Table 4.
Approaches | Number of interventions | Implementation examples |
---|---|---|
Communication and information provision | 45 41 , 42 , 43 , 44 , 45 , 49 , 50 , 51 , 52 , 53 , 54 , 56 , 57 , 58 , 60 , 61 , 63 , 64 , 66 , 67 , 73 , 74 , 75 , 76 , 77 , 78 , 80 , 82 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 | |
In‐person interactions with providers | 27 42 , 43 , 44 , 45 , 51 , 52 , 53 , 57 , 60 , 61 , 63 , 66 , 67 , 73 , 74 , 75 , 76 , 77 , 80 , 85 , 86 , 87 , 88 , 90 , 91 , 94 , 96 , 99 , 101 |
Educational sessions to assess and address families' information needs Training sessions to coach children and their families on how to manage the disease |
Tools and aids | 27 41 , 42 , 43 , 44 , 49 , 50 , 51 , 54 , 56 , 58 , 63 , 64 , 66 , 75 , 78 , 82 , 84 , 86 , 89 , 90 , 92 , 94 , 96 , 97 , 99 , 101 , 102 , 103 |
Educational aids (videos, printed materials) providing caregivers with information about the disease, symptoms and management Communication tools (online platforms, mobile apps, checklists) facilitating bidirectional information sharing with providers |
Using technology to facilitate information sharing | 9 49 , 53 , 54 , 55 , 89 , 93 , 98 , 100 , 102 |
Telemedicine programmes to educate and train caregivers on how to manage symptoms |
Family involvement | 37 41 , 42 , 43 , 45 , 46 , 47 , 50 , 51 , 53 , 54 , 57 , 58 , 60 , 61 , 66 , 67 , 69 , 71 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 82 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 95 , 97 , 99 , 100 , 101 | |
Involving families in decision‐making about care or treatment | 22 41 , 42 , 43 , 45 , 46 , 51 , 57 , 58 , 66 , 67 , 69 , 71 , 73 , 74 , 76 , 77 , 78 , 79 , 82 , 88 , 89 , 90 , 95 , 100 |
Provide decision‐making tools (e.g., checklists, mobile applications) Adaptation of a decision‐making process (e.g., decision‐making discussions) Train families to be involved in decision‐making |
Involving families as recipients of care and focusing on their well‐being | 13 47 , 50 , 53 , 54 , 57 , 58 , 60 , 66 , 73 , 74 , 75 , 86 , 87 , 88 |
Assess family members' wellbeing and include their needs in the care plan Train family members to self‐regulate their emotions Support family members emotionally and psychologically during and outside clinical visits |
Supporting families to participate in the care of the child | 14 42 , 43 , 47 , 53 , 54 , 60 , 61 , 67 , 71 , 85 , 91 , 92 , 97 , 99 , 101 |
Train family members to provide care to the child (e.g., day‐to‐day support) Identify family members' roles and responsibilities within the care plan Ensure timely family presence during care (i.e., during hospitalization) |
Access to care | 30 44 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 57 , 58 , 59 , 60 , 62 , 63 , 65 , 72 , 73 , 74 , 83 , 86 , 88 , 89 , 91 , 93 , 95 , 96 , 98 , 100 , 101 , 103 | |
Using technology to connect families to providers | 12 49 , 53 , 54 , 55 , 57 , 72 , 73 , 74 , 83 , 88 , 89 , 93 , 98 |
Telemedicine‐based programme connecting remote families to providers Access to providers via telephone or email channels to receive support |
Programme or care delivery in communities | 10 48 , 52 , 59 , 60 , 65 , 88 , 91 , 95 , 100 , 101 |
School‐based programme Medical home approach to care delivery in the community Home visits |
Facilitating timely and affordable linkage to hospital or community services | 8 44 , 50 , 52 , 53 , 58 , 60 , 72 , 103 |
Checklists to assess service needs Booking system accessible to caregivers Designate community health workers to deliver care |
Appointment scheduling and logistic support | 6 52 , 57 , 60 , 72 , 83 , 93 |
Transportation support Designate a team member to schedule appointments |
Improving availability of and access to medications | 6 57 , 62 , 73 , 74 , 88 , 93 , 96 |
Medication supply to rural posts (connected via telemedicine) Dispense medications at discharge |
Access to an online platform for treatment and support | 4 49 , 50 , 51 , 63 |
Websites or mobile applications to answer caregiver questions |
Care coordination | 28 44 , 48 , 50 , 51 , 52 , 53 , 57 , 59 , 60 , 65 , 68 , 70 , 72 , 73 , 74 , 76 , 80 , 82 , 83 , 86 , 87 , 88 , 89 , 91 , 93 , 95 , 96 , 100 , 102 | |
Adapting a team‐based approach to care delivery | 15 44 , 53 , 59 , 60 , 65 , 70 , 82 , 83 , 86 , 87 , 88 , 91 , 95 , 96 , 100 |
Medical home or ‘one‐stop‐shop’ clinic Coordination of care delivery responsibilities among a multidisciplinary team |
Identification of one or more team members to coordinate care | 13 48 , 50 , 52 , 57 , 59 , 72 , 73 , 74 , 76 , 80 , 88 , 93 , 95 , 100 |
Identification of a team member to coordinate care professionals and/or liaise with the child and family Adapt a referral system to different providers |
Documenting and sharing care plans and progress reports with other providers | 11 44 , 51 , 53 , 65 , 73 , 74 , 80 , 82 , 83 , 89 , 95 , 102 |
Accessible electronic health records where care plans can be shared Provide caregivers with progress reports to share with other providers |
Using technology to enhance coordination | 8 50 , 51 , 53 , 60 , 68 , 82 , 89 , 102 |
Telemedicine programmes connecting families to multiple remote providers |
Respect for child and family | 27 42 , 43 , 45 , 46 , 51 , 53 , 57 , 58 , 60 , 64 , 66 , 71 , 76 , 77 , 79 , 80 , 84 , 85 , 86 , 87 , 88 , 90 , 94 , 95 , 96 , 97 , 99 , 101 | |
In‐person assessments of child and family values, preferences, and needs | 17 42 , 43 , 45 , 51 , 53 , 57 , 60 , 66 , 71 , 77 , 79 , 80 , 85 , 86 , 87 , 88 , 95 , 99 |
Home visit before intake to assess needs Discussion at initial contact about families' worldview and understanding of child's condition |
Communication tools to promote families' expression of their values and needs | 6 46 , 58 , 64 , 66 , 90 , 97 |
Checklists Question prompt lists Mobile applications and gamified tools |
Adjusting activities and communication to age, language, and culture | 5 76 , 84 , 94 , 96 , 101 |
Translators and interpreters Use child‐friendly language to explain the disease and its symptoms Adapt educational materials to the culture and language of the family |
Follow‐up and continuity of care | 24 50 , 52 , 53 , 57 , 59 , 60 , 63 , 70 , 72 , 73 , 74 , 78 , 80 , 83 , 86 , 87 , 88 , 89 , 91 , 93 , 95 , 96 , 100 , 102 , 103 | |
Ensuring access to follow‐up care | 22 50 , 52 , 53 , 57 , 60 , 63 , 70 , 72 , 73 , 74 , 78 , 80 , 83 , 86 , 87 , 88 , 89 , 93 , 95 , 96 , 100 , 102 , 103 |
Contact the family after discharge and schedule follow‐up appointments Provide discharge instructions or follow‐up care plans and review them periodically Assess and address child and family needs regularly after discharge (e.g., medical refills, financial needs) |
Facilitating care transitions between different settings or levels of care | 8 52 , 60 , 70 , 86 , 88 , 91 , 93 , 100 |
From intensive or critical care to the regular ward From tertiary or secondary care to primary care From inpatient care in the hospital to outpatient care in the community |
Designating a team member to support follow‐up and continuity of care | 8 52 , 57 , 59 , 63 , 73 , 74 , 80 , 83 , 95 |
Accompany families to outpatient clinic visits after discharge Monitor families' attendance of follow‐up appointments |
Emotional support | 18 47 , 53 , 54 , 57 , 60 , 61 , 63 , 64 , 75 , 79 , 81 , 84 , 86 , 87 , 88 , 91 , 95 , 101 | |
Designating an individual or group to provide emotional, psychological, or spiritual support | 11 47 , 53 , 54 , 57 , 60 , 63 , 75 , 86 , 87 , 88 , 91 |
Individual or group counselling by psychologists, social workers, health care providers or the clergy |
Making changes to the visit process or adjusting the environment of the clinical setting | 6 53 , 61 , 75 , 81 , 84 , 95 |
Create child‐friendly spaces using toys and drawings Expedite the admission process to prevent busy and stressful waiting rooms |
Physical comfort | 7 53 , 61 , 64 , 75 , 81 , 84 , 88 | |
Making changes to the visit process or adjusting the environment of the clinical setting | 6 53 , 61 , 75 , 81 , 84 , 88 |
Give families light control or minimizing bright lights Schedule surgeries early in the morning to prevent long fasting times |
Addressing or minimizing physical pain | 2 64 , 88 |
Tools that allow children to communicate their pain symptoms and location to providers Incorporate pain management strategies (e.g., medications, relaxation training) into the care plan |