Evidence map›Paper›PMID 39444012›Full record

ArticleBMC health services research2024

Bridging the gap: a qualitative process evaluation from the perspectives of healthcare professionals of an audit-and-feedback-based intervention to improve transition to adult care for young people living with type 1 diabetes.

Janet A Parsons, Jannah Wigle, Ian Zenlea, Noah Ivers, Geetha Mukerji, Alanna Landry, Zubin Punthakee, Cheril L Clarson, Rayzel Shulman

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In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Janet A ParsonsDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 160-500 University Ave., Toronto, ON, M5G 1V7, Canada. j.parsons@utoronto.ca.
Jannah WigleApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Ian ZenleaInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Noah IversInstitute of Health Policy Management & Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Geetha MukerjiWomen's College Hospital Institute for Health Systems Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.
Alanna LandryDepartment of Pediatrics, Oak Valley Health, Markham, ON, Canada.
Zubin PunthakeeDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Cheril L ClarsonDepartment of Paediatrics, University of Western Ontario, London, ON, Canada.
Rayzel ShulmanInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.

Funding

Canadian Institutes of Health Research - New Investigator Grants in Maternal, Reproductive, Child and Youth Health 155374
6 · The paper itself

Abstract

backgroundThe transition from pediatric to adult care is a vulnerable time for young people living with type 1 diabetes (T1D). Bridging the Gap (BTG) is an audit-and-feedback (AF) intervention aimed at improving both transitions-in-care processes and diabetes management in the year following transition. As part of BTG, we conducted a qualitative process evaluation to understand: (a) what was implemented and how; and (b) the contextual factors (micro-, meso- and macro-) that affected implementation, outcomes and study processes.

methodsUsing qualitative descriptive methodology, interviews were conducted with 13 healthcare professionals (HCPs) delivering diabetes care to transitioning youth. Participants were asked about their experiences of BTG study processes and feedback tools, the quality improvement (QI) initiatives implemented at their site, and potential spread and scale. Interviews also explored the impacts of COVID-19 on transition care and study processes and results.

resultsFive key themes were identified. Participants' reflections on the BTG study design indicated they appreciated its flexible, site-specific approach to QI, which they saw as crucial to the success of their initiatives. Engagement with feedback reports and other study resources provided comparative, site-specific data. Participants described the challenges posed by the COVID-19 pandemic and its impacts on patients, care provision and study implementation. Their site-specific QI initiatives resulted in changes to their transition practices. Finally, participants commented on how BTG and its processes fostered a community of practice (CoP) between sites, resulting in new opportunities to collaborate and share experiences.

conclusionsBTG resulted in a CoP among practitioners delivering transition care to youth with T1D, which could be scaled up to promote a learning health system in pediatric diabetes care. Qualitative process evaluation is a useful tool for understanding how contextual factors affect the implementation and outcomes of complex QI interventions.

Indexed as

Diabetes Mellitus, Type 1Qualitative ResearchQuality ImprovementTransition to Adult CareAdolescentAdultCOVID-19FemaleHealth PersonnelHumansInterviews as TopicMaleSARS-CoV-2Young AdultAdolescenceProcess evaluationQualitative methodsQuality improvementTransitions in careType 1 diabetes mellitus

Identifiers

PMID39444012
PMCPMC11515547

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.