Abstract

Introduction

Children with inherited metabolic diseases (IMDs) often have complex and intensive healthcare needs and their families face challenges in receiving high-quality, family centred health services. Improvement in care requires complex interventions involving multiple components and stakeholders, customised to specific care contexts. This study aims to comprehensively understand the healthcare experiences of children with IMDs and their families across Canada.

Methods and analysis

A two-stage explanatory sequential mixed methods design will be used. Stage 1: quantitative data on healthcare networks and encounter experiences will be collected from 100 parent/guardians through a care map, 2 baseline questionnaires and 17 weekly diaries over 5–7 months. Care networks will be analysed using social network analysis. Relationships between demographic or clinical variables and ratings of healthcare experiences across a range of family centred care dimensions will be analysed using generalised linear regression. Other quantitative data related to family experiences and healthcare experiences will be summarised descriptively. Ongoing analysis of quantitative data and purposive, maximum variation sampling will inform sample selection for stage 2: a subset of stage 1 participants will participate in one-on-one videoconference interviews to elaborate on the quantitative data regarding care networks and healthcare experiences. Interview data will be analysed thematically. Qualitative and quantitative data will be merged during analysis to arrive at an enhanced understanding of care experiences. Quantitative and qualitative data will be combined and presented narratively using a weaving approach (jointly on a theme-by-theme basis) and visually in a side-by-side joint display.

Ethics and dissemination

The study protocol and procedures were approved by the Children’s Hospital of Eastern Ontario’s Research Ethics Board, the University of Ottawa Research Ethics Board and the research ethics boards of each participating study centre. Findings will be published in peer-reviewed journals and presented at scientific conferences.

Details

Title
Families’ healthcare experiences for children with inherited metabolic diseases: protocol for a mixed methods cohort study
Author
Chow, Andrea J 1   VIAFID ORCID Logo  ; Iverson, Ryan 2 ; Lamoureux, Monica 2 ; Tingley, Kylie 1 ; Jordan, Isabel 3 ; Pallone, Nicole 4 ; Smith, Maureen 5 ; Al-Baldawi, Zobaida 1 ; Chakraborty, Pranesh 6 ; Brehaut, Jamie 7 ; Chan, Alicia 8 ; Cohen, Eyal 9   VIAFID ORCID Logo  ; Dyack, Sarah 10 ; Gillis, Lisa Jane 11 ; Sharan Goobie 10 ; Graham, Ian D 7 ; Greenberg, Cheryl R 12 ; Grimshaw, Jeremy M 13 ; Hayeems, Robin Z 14   VIAFID ORCID Logo  ; Jain-Ghai, Shailly 8 ; Jolly, Ann 15 ; Khangura, Sara 1 ; MacKenzie, Jennifer J 16 ; Major, Nathalie 6 ; Mitchell, John J 17 ; Nicholls, Stuart G 18 ; Pender, Amy 16 ; Potter, Murray 19 ; Prasad, Chitra 20 ; Prosser, Lisa A 21 ; Schulze, Andreas 22 ; Siriwardena, Komudi 8 ; Sparkes, Rebecca 23 ; Speechley, Kathy 20 ; Stockler, Sylvia 24 ; Taljaard, Monica 7   VIAFID ORCID Logo  ; Teitelbaum, Mari 2 ; Trakadis, Yannis 25 ; Clara van Karnebeek 26 ; Walia, Jagdeep S 27 ; Wilson, Brenda J 28 ; Wilson, Kumanan 29 ; Potter, Beth K 1 

 School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada 
 Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada 
 Patient Partner, Squamish, British Columbia, Canada 
 Patient Partner, Canadian PKU & Allied Disorders Inc, Toronto, Ontario, Canada 
 Patient Partner, Canadian Organization for Rare Disorders, Toronto, Ontario, Canada 
 Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada; Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada 
 School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada 
 Department of Medical Genetics, University of Alberta, Edmonton, Alberta, Canada 
 Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada; Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada; Division of Pediatric Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada 
10  Division of Medical Genetics, Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada 
11  Department of Medicine, Johns Hopkins All Children's Hospital, St Petersburg, Florida, USA 
12  Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada 
13  Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada 
14  Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada 
15  School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada; Contagion Consulting Group, Ottawa, Ontario, Canada 
16  Hamilton Health Sciences, McMaster Children's Hospital, Hamilton, Ontario, Canada 
17  Division of Pediatric Endocrinology, Department of Pediatrics, Montreal Children's Hospital, Montreal, Quebec, Canada 
18  Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Ottawa Methods Centre, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada 
19  Hamilton Health Sciences, McMaster Children's Hospital, Hamilton, Ontario, Canada; Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada 
20  Department of Pediatrics, Western University, London, Ontario, Canada 
21  Department of Pediatrics, Susan B. Meister Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, Michigan, USA 
22  Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada; Department of Biochemistry, University of Toronto, Toronto, ON, Canada; Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, Ontario, Canada 
23  Departments of Medical Genetics and Pediatrics, Alberta Children's Hospital, Calgary, Alberta, Canada 
24  Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada 
25  Department of Specialized Medicine, Division of Medical Genetics, McGill University Health Centre, Montreal, Quebec, Canada 
26  Department of Pediatrics, Radboud University Medical Center, Nijmegen, Gelderland, The Netherlands; Department of Pediatrics, British Columbia Children's Hospital, Vancouver, British Columbia, Canada 
27  Medical Genetics, Department of Pediatrics, Kingston Health Sciences Centre, Kingston, Ontario, Canada; Department of Pediatrics, Queen's University, Kingston, Ontario, Canada 
28  Faculty of Medicine Division of Community Health and Humanities, Memorial University of Newfoundland, St. John's, Newfoundland, Canada 
29  School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada; Bruyere Research Institute, Ottawa, Ontario, Canada 
First page
e055664
Section
Patient-centred medicine
Publication year
2022
Publication date
2022
Publisher
BMJ Publishing Group LTD
e-ISSN
20446055
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2685382316
Copyright
© 2022 Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.