TY - JOUR
AU - R. M. Satherley
AU - J. Newham
AU - E. Cecil
AU - J. Forman
AU - C. Kelly
AU - I. Wolfe
AU - R. Lingam
A1 - 
AB - OBJECTIVE: A 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. DESIGN: A mixed-methods process evaluation. SETTING: CYPHP 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. PARTICIPANTS: Linked data were available from 73 000 participants. Qualitative data collection was through 102 interviews (group and 1:1) and observations. INTERVENTIONS: Local 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 MEASURES: Five domains of the RE-AIM implementation framework: Reach, Effectiveness, Adoption, Implementation and Maintenance. RESULTS: Implementation varied depending on resource availability, competing priorities and natural changes over time. Successful implementation drivers included cohesive interprofessional and partnership collaboration. CONCLUSIONS: Integrated 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.
AD - School of Psychology, Department of Psychological Interventions, University of Surrey, Guildford, UK.; Department of Women and Children's Health, School of Life Course and Population Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.; Department of Psychology, Faculty of Health and Life Sciences, Northumbria University, Newcastle Upon Tyne, England, UK.; Centre for Public Health, Institute of Clinical Science, Queen's University Belfast, Belfast, UK.; Department of Women and Children's Health, School of Life Course and Population Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK ingrid.wolfe@kcl.ac.uk.; Population Child Health Research Group, School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
AN - 39904570
BT - Arch Dis Child
C5 - Healthcare Disparities
CP - 8
DA - Jul 18
DO - 10.1136/archdischild-2024-327664
DP - NLM
ET - 20250718
IS - 8
JF - Arch Dis Child
LA - eng
N2 - OBJECTIVE: A 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. DESIGN: A mixed-methods process evaluation. SETTING: CYPHP 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. PARTICIPANTS: Linked data were available from 73 000 participants. Qualitative data collection was through 102 interviews (group and 1:1) and observations. INTERVENTIONS: Local 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 MEASURES: Five domains of the RE-AIM implementation framework: Reach, Effectiveness, Adoption, Implementation and Maintenance. RESULTS: Implementation varied depending on resource availability, competing priorities and natural changes over time. Successful implementation drivers included cohesive interprofessional and partnership collaboration. CONCLUSIONS: Integrated 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.
PY - 2025
SN - 0003-9888 (Print); 0003-9888
SP - 603
EP - 611+
ST - Implementation of the children and young people's health partnership model of paediatric integrated care: a mixed-methods process evaluation
T1 - Implementation of the children and young people's health partnership model of paediatric integrated care: a mixed-methods process evaluation
T2 - Arch Dis Child
TI - Implementation of the children and young people's health partnership model of paediatric integrated care: a mixed-methods process evaluation
U1 - Healthcare Disparities
U3 - 10.1136/archdischild-2024-327664
VL - 110
VO - 0003-9888 (Print); 0003-9888
Y1 - 2025
ER -