scholarly journals Experiences of Caregivers as Clients of a Patient Navigation Program for Children and Youth with Complex Care Needs: A Qualitative Descriptive Study

2020 ◽  
Vol 20 (4) ◽  
Author(s):  
Alison Luke ◽  
Kerrie E. Luck ◽  
Shelley Doucet
Keyword(s):  
Patient Navigation ◽  
Descriptive Study ◽  
Children And Youth ◽  
Complex Care ◽  
Care Needs ◽  
Navigation Program ◽  
Qualitative Descriptive ◽  
Complex Care Needs

scholarly journals Programmes to support transitions in care for children and youth with complex care needs and their families: a scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e033978
Author(s):  
Shelley Doucet ◽  
Janet A Curran ◽  
Sydney Breneol ◽  
Alison Luke ◽  
Emilie Dionne ◽  
...  
Keyword(s):  
Scoping Review ◽  
Transitional Care ◽  
Research Policy ◽  
Children And Youth ◽  
Advisory Council ◽  
Complex Care ◽  
Care Needs ◽  
Transitions In Care ◽  
Scoping Reviews ◽  
Complex Care Needs

IntroductionChildren and youth with complex care needs (CCNs) and their families experience many care transitions over their lifespan and are consequently vulnerable to the discontinuity or gaps in care that can occur during these transitions. Transitional care programmes, broadly defined as one or more intervention(s) or service(s) that aim to improve continuity of care, are increasingly being developed to address transitions in care for children and youth with CCNs. However, this literature has not yet been systematically examined at a comprehensive level. The purpose of this scoping review is to map the range of programmes that support transitions in care for children and youth with CCNs and their families during two phases of their lifespan: (1) up to the age of 19 years (not including their transition to adult healthcare) and (2) when transitioning from paediatric to adult healthcare.Methods and analysisThe Joanna Briggs Institute methodology for scoping reviews (ScR) will be used for the proposed scoping review. ScR are a type of knowledge synthesis that are useful for addressing exploratory research questions that aim to map key concepts and types of evidence on a topic and can be used to organise what is known about the phenomena. A preliminary search of PubMed was conducted in December 2018.Ethics and disseminationEthical approval is not required where this study is a review of the published and publicly reported literature. The research team’s advisory council will develop a research dissemination strategy with goals, target audiences, expertise/leadership, resources and deadlines to maximise project outputs. The end-of-grant activities will be used to raise awareness, promote action and inform future research, policy and practice on this topic.

Exploring the use of a Facebook-based support group for caregivers of children and youth with complex care needs (Preprint)

2021 ◽  
Author(s):  
Katherine Kelly ◽  
Shelley Doucet ◽  
Alison Luke ◽  
Rima Azar ◽  
William Montelpare
Keyword(s):  
Support Groups ◽  
Support Group ◽  
Online Survey ◽  
Children And Youth ◽  
Advisory Council ◽  
Support Needs ◽  
Complex Care ◽  
Care Needs ◽  
Group Members ◽  
Complex Care Needs

BACKGROUND Caregivers of children and youth with complex care needs (CCN) require substantial support to ensure the well-being of their families. Online peer-to-peer (P2P) support groups present an opportunity for caregivers to seek and provide timely informational and emotional support. Despite the widespread use of social media for health-related support across diverse patient and caregiver populations, it is unclear how caregivers of CCN use and potentially benefit from these groups. OBJECTIVE The aim of this study was to explore the use of an online P2P support group for caregivers of children and youth with CCN and investigate factors related to its sustained use by members. METHODS The study sample consisted of individuals who joined a closed Facebook group and analysis of content published to the group. In Phase 1, a Facebook group was developed in consultation with a patient and family advisory council and members were recruited to the group. Phase 2 of this research consisted of an observation period during which posts and related interactions (i.e., likes, loves, and comments) by members were collected. In Phase 3, an online survey was distributed, and semi-structured interviews were conducted with a sub-sample of group members; survey and interview data were analyzed using thematic analysis. RESULTS A total of 108 caregivers joined the Facebook group between October 2020 and March 2021. There were 93 posts with 405 comments and 542 associated interactions (448 likes and 94 loves); 37 of these posts were made by group members and 56 by moderators. An online survey was completed by a sub-sample of 39 members and 14 members participated in interviews. Content analyses of posts by members revealed inquiry (46%), informational (40%), and emotional posts (11%) to be most common. Emotional posts received the greatest number of interactions (x̅ =24.5). Five themes emerged from interviews related to the use of the group and mediating factors of interactions between group members: 1) resource for information; 2) altruistic contribution; 3) varying level of engagement; 4) growing activity in the group; and 5) moderators as contributing members. CONCLUSIONS These findings demonstrate that caregivers of children and youth with CCN seek geographic-specific P2P support groups to meet informational and social support needs. This study contributes to the knowledge of how caregivers use Facebook groups to meet their support needs through moderate and passive engagement.

Experiences, motivations, and perceived impact of participation in a Facebook-based support group for caregivers of children and youth with complex care needs (Preprint)

2021 ◽  
Author(s):  
Katherine Kelly ◽  
Shelley Doucet ◽  
Alison Luke ◽  
Rima Azar ◽  
William Montelpare
Keyword(s):  
Support Groups ◽  
Support Group ◽  
Sense Of Community ◽  
Online Survey ◽  
Children And Youth ◽  
Complex Care ◽  
Care Needs ◽  
Community Belonging ◽  
Perceived Impact ◽  
Complex Care Needs

BACKGROUND Caregivers of children and youth with complex care needs (CCN) often require considerable support to ensure the well-being of their families. Social media presents an opportunity to better support caregivers through computer-mediated communication for social support. Peer-to-peer (P2P) support groups are one way that caregivers are accessing needed support; however, the impact that participation in these groups has on caregivers of children and youth with CCN is not known. OBJECTIVE This study aimed to: (1) explore the experiences of caregivers of children and youth with CCN who use a Facebook-based P2P support group to communicate; (2) understand their motivations to use the group; and (3) investigate its perceived impact on knowledge of programs and services and sense of community belonging in caregivers. METHODS A qualitative descriptive design was used to explore the experiences and perceived impact of a Facebook-based P2P support group for caregivers of children and youth with CCN in NB. The group was launched in October 2020 and resulted in 108 caregivers joining the group. An online survey was distributed, and semi-structured interviews were conducted with a sub-sample of members. Thematic analysis was used to identify, and report patterns related to caregiver experiences and perceived impacts of participation. RESULTS A sub-sample of members in the Facebook group completed the online survey (n=39) and interviews (n=14). Five themes emerged from interviews: (1) Safe Space; (2) Informational Support and Direction; (3) Virtually Connect with Peers; (4) Impact on Knowledge of Programs and Services; and (5) Degree of Community Belonging. Participants reported joining the group to obtain geographic-specific information support and to connect with peers. Many participants reported an improvement in knowledge of programs and services and felt connected to the community; however, group infancy and diversity among the caregiver population were cited as barriers to community belonging. CONCLUSIONS Online P2P support groups hold significant promise for supporting caregivers in ways that traditional methods have not been able to achieve. Findings from this study suggest that involvement in online, geographic-specific P2P support groups can influence perceived knowledge of services and resources and sense of community belonging among caregivers of children and youth with CCN. This work further provides insight into the experiences and motivations of caregivers of children and youth with CCN who participate in a private social media environment.

Respite care for children and youth with complex care needs and their families

2019 ◽  
Vol 17 (7) ◽  
pp. 1297-1304
Author(s):  
Sydney Breneol ◽  
Sarah T. King ◽  
Shauna Best ◽  
Shelley McKibbon ◽  
Janet A. Curran
Keyword(s):  
Respite Care ◽  
Children And Youth ◽  
Complex Care ◽  
Care Needs ◽  
Complex Care Needs

Health Status Transitions in Community-Living Elderly with Complex Care Needs

2011 ◽  
pp. 223-247
Author(s):  
Louise Lafortune ◽  
François Béland ◽  
Howard Bergman ◽  
Joël Ankri
Keyword(s):  
Health Status ◽  
Community Living ◽  
Complex Care ◽  
Care Needs ◽  
Complex Care Needs

scholarly journals People with an intellectual disability in the discourse of chronic and complex conditions: an invisible group?

2008 ◽  
Vol 32 (3) ◽  
pp. 405 ◽  
Author(s):  
Linda Goddard ◽  
Patricia M Davidson ◽  
John Daly ◽  
Sandra Mackey
Keyword(s):  
Health Care ◽  
Intellectual Disability ◽  
Chronic Conditions ◽  
Health Professions ◽  
Disability Services ◽  
Complex Care ◽  
Competency Development ◽  
Care Needs ◽  
Complex Care Needs ◽  
Respiratory Conditions

People with an intellectual disability and their families experience poorer health care compared with the general population. Living with an intellectual disability is often challenged by coexisting complex and chronic conditions, such as gastrointestinal and respiratory conditions. A literature review was undertaken to document the needs of this vulnerable population, and consultation was undertaken with mothers of children with disabilities and with professionals working within disability services for people with an intellectual disability and their families. Based on this review, there is a need to increase the profile of people with an intellectual disability in the discourse surrounding chronic and complex conditions. Strategies such as guideline and competency development may better prepare health professions to care for people with disabilities and chronic and complex care needs and their families.

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