Accepted for/Published in: JMIR Research Protocols
Date Submitted: Feb 27, 2025
Date Accepted: May 13, 2025
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
A Triple Perspective on the Triple Visit: A mixed methods evaluation of the implementation of a paediatric multidisciplinary clinic model for inflammatory bowel disease
ABSTRACT
Background:
Given the impact of inflammatory bowel disease (IBD) on both physical health and psychosocial functioning, the management of paediatric IBD requires a multidisciplinary approach that provides holistic care, rapid access, and health education to young IBD patients. Yet despite recommendations, a formalized clinic model for holistic paediatric IBD care remains an unmet need for this population.
Objective:
The objective of this study is to comprehensively evaluate the implementation of a new clinic model aimed at providing holistic care, rapid access, and health education for paediatric IBD patients.
Methods:
This study employs a multi-perspective mixed methods design, incorporating both qualitative and quantitative data collected simultaneously from clinicians, parents/guardians, and paediatric patients. The quantitative component includes a pre-post implementation chart review, structured observations of clinical practices, and surveys tailored to paediatric patients and parents/guardians. The qualitative aspect encompasses semi-structured interviews with clinicians and parents/guardians, respectively, as well as play-based interviews (PBIs) with patients. Triangulation will be used to converge these different methodologies and to produce a holistic evaluation of the IBD clinic.
Results:
This study was approved by the Humber River Health Research Ethics Board on December 23, 2024. Recruitment for this study began on January 30th, 2025, and we anticipate a data collection end date of December 2025.
Conclusions:
Given that this clinic model is relatively new, this protocol will provide sound methodological direction for other studies that aim to evaluate or implement this type of model in their setting. The evaluation itself will provide comprehensive insights into both the successes and challenges of implementing a multidisciplinary approach that provides a holistic model of care for paediatric IBD patients. As such, this evaluation will be foundational in providing an applied understanding of the impact and effectiveness of this holistic approach in paediatric IBD patients.
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Copyright
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