Curtin Wach Aisling, Lalani Yasmin, Christofides Alexandra, Wegier Pete, Hart Lara
Humber River Health Research Institute, Toronto, ON, Canada.
Social & Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
JMIR Res Protoc. 2025 Sep 12;14:e72670. doi: 10.2196/72670.
Given the impact of inflammatory bowel disease (IBD) on both physical health and psychosocial functioning, the management of pediatric IBD requires a multidisciplinary approach that provides holistic care, rapid access, and health education to young patients with IBD. Yet despite recommendations, a formalized clinic model for holistic pediatric IBD care remains an unmet need for this population.
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 pediatric patients with IBD.
This study uses a multiperspective mixed methods design, incorporating both qualitative and quantitative data collected simultaneously from clinicians, parents or guardians, and pediatric patients. The quantitative component includes a pre-post implementation chart review, structured observations of clinical practices, and surveys tailored to pediatric patients and their parents or guardians. The qualitative aspect encompasses semistructured interviews with clinicians and parents or guardians as well as play-based interviews with patients. Triangulation will be used to converge these different methodologies and to produce a holistic evaluation of the IBD clinic.
This study was approved by the Humber River Health Research Ethics Board on December 23, 2024. Recruitment for this study began on January 30, 2025, and we anticipate a data collection end date of December 2025.
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 pediatric patients with IBD. As such, this evaluation will be foundational in providing an applied understanding of the impact and effectiveness of this holistic approach in pediatric patients with IBD.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/72670.
鉴于炎症性肠病（IBD）对身体健康和心理社会功能均有影响，儿科IBD的管理需要采取多学科方法，为患有IBD的年轻患者提供全面护理、快速就诊机会和健康教育。然而，尽管有相关建议，但针对儿科IBD全面护理的正式诊所模式仍是这一人群尚未满足的需求。
本研究的目的是全面评估一种新的诊所模式的实施情况，该模式旨在为患有IBD的儿科患者提供全面护理、快速就诊机会和健康教育。
本研究采用多视角混合方法设计，纳入同时从临床医生、父母或监护人以及儿科患者收集的定性和定量数据。定量部分包括实施前后的图表审查、临床实践的结构化观察以及针对儿科患者及其父母或监护人的调查。定性方面包括对临床医生和父母或监护人的半结构化访谈以及对患者的游戏式访谈。将使用三角验证法来整合这些不同的方法，并对IBD诊所进行全面评估。
本研究于2024年12月23日获得亨伯河健康研究伦理委员会批准。本研究于2025年1月30日开始招募，预计数据收集截止日期为2025年12月。
鉴于这种诊所模式相对较新，本方案将为其他旨在评估或在其环境中实施此类模式的研究提供可靠的方法指导。评估本身将全面洞察实施多学科方法为患有IBD的儿科患者提供全面护理模式的成功与挑战。因此，该评估将为理解这种全面方法对患有IBD的儿科患者的影响和有效性提供基础。
国际注册报告识别号（IRRID）：PRR1-10.2196/72670。
