionals involved in a pilot project for paediatric transmural care
Receives: Other: Pilot project paediatric transmural care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Quality of Life

    Quality of Life is used as an indicator for the aim "health status". The PedsQL (Paediatric Quality of Life Inventory) 4.0 Generic Core Scales is used to measure health-related quality of life in children and adolescents ages 2 to 18.

    The scale consists of 23 items and has a child self-report and parallel proxy-report format for ages 5-7, 8-12 and 13-18 years. The items are scored on a five-point Likert-scale, ranging from "never a problem" to "almost always a problem";.

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  2. Parental Quality of Life

    Quality of Life is used as an indicator for the aim "health status". To estimate parent's quality of life, the take care tool (4 domains, 16 items) is used. The items are scored on a three-point Likert-scale, ranging from "Satisfied" to "Not satisfied".

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  3. Caregiver burden

    Caregiver burden is used as an indicator for the aim "health status". The 4-item version of the Zarit Burden Interview is used to estimate the caregiver burden for the parents. The items are scored on a five-point Likert-scale, ranging from "Never" tot "Nearly Always"

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  4. Diagnosis

    The diagnosis and date of diagnosis of the participant are collected as an indicator for the aim "health status".

    These data will be extracted from the (electronic) patient records.

    Measured: Through study completion, up to 18 months maximum.

  5. Length of stay in the hospital

    The length of stay in the hospital, prior to the start of the transmural care of the participant are collected as an indicator for the aim "health status".

    These data will be extracted from the (electronic) patient records.

    Measured: Through study completion, up to 18 months maximum.

  6. Length of stay in transmural care

    The length of stay in transmural care, measured by counting the total number of days each child receives this care, is an indicator for the aim "health status".

    These data will be extracted from the (electronic) patient records.

    Measured: Through study completion, up to 18 months maximum.

  7. Transmural care at school

    If transmural care has been given at school, was evaluated as an indicator for the aim "health status".

    These data will be extracted from the (electronic) patient records.

    Measured: Through study completion, up to 18 months maximum.

  8. Adverse events

    Adverse events are logged as an indicator for the aims "health status" and "quality of care".

    Adverse events are continuously logged by the project coordinators in a self-developed questionnaire.

    Measured: Continuous data collection, until study completion (18 months)

  9. Patient experience

    Patient experience is used as an indicator for the aim "quality of care". Patient experience is measured among children (or by proxy under the age of 8) and among their parents. To avoid lengthy statements, a questionnaire was developed by the researchers for this purpose. The items are scored on a five-point Likert-scale, ranging from "Strongly disagree" to "Strongly agree".

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  10. Parental Empowerment

    Parental empowerment is used as an indicator for the aim "quality of care". Patient empowerment is the patient's ability to have control over their health and their ability to be involved in care. In paediatrics, parents advocate strongly for what they feel is best for their child and family and want to feel they are able to make disicions. Therefore, the empowerment of parents is questioned.

    A questionnaire was developed by the researchers for this purpose. The items are scored on a five-point Likert-scale, ranging from "Strongly disagree" to "Strongly agree".

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  11. Job Satisfaction

    Job Satisfaction is used as an indicator for the aim "value healthcare professionals".

    The Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale (MOAQ-JSS) is used to measure job satisfaction among the healthcare professionals involved. The three items are scored on a five-point Likert-scale, ranging from "Strongly disagree" to "Strongly agree".

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  12. Work-related stress

    Work-related stress is used as an indicator for the aim "value healthcare professionals".

    Work-related stress is measured using a single question developed by the researchers. The item is scored on a five-point Likert-scale, ranging from "Strongly disagree" to "Strongly agree".

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum .

  13. Quality of Work

    Quality of Work is used as an indicator for the aim "value healthcare professionals".

    The dimension Quality of Work of the COPSOQ II is used to measure the experience by the healthcare professional of the immediate output of work. The two items are scored on a five-point Likert-scale, ranging from "To a very large extent" to "To a very small extent".

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  14. Competence and Training

    Competence and Training is used as an indicator for the aim "value healthcare professionals".

    It is important that the healthcare professional providing care at home with children has solid paediatric competencies and experience. Competence and training are questioned among healthcare professionals, using a self-developed questionnaire.

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  15. Socio-demographic variables

    Socio-demographic variables are used as an indicator for the aim "equity and inclusion".

    These variables are questioned among parents and healthcare professionals.

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

  16. Socio-economic variables

    Socio-economic variables are used as an indicator for the aim "equity and inclusion".

    Financial status, education, employment status and productivity loss based on the iCPQ are questioned among parents.

    Measured: Baseline, 6 months and through study completion, up to 18 months maximum.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Nov 2024
  2. Study start10 Sep 2024
  3. Primary completion28 Feb 2026 (estimated)
  4. Study completion28 Feb 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
1,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06679595
Sponsor's protocol ID
B670204000193
Acronym
PETRACA
Status last verified
Oct 2024
First submitted
9 Oct 2024
Last updated
7 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Dequeker S, Vanderwee K, Van Daele S, Duprez V; PETRACA Study Group. Realist evaluation of Belgian pilot projects for paediatric transmural care: protocol for a mixed methods study. BMJ Open. 2025 Jun 25;15(6):e102152. doi: 10.1136/bmjopen-2025-102152.

    PubMed 40562551

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Diseases in Children and Chronic Diseases in Adolescence, run by University Hospital, Ghent at 11 sites in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 7 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Quality of Life (time frame: Baseline, 6 months and through study completion, up to 18 months maximum.). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06679595, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Nov 2024.

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