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Complex interventions to improve health outcomes - from theory to clinical implication

Kristensson Hallström, Inger LU (2019) Europaediatrics
Abstract
Adverse conditions in childhood manifest in a risk for long-term illness and poor labour market performance in the future and add to future health problems. Children and young people in need of care are particularly vulnerable as their future depends on their parents and family and the legal system as well as on social welfare. By identifying their needs we can develop new and relevant knowledge and explore new ways of providing high quality healthcare and social services.

Complex interventions, defined as interventions with several interacting components, are widely used in the health service. We use the framework of Medical Research Council (MRC, 2008) for developing, evaluation and implementing complex interventions in... (More)
Adverse conditions in childhood manifest in a risk for long-term illness and poor labour market performance in the future and add to future health problems. Children and young people in need of care are particularly vulnerable as their future depends on their parents and family and the legal system as well as on social welfare. By identifying their needs we can develop new and relevant knowledge and explore new ways of providing high quality healthcare and social services.

Complex interventions, defined as interventions with several interacting components, are widely used in the health service. We use the framework of Medical Research Council (MRC, 2008) for developing, evaluation and implementing complex interventions in paediatric care. The framework includes four phases

– Development of the intervention

– Feasibility/Piloting - develop an understanding for the different parts in the intervention

– Evaluation– the intervention is tested (RCT with adequate power, randomisation and outcome variables)

– Implementation– study the “real-life effectiveness” for the intervention.

By the use of the framework and based on the child’s and the family’s needs and in terms of evidence-based knowledge on how to support families with long-term ill children we have developed, evaluated and implemented complex interventions for children, which led to a better allocation of both family and health care resources. For example, hospital-based home care for children with cancer and newly diagnosed with diabetes. By the use of age appropriate preparation we have reduced the number of children who need anesthesia for magnetic resonance imaging. (Less)
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author
organization
publishing date
type
Contribution to conference
publication status
unpublished
subject
conference name
Europaediatrics
conference location
Dublin, Ireland
conference dates
2019-06-12 - 2019-06-14
project
LUC3 - Lund University Child Centered Care
Knowledge development and translation in implemented CCC
language
English
LU publication?
yes
id
2add861a-fceb-4a5c-b03c-059bbfe41539
date added to LUP
2019-06-13 08:56:37
date last changed
2020-01-08 15:35:44
@misc{2add861a-fceb-4a5c-b03c-059bbfe41539,
  abstract     = {{Adverse conditions in childhood manifest in a risk for long-term illness and poor labour market performance in the future and add to future health problems. Children and young people in need of care are particularly vulnerable as their future depends on their parents and family and the legal system as well as on social welfare. By identifying their needs we can develop new and relevant knowledge and explore new ways of providing high quality healthcare and social services. <br/><br/>Complex interventions, defined as interventions with several interacting components, are widely used in the health service. We use the framework of Medical Research Council (MRC, 2008) for developing, evaluation and implementing complex interventions in paediatric care. The framework includes four phases <br/><br/>–      Development of the intervention<br/><br/>–      Feasibility/Piloting - develop an understanding for the different parts in the intervention <br/><br/>–      Evaluation– the intervention is tested (RCT with adequate power, randomisation and outcome variables)<br/><br/>–      Implementation– study the “real-life effectiveness” for the intervention.<br/><br/>By the use of the framework and based on the child’s and the family’s needs and in terms of evidence-based knowledge on how to support families with long-term ill children we have  developed, evaluated and implemented complex interventions for children, which led to a better allocation of both family and health care resources. For example, hospital-based home care for children with cancer and newly diagnosed with diabetes. By the use of age appropriate preparation we have reduced the number of children who need anesthesia for magnetic resonance imaging.}},
  author       = {{Kristensson Hallström, Inger}},
  language     = {{eng}},
  title        = {{Complex interventions to improve health outcomes - from theory to clinical implication}},
  year         = {{2019}},
}