Stakeholder Perspectives on the Need for a Digital Solution in Pediatric Rehabilitation
NCT Number: NCT06570148
Acronym: ProChRehab
Status: RECRUITING
Study Type: OBSERVATIONAL
Conditions: Children|Disability Physical|Disabilities Multiple|Disability, Developmental
Interventions: OTHER: semi-directed interview or focus group
Sponsor: University Hospital, Brest
Sex: ALL
Age: CHILD, ADULT, OLDER_ADULT
Enrollment: 60
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-03-22
Completion Date: 2026-03-31
Locations: Chu Brest, Brest, 29609, France

Summary:
Introduction: Children with chronic conditions receive fragmented rehabilitative care due to the multitude of providers and structures involved, and the constant changes throughout their care and life course. E-health holds promise for supporting exchanges around the child and thus fostering more integrated care, but its adoption remains limited in healthcare settings.

Objective : the aim of this project is to explore the issues related to the usefulness and acceptability of a digital platform shared between children, their families and the professionals working with them (rehabilitation, education, leisure) for monitoring children's health, to identify needs and preoccupations from the perspectives of the futur users, to inform the development of a digital application, named Deneo Kid.

Methodology: a qualitative study will be conducted. Semi-structured interviews will be conducted with professionals from the rehabilitation, education, social and leisure sectors in France, as well as decision-makers (healthcare executives, facility directors), and disabled children aged 11 to 25, to explore the opportunities, needs and concerns of these potential users with regard to this type of digital solution. The interviews will be conducted and recorded on Zoom. Only the audio recording will be kept, transcribed verbatim and then destroyed. At least 30 participants will be included, but it's when saturation is reached that the number of participants to be included will be determined. For the analysis, the 6 phases of a reflexive thematic analysis will be monitored using Nvivo12 software, by three analysts. The final themes will inform the development of a future digital health technology.

Primary Outcome Measures: List of needs for the future app : list of needs expressed by professionals, decision-makers and patients with regard to priority information exchanges via digital solutions, This outcome will be collected qualitatively, using open-ended questions asked during a semi-structured individual interview with each participant. Their needs will be explored using open-ended and follow-up questions (e.g.: what are your needs for information exchange with the family? with the child? with other professionals? how could a digital solution facilitate these exchanges?)

A qualitative analysis (inductive) will help to meet this outcome, 24 months|List of facilitators and barriers of the app adoption : List of facilitators and barriers of digital health technology adoption among health professionals, decision makers and patients, This outcome will be collected qualitatively, using open-ended questions asked during a semi-structured individual interview with each participant. Their needs will be explored using open-ended and follow-up questions (e.g.: what concerns do you have about using a digital solution to communicate with the family? with the child? with other professionals? what do you think would facilitate adoption of the solution in your environment?)

A hybrid qualitative analysis (inductive and deductive using an implementation science model such as the CFIR, Damschroder et al., 2022 will help to meet this outcome), 24 months|List of strategies to implement the app : List of strategies to implement digital health technology in a pediatric rehabilitation context, from the perspectives of different end users, This outcome will be collected qualitatively, using open-ended questions asked during a semi-structured individual interview with each participant. Their needs will be explored using open-ended questions and follow-up questions (e.g.: what would be the key determinants for such a solution to be implemented in your area? What strategies at micro/meso/macro level?)

A hybrid qualitative analysis (inductive and deductive using an implementation science model such as the CFIR, Damschroder et al., 2022 will help to meet this outcome), 24 months