Table 3.
References | Intervention description | Intended recipients | Timing (T) and duration (D) | Delivery mode (M) and format (F) |
---|---|---|---|---|
Interventions delivered in or from outpatient clinical settings (n = 22) | ||||
[41] | Website to prepare parents to take part in decision‐making during their consultation with a rehabilitation physician; helps families identify their needs + access information | Caregivers |
T: As desired D: Not applicable |
M: Virtual F: Individual |
[42, 43] | Collaborative meetings between families + therapists, at clinic or home (family preference), to codevelop + implement child development intervention, including family needs, activities + goals | Family, HCPs |
T: Six weekly sessions D: Approximately 40 min each |
M: IP F: Individual |
[44] | Disease‐specific medical home care coordination programme that includes caregiver education (guidebook), team‐based care + clinical care plan | Children, caregivers |
T: U/S D: U/S |
M: U/S F: U/S |
[46] | Online tool to engage caregivers in care planning. Caregivers identify + prioritize activities for participation and identify goals, attainment strategies, possible supports + barriers which are incorporated into a care plan report | Caregivers |
T: U/S D: U/S |
M: Virtual F: Individual |
[49] | Online platform that: provides caregivers with information + resources on rehabilitation; facilitates communication (chat, video conference) with therapists + includes a forum for discussions among caregivers or with HCPs | Caregivers |
T: U/S D: U/S |
M: Virtual F: Individual |
[56] | Educational video for caregivers about symptoms, treatment + side effects of leukaemia + testimonials, support from other families | Caregivers |
T: Watched when timely D: 23 min |
M: Virtual F: Individual |
[58] | Tools + aids that HCPs use to facilitate communication with caregivers about care, family life + support needs; tool for caregivers to indicate care preferences | Children, caregivers, HCPs |
T: U/S D: U/S |
M: U/S F: U/S |
[64] | Gamified, interactive digital communication tool for child use in waiting rooms to highlight their symptoms, worries + fears to the HCP | Children, HCPs |
T: U/S D: U/S |
M: IP; virtual F: U/S |
[66] | Palliative care/end of life communication sessions incorporated into clinic visits to plan treatment, discuss prognosis, encourage caregiver articulation of goals + values + support caregivers emotionally | Caregivers |
T: Three sessions, 4–26 weeks after assessment D: Dependsa |
M: IP F: U/S |
[69] | Collection of patient‐reported outcomes, collaboratively identified by families + HCPs, during routine care, followed by co‐development of personalized future care plans | Children, family, HCPs |
T: Access 1–2×/week D: 1 week to 8 months |
M: Virtual F: Individual |
[71] | Paediatric rehabilitation coaching session in which child + family's views, values and needs are identified + used to individualize a care plan | Children, caregivers, family |
T: U/S D: U/S |
M: U/S F: U/S |
[72] | Redesign of the clinic's booking system to give caregivers responsibility to book routine consultations; provides information to caregivers on ideal consultation frequency, advice on when + how to seek help as needed | Children, caregivers | Not applicable |
M: IP; virtual F: Individual |
[77] | Tailored, structured decision coaching sessions to help families identify treatment preferences, with emphasis on child input before caregiver input | Children, caregivers |
T: U/S D: U/S |
M: IP F: Individual |
[78] | A paper‐based tool to facilitate documentation + discussion of care plan specifics (i.e., actions, people responsible, timeline), completed by families with help from nurse practitioner | Children, family, HCPs |
T: 1 FU 2–3 weeks after first meeting D: First meeting 2 h, FU dependsa |
M: IP; virtual F: Individual |
[82] | Care plan, developed by HCPs, is integrated into patient's electronic health record + made accessible via an online patient portal to facilitate communication between medical team + caregivers | Caregivers, HCPs |
T: U/S D: Not applicable |
M: Virtual F: Individual |
[89] | Virtual platform to improve communication between families + HCPs: access to an individualized care plan, goal setting facilitation, medical history, educational resources. Families decide who may access sensitive information | Children, caregivers, HCPs | Not applicable |
M: Virtual F: Individual |
[90] | Educational programme includes assessing information needs using a checklist before a tailored physician‐led education session (with booklet) on disease, treatment + complications | Children, caregivers |
T: 1 FU 4 weeks after first session D: First contact 20–30 min; FU U/S |
M: IP F: U/S |
[92] | Online portal for families to log asthma symptoms, facilitating self‐monitoring + education and clinic awareness of changes, patient monitoring + timely follow‐up | Children, caregivers, HCPs |
T: Weekly D: 1 year |
M: Virtual F: Individual |
[94] | Educational programme to improve HCP management of asthma, cross‐cultural communication + education practices via lectures, case studies, videos + interactive discussions | HCPs |
T: Two sessions over 2 weeks D: 2.5 h each |
M: IP F: Group |
[97] | To encourage child involvement in clinic visits, waiting room educational videos delivered via iPad + question prompt list covering questions that the child/family may want to ask the HCP | Children, caregivers |
T: One video session; prompt list U/S D: Videos 11 min (1–2 min each); prompt list U/S |
M: IP F: Individual |
[102] | Secure online system for communication among providers (so that caregivers do not have to act as messengers) + between providers + caregivers (communications shared with the child's care network) | Caregivers, HCPs |
T: Dependsa D: 6 months total |
M: Virtual F: Individual |
[103] | A communication “passport” tool used by children + caregivers to track details of services received + outcomes; information is shared with other HCPs | Children, caregivers | Not applicable |
M: IP F: Individual |
Interventions delivered in or from inpatient clinical settings and emergency departments (n = 10) | ||||
[45] | Recommendations for hospital cost discussions with caregivers: where (at bedside), when (when child's medical status is stable) + how (should be transparent, optional + tailored to families' needs + preferences) | Caregivers |
T: U/S D: U/S |
M: IP F: U/S |
[47] | Co‐development of early palliative care plan; support for caregivers to care for child's needs in the NICU; emotional + psychological support for caregivers + help to create visual memories | Children, siblings, caregivers |
T: Dependsa D: U/S |
M: U/S F: U/S |
[53] | Perioperative programme responsive to the individual needs of children with ASD. All stages of surgery, from preparation to discharge, are designed to manage stress + provide comfort | Children, caregivers |
T: U/S D: Varied: presurgery to 1 day postsurgery |
M: IP; virtual F: U/S |
[61] | NICU physical space redesign. Newborns are admitted to six‐bed pods + placed in single‐family rooms when they require stepped‐down care; family spaces accommodate family needs (e.g., showers + overnight stays) | Children, caregivers |
T: 24/7 access, caregiver meetings 1×/week D: Not applicable |
M: IP F: Individual |
[75] | Cardiac surgery preparation to alleviate stress + anxiety in child patients through videos, games + toys + in caregivers through education + counselling | Children, caregivers |
T: Once before surgery D: U/S |
M: IP F: U/S |
[76] | Mediation session with a transcultural team that facilitates: linguistic + cultural translation of medical information; families' articulation of their understanding + views of treatment options; collaboration between family + HCPs on a common story about the child's disease + life | Children, family, HCPs |
T: One session D: 2–4 h |
M: IP F: Individual |
[79] | Enhancement of usual care with complementary therapies to alleviate pain + anxiety; therapies selected + tailored through collaboration between the child, family, nurse + integrative medicine specialist | Children, caregivers |
T: Dependsa D: Dependsa |
M: IP F: Individual |
[81] | An animated robotic toy to provide medical play, offer distraction + facilitate emotional expression by children with cancer at the hospital or home | Children |
T: Dependsa D: 3 days |
M: IP F: Individual |
[96] | Asthma care improvement initiative in the emergency department: processes to administer medication at admission + discharge; discharge instructions, care plan; team‐based communication; Spanish translation | Children, caregivers |
T: One session predischarge D: 8 min |
M: IP F: U/S |
[99] | Two‐phase programme to support mothers by engaging them in safe infant care in the NICU + during transition to the general ward, providing information + negotiating mother participation preferences during NICU visiting hours | Caregivers |
T: 2×/day D: Phase 30 min each; total duration dependsa |
M: IP F: Individual |
Interventions to improve experiences of care delivered in the community (e.g., home, school, community clinic) (n = 9) | ||||
[48] | Primary care physicians can access rapid consultations with a child clinician/psychiatrist to answer questions+/or initiate referrals | HCPs |
T: U/S D: U/S |
M: IP; virtual F: U/S |
[51] | HCPs + families co‐develop an action care plan; an online patient portal facilitates care follow‐up and family‐provider communication | Children, family |
T: U/S D: U/S |
M: IP; virtual F: U/S |
[52] | School‐based psychiatric service to increase access: free assessment, treatment recommendations + follow‐up care support (e.g., wrap‐around needs, appropriate transition to community‐based mental health services) | Children, caregivers |
T: Depends.a 3–4 FU D: U/S |
M: IP F: U/S |
[59] | Community‐based, ‘one‐stop‐shop’ allergy clinic; a general practitioner with allergy specialization, dietitian + nurse provide assessment, care coordination with primary care + care advice | Children |
T: Dependsa D: First assessment 30 min, FU dependsa |
M: IP F: U/S |
[65] | Strategies to improve access to a school‐based asthma programme: (1) allow treatment to proceed with verbal caregiver consent; (2) give asthma care plan to caregivers; (3) support school staff to screen for potential cases | Children, caregivers | Not applicable |
M: IP F: U/S |
[67] | Early childhood, home‐based intervention; involves family needs assessment, individualizing a care plan, five home visits to coach caregivers on behavioural management skills + support to implement learned skills | Children, caregivers, family |
T: Five home visits D: 1–1.5 h each over 3 months |
M: IP; virtual F: Individual |
[83] | Team‐based, social worker‐led community care coordination, with regularly updated care coordination binder (care plan, medications, contact information) | Children |
T: ≥1×/3 months D: Initial 1 h, FU 40 min each |
M: IP; virtual F: Individual |
[84] | Child‐centred care model that includes capacity‐building/training for health care workers, age‐appropriate education tools for children + child‐friendly spaces in clinics | Children, caregivers, HCPs | Not applicable |
M: IP F: U/S |
[91] | Multidisciplinary team supports community care for children with neurodevelopmental disorders; educates + supports caregivers + preschool staff; delivers individualized developmental programmes for children | Children, caregivers |
T: Biweekly, number dependsa D: U/S |
M: IP F: U/S |
Interventions shared or transitioned between outpatient clinical settings and the patient's community (n = 11) | ||||
[54] | Training for caregivers on managing their child's conduct problems at home (educational videos followed by virtual sessions with a clinician) | Caregivers |
T: Videos before sessions; 6–10 weekly sessions D: Videos 7–19 min each, sessions 50–60 min each |
M: Virtual F: U/S |
[55] | Telehealth consultation with a surgeon/specialist for remote families; includes education + coordination of lab testing | Children, family |
T: U/S D: 30–45 min each |
M: Virtual F: Individual |
[62] | Epilepsy telemedicine programme connecting rural posts to a secondary care centre to facilitate tertiary referral, ensure follow‐up + improve consistent access to antileptics | Children, caregivers | Not applicable |
M: Virtual F: Individual |
[68] | Telemedicine intervention connecting rural families from a remote clinic office to haematologist + other allied health professionals; on‐site physical exams | Children, caregivers | Not applicable |
M: IP; virtual F: Individual |
[73, 74] | Collaborative management of health condition; coordinated by a care manager + primary care providers. After identification of family goals, coordination of on‐site services with specialists: education, training, support + coaching for caregivers on home management | Children, caregivers, HCPs |
T: Six to 12 sessions D: Up to 12 h over 6 months |
M: IP; virtual F: Individual; group |
[85] | Group psychoeducation programme to improve children's knowledge of their medications + help caregivers support their children to take on a larger role in managing their medications | Children, caregivers |
T: Five sessions D: 90 min each |
M: IP F: Group |
[86] | CPG recommends, inter alia: sharing information tailored to child capacity, family needs + preferences; development of care plan for caregivers' needs; access to trained advocate; HCP cultural competency training | Children, caregivers, HCPs |
T: U/S D: U/S |
M: U/S F: U/S |
[87] | CPG recommends, inter alia: creating a shared treatment plan; tailoring information + support for children + families; identifying child concerns + preferences | Children, caregivers, HCPs |
T: U/S D: U/S |
M: U/S F: U/S |
[95] | Care coordination by paediatric hospitals to enable children with medical complexity to remain with a local medical home + local services; includes home visit to assess needs + barriers to care, team review of the case, development of care plan + coordination strategy | Children, caregivers, HCPs |
T: Home visit, team review: 1 each, 2 FU 1 + 6 months after D: 45–120 min, FU U/S |
M: IP; virtual F: Individual |
[98] | Telemedicine consultation connecting children + families at home to a renal dietitian to facilitate information sharing about diagnosis + treatment | Children, family |
T: U/S D: U/S |
M: Virtual F: Individual |
[100] | Single point of access to mental health services. Children are assessed after referral + assigned to suitable providers. Care + recovery are tailored to child's needs. Programme includes crisis team + after‐hour services | Children, caregivers |
T: U/S D: U/S |
M: IP; virtual F: U/S |
Interventions shared or transitioned between inpatient clinical settings and the patient's community (n = 7) | ||||
[50] | Online care coordination to reduce system expenditures; includes: development of a care plan, advice on health systems navigation, access to a range of services, health education + consultations/coaching with community health workers | Children, caregivers |
T: First meeting + FUs every 2–12 weeks; Dependsa D: U/S |
M: IP; virtual F: U/S |
[60] | Medical home programme following NICU discharge; predischarge needs assessment + home care education; post‐discharge primary care service, support to access care and services, emotional support + structured team care coordination | Children, caregivers |
T: Dependsa D: First meeting 30–60 min, FU U/S |
M: IP; virtual F: Individual |
[63] | A nurse provides support for home care, including a 6‐month care plan, home management education, support after discharge + online platform for timely problem‐solving | Children, family |
T: Visits U/S, phone 1×/week D: 6 months |
M: IP; virtual F: Individual |
[70] | Early neurorehabilitation programme in which a multidisciplinary specialist team conducts needs assessment, coordinates with community care, proactively plans discharge + supports transition to long‐term or local care | Children |
T: U/S D: Over course of 24 h |
M: IP F: U/S |
[80] | Placement of a paediatric trauma nurse to coordinate care for high risk inpatients. Follows care from admission to postdischarge, coordinates follow‐up care services, liaises with child's care team, communicates with the family | Children, family, HCPs |
T: Dependsa D: Underreported (≥3 months) |
M: IP; virtual F: Individual |
[88] | CPG recommends, inter alia: involving a multidisciplinary team in addressing care needs + developing family‐centred communication strategies | Children, caregivers, HCPs |
T: U/S D: U/S |
M: U/S F: U/S |
[93] | Hospital‐to‐home transition programme ensures families receive medication before discharge, coordinates with primary care and schools, provides telephone access to a patient navigator postdischarge + makes a referral for a home evaluation of asthma triggers | Children, caregivers, HCPs |
T: Navigator contact 1–2/month; coordination, home evaluation U/S D: Over 6 months |
M: IP; virtual F: Individual |
Interventions shared or transitioned between inpatient and outpatient clinical settings (n = 2) | ||||
[57] | Care coordination by designated providers: Nurse is a member of the care team; provides continuity during hospitalization, accompanies families to outpatient visits, maintains care plan. Care coordination assistant provides logistical + emotional support to families | Children, caregivers | Not applicable |
M: IP; virtual F: U/S |
[101] | Group programme to educate children with chronic pain and their caregivers about pain management strategies (relaxation, cognitive behavioural skills) through a video, workbook + goal‐setting exercises | Children, caregivers |
T: One session D: Session U/S, video 40 min |
M: IP F: Individual; group |
Abbreviations: CPG, clinical practice guideline; FU, follow‐up; HCP, health care provider; IP, in‐person; NICU, newborn intensive care unit; U/S, unspecified.
‘Depends’ defined as: Intervention timing and/or duration depends on the needs and preferences of the recipients and/or their families