Evidence map›Paper›PMID 41620849›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2026

Co-Design of a New Integrated Care Model With People Affected by Huntington's Disease: A Mixed Methods Study.

Sandra Bartolomeu Pires, Dorit Kunkel, Karine Manera, Nicholas Goodwin, Christopher Kipps, Mari Carmen Portillo

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Co-Design of a New Integrated Care Model With People Affected by Huntington's Disease: A Mixed Methods Study.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sandra Bartolomeu PiresNIHR Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, UK.ORCID 0000-0003-3711-9040
Dorit KunkelNIHR Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, UK.ORCID 0000-0003-4449-1414
Karine ManeraSydney School of Public Health, The University of Sydney, Sydney, Australia.ORCID 0000-0002-0552-6074
Nicholas GoodwinYong Loo Lin School of Medicine, Centre for Research in Health System Performance, National University of Singapore, Kent Ridge, Singapore.
Christopher KippsNIHR Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, UK.
Mari Carmen PortilloNIHR Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, UK.

Funding

National Institute for Health and Care Research Applied Research Collaborations Wessex NIHR-INF-1701
6 · The paper itself

Abstract

backgroundPeople living with neurological conditions have needs that require an integrated care approach. Existing models of integrated care have often emphasized system structures but neglected the micro-level interactions that matter most to people.

objectivesTo develop a micro-level model for integrated care that represents the care components most valued by people affected by Huntington's disease (HD).

methodsA mixed methods study with a co-designed approach was delivered through three phases. This paper reports on the latest two, where interviews and workshops were conducted with people with lived experience of HD and professionals, from January to October 2024. Patient and public contributors were involved from project design to data interpretation.

resultsThree themes were identified that position integrated care from the perspective of those affected by HD, representing these as the EC4Neuro model. Theme 1 identified the core components of micro-level integrated care: expert knowledge, person- and family-centred care, care coordination and continuity of care. Theme 2 underlined access inequities. Theme 3 highlighted people's responsibility to manage care without true agency to do so. The workshops prioritized strategies that enhance relational continuity between service users and providers. A tiered strategy was undertaken to support decision-making towards improving person-centred outcomes.

conclusionsEC4Neuro is the first integrated care model developed in HD. Its co-designed approach with end users successfully embedded people's perspective to guide what needs to be achieved at the micro-level. The EC4Neuro model offers prospective replication opportunities, particularly for stakeholders concerned with reducing access inequities and supporting relational continuity. PATIENT OR PUBLIC CONTRIBUTION: A group of 25 experts by lived experience of HD and other neurological disorders, co-designed this research project, working with the researchers from conception of the studies to analysis and interpretation of the data.

Indexed as

Delivery of Health Care, IntegratedHuntington DiseaseContinuity of Patient CareFemaleHumansInterviews as TopicPatient-Centered CareQualitative Researchcare modelHuntington's diseaseintegrated caremicro‐levelmixed methods

Identifiers

PMID41620849
PMCPMC12860904

What OpenQuestion holds

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Registered trials

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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.