Trial reportArchives of disease in childhood2025
Implementation of the children and young people's health partnership model of paediatric integrated care: a mixed-methods process evaluation.
Trial report in Archives of disease in childhood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03461848 (The Children and Young People's Health Partnership), which is not on this map. Cited by 1 paper.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Children and Young People's Health Partnership (CYPHP) Evelina London Model of Care: An Opportunistic Cluster Randomised Evaluation to Assess Child Health Outcomes, Healthcare Quality, and Health Service Use.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA process evaluation of the Children and Young People's Health Partnership (CYPHP) model of integrated care for the interpretation of trial findings and building evidence on the implementation of integrated care for children.
designA mixed-methods process evaluation.
settingCYPHP was implemented at scale across two inner-city London boroughs in South London, England, as a pragmatic cluster-randomised controlled trial involving nearly 98 000 children, with a nested process evaluation.
participantsLinked data were available from 73 000 participants. Qualitative data collection was through 102 interviews (group and 1:1) and observations.
interventionsLocal child health clinics delivered by paediatricians and general practitioners and a nurse-led early intervention service for children with tracer conditions (asthma, eczema and constipation), decision support, a primary care hotline, self-management support and health promotion.
main outcome measuresFive domains of the RE-AIM implementation framework: Reach, Effectiveness, Adoption, Implementation and Maintenance.
resultsImplementation varied depending on resource availability, competing priorities and natural changes over time. Successful implementation drivers included cohesive interprofessional and partnership collaboration.
conclusionsIntegrated care for children can be implemented at scale, but variability, particularly low reach, may limit measurable impact at the population level. Significant health system strengthening, implementation plasticity and contextual tailoring are crucial for ensuring the efficacy and sustainability of impactful integrated care for children. TRIAL REGISTRATION NUMBER: NCT03461848.
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