Ignite Creation Date:
2024-05-06 @ 7:00 PM
Last Modification Date:
2024-10-26 @ 2:59 PM
Study NCT ID:
NCT05867745
Status:
RECRUITING
Last Update Posted:
2023-05-22
First Post:
2023-04-28
Brief Title:
The National Transition Evaluation Study
Sponsor:
University of Surrey
Organization:
University of Surrey
Study Overview
Official Title:
Evaluation of the Development of the Burdett National Transition Nursing Network
Status:
RECRUITING
Status Verified Date:
2023-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
NTES
Brief Summary:
This is a multi-centre study within England to evaluate whether the Burdett Trust National Transition Network and the implementation of the Model of Improvement for Transition has an impact on the experience of transitioning from child to adult services for young people and their families A concurrent mixed methods design will be utilised with qualitative interviewscase studies and quantitative descriptive surveys data collected simultaneously over three phases Participants will include young people parents and professionals involved in the young persons transition journey
Detailed Description:
This study forms the evaluation aspect to a large transition-related innovation that is taking place across England httpswwwleedsthnhsukburdett-national-transition-nursing-network
It is important to formally evaluate this process The study has been designed to determine whether the Burdett National Transition Network and implementation of the Model of Improvement for Transition has an impact on the experience of transitioning from child to adult services for young people and their families The research team at the University of Surrey will conduct a three-phased mixed methods study to understand the experiences of all relevant stakeholders involved in the Network and the models implementation and transition service users The overall aim is to document new learning to ensure maximum reach of the model within a network of transition care and improve the outcomes for young people transitioning to adult services
STUDY DESIGN Our intention is to undertake a process evaluation using a case study approach The investigators want to look at the change from before during and after the Model of Improvement for Transitions implementation The investigators plan to gather data at the start of the project about what happens now and then what happens as the Model of Improvement for Transition evolves The investigators will also gather information that is already routinely collected on an ongoing basis in each of the sites working with the RNAs as part of the overall implementation project This will be provided in summary form As this is an evolving process this may include but may not be limited to the
1 Number of Transition Lead roles for a whole organisation
2 Number of organisations working through Transition QI process
3 Number of organisations with transition contact
4 Number of organisations with an Executive Lead for transition
5 Number of Quality Improvement QI transition pathways completed
6 Number of health-based youth workers that are in post to support transition
7 Number of organisations with processes in place to use feedback from young people to support service improvement
8 Number of organisations with effective Transition governance processes in place eg transition board steering group organisational policy and reporting
Two organisations or services per region eight study sites in total that is involved in the transition of young people to adult health services will be selected as case studies giving eight case studies in total To inform an unbiased selection of cases a list of criteria will be described a priori by the project team a consensus will be reached on the type and context of the services to be included based on maximum variation for example geography and deprivation score size of institution or service ethnic diversity of the population type of long-term health condition The investigators aim to include populations that are under-researched such as young people with complex needs mental health problems looked after children young people receiving palliative care and those for whom English is not their first language
THEORETICAL FRAMEWORK
The On Your Own Feet Ahead framework provides a focus for our study The framework addresses eight key elements of good transitional care divided into three core categories
1 interventions to improve the organisation of care
2 interventions to stimulate independence and self-management of young people and
3 collaboration with young people and their families and within the multidisciplinary team of professionals working both in child and adult health care
METHODS
It is well recognised that the most challenging aspect of changing practice is implementation and normalisation of the intervention therefore both qualitative interviews and quantitative descriptive surveys will have an important role to play in gathering contextual information from staff regarding how the Model of Improvement for Transition is both received and delivered In order to understand the context and how the Model of Improvement for Transition is received and delivered our evaluation over three phases with repeated measures will include
The National Lead Nurse Interviews
Regional Nurse Advisors Interviews
Transition champions the Regional Nurse Advisors work with in the Trusts and key professionals in the various networks case studies surveyinterviews
Young people and their parentscarers case studies surveyletter to a friend
DATA ANALYSIS Survey data will be exported from Qualtrics to SPSS for analysis Data stored within Qualtrics will be deleted upon study completion Participants will be given a unique study ID Only the study team will know the identity of the participants necessary for the integration and synthesis of the survey and letter to a friend data or interview data Survey data quality will be assessed for itemscale missingness at each time point and handled in accordance with scale guidelines where available Survey data will be analysed using descriptive statistics eg means standard deviations medians interquartile range for continuous data frequencies for categorical data and presented by key group characteristics where appropriate eg age group gender etc If appropriate changes in the measurements over time will be tested with two-tailed paired sample T-tests and Wilcoxon Matched Pair Signed Rank tests Transition championkey professionals and repeated measures ANOVA young people and parents Statistical significance will be considered at p 005 and as an exploratory study no adjustments will be made for multiple comparisons
Interviews with the RNAs and Lead Nurse will be transcribed for analysis by a transcription company approved by the University of Surrey The confidentiality agreement is provided with this application and can be found in clause 15 of the Transcription purchase order terms and conditions document Any identifying information eg names of peoplehospitals will be removed from the transcripts by the Researcher following transcription The interviews will be analysed using thematic analysis
The narratives in videos from the letteremailvideo to a friend activity will be analysed using qualitative content analysis The videos will not be transcribed The research team will develop a proforma for the parents videos and a separate one for young peoples videos Proformas will be developed by the researchers watching two videos each and coming together to discuss the elements of the video These proformas will be used for analysis of subsequent videos
Study data will be stored within SharePoint on the University of Surreys password protected server Any files containing participant details will be password protected Data will only be accessible to the research team at the University of Surrey
It is important to formally evaluate this process The study has been designed to determine whether the Burdett National Transition Network and implementation of the Model of Improvement for Transition has an impact on the experience of transitioning from child to adult services for young people and their families The research team at the University of Surrey will conduct a three-phased mixed methods study to understand the experiences of all relevant stakeholders involved in the Network and the models implementation and transition service users The overall aim is to document new learning to ensure maximum reach of the model within a network of transition care and improve the outcomes for young people transitioning to adult services
STUDY DESIGN Our intention is to undertake a process evaluation using a case study approach The investigators want to look at the change from before during and after the Model of Improvement for Transitions implementation The investigators plan to gather data at the start of the project about what happens now and then what happens as the Model of Improvement for Transition evolves The investigators will also gather information that is already routinely collected on an ongoing basis in each of the sites working with the RNAs as part of the overall implementation project This will be provided in summary form As this is an evolving process this may include but may not be limited to the
1 Number of Transition Lead roles for a whole organisation
2 Number of organisations working through Transition QI process
3 Number of organisations with transition contact
4 Number of organisations with an Executive Lead for transition
5 Number of Quality Improvement QI transition pathways completed
6 Number of health-based youth workers that are in post to support transition
7 Number of organisations with processes in place to use feedback from young people to support service improvement
8 Number of organisations with effective Transition governance processes in place eg transition board steering group organisational policy and reporting
Two organisations or services per region eight study sites in total that is involved in the transition of young people to adult health services will be selected as case studies giving eight case studies in total To inform an unbiased selection of cases a list of criteria will be described a priori by the project team a consensus will be reached on the type and context of the services to be included based on maximum variation for example geography and deprivation score size of institution or service ethnic diversity of the population type of long-term health condition The investigators aim to include populations that are under-researched such as young people with complex needs mental health problems looked after children young people receiving palliative care and those for whom English is not their first language
THEORETICAL FRAMEWORK
The On Your Own Feet Ahead framework provides a focus for our study The framework addresses eight key elements of good transitional care divided into three core categories
1 interventions to improve the organisation of care
2 interventions to stimulate independence and self-management of young people and
3 collaboration with young people and their families and within the multidisciplinary team of professionals working both in child and adult health care
METHODS
It is well recognised that the most challenging aspect of changing practice is implementation and normalisation of the intervention therefore both qualitative interviews and quantitative descriptive surveys will have an important role to play in gathering contextual information from staff regarding how the Model of Improvement for Transition is both received and delivered In order to understand the context and how the Model of Improvement for Transition is received and delivered our evaluation over three phases with repeated measures will include
The National Lead Nurse Interviews
Regional Nurse Advisors Interviews
Transition champions the Regional Nurse Advisors work with in the Trusts and key professionals in the various networks case studies surveyinterviews
Young people and their parentscarers case studies surveyletter to a friend
DATA ANALYSIS Survey data will be exported from Qualtrics to SPSS for analysis Data stored within Qualtrics will be deleted upon study completion Participants will be given a unique study ID Only the study team will know the identity of the participants necessary for the integration and synthesis of the survey and letter to a friend data or interview data Survey data quality will be assessed for itemscale missingness at each time point and handled in accordance with scale guidelines where available Survey data will be analysed using descriptive statistics eg means standard deviations medians interquartile range for continuous data frequencies for categorical data and presented by key group characteristics where appropriate eg age group gender etc If appropriate changes in the measurements over time will be tested with two-tailed paired sample T-tests and Wilcoxon Matched Pair Signed Rank tests Transition championkey professionals and repeated measures ANOVA young people and parents Statistical significance will be considered at p 005 and as an exploratory study no adjustments will be made for multiple comparisons
Interviews with the RNAs and Lead Nurse will be transcribed for analysis by a transcription company approved by the University of Surrey The confidentiality agreement is provided with this application and can be found in clause 15 of the Transcription purchase order terms and conditions document Any identifying information eg names of peoplehospitals will be removed from the transcripts by the Researcher following transcription The interviews will be analysed using thematic analysis
The narratives in videos from the letteremailvideo to a friend activity will be analysed using qualitative content analysis The videos will not be transcribed The research team will develop a proforma for the parents videos and a separate one for young peoples videos Proformas will be developed by the researchers watching two videos each and coming together to discuss the elements of the video These proformas will be used for analysis of subsequent videos
Study data will be stored within SharePoint on the University of Surreys password protected server Any files containing participant details will be password protected Data will only be accessible to the research team at the University of Surrey
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 313576 | OTHER | IRAS number | None |