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

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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.
StatusUnpublished - 2019
EvenemangEuropaediatrics - Convention Centre Dublin (CCD), Dublin, Irland
Varaktighet: 2019 juni 122019 juni 14
Konferensnummer: 9th



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