Development of a new social prescribing intervention for families of children with cerebral palsy

Author:

Ostojic Katarina12ORCID,Karem Isra12,Dee‐Price Betty‐Jean3,Paget Simon P.45ORCID,Berg Alison4,Burnett Heather6,Scott Timothy R.78,Strnadová Iva910,Woolfenden Susan R.1211ORCID,

Affiliation:

1. Community Paediatrics Research Group, Central Clinical School, Sydney Medical School, Faculty of Medicine and Health The University of Sydney Sydney Australia

2. Population Child Health Research Group, Discipline of Paediatrics & Child Health, Faculty of Medicine & Health University of New South Wales Sydney Australia

3. College of Medicine and Public Health Flinders University Adelaide Australia

4. Kids Rehab, the Children's Hospital at Westmead Sydney Children's Hospitals Network Sydney Australia

5. The Children's Hospital at Westmead Clinical School, Faculty of Medicine and Health The University of Sydney Sydney Australia

6. HNEkidsRehab John Hunter Children's Hospital Newcastle Australia

7. Rehab2Kids, Sydney Children's Hospital Sydney Children's Hospitals Network Sydney Australia

8. Faculty of Medicine and Graduate School of Biomedical Engineering University of New South Wales Sydney Australia

9. School of Education, Faculty of Arts, Design and Architecture University of New South Wales Sydney Australia

10. Disability Innovation Institute University of New South Wales Sydney Australia

11. Sydney Institute for Women Children and their Families, Sydney Local Health District Sydney Australia

Abstract

AbstractAimTo co‐design a social prescribing intervention (the EPIC‐CP programme: Equitable Pathways and Integrated Care in Cerebral Palsy) with children with cerebral palsy (CP), their families, and clinicians to address unmet social needs.MethodThe study was conducted (August 2021 to March 2023) at the paediatric rehabilitation departments of the three tertiary paediatric hospitals in New South Wales, Australia. Eligible participants attended or worked at one of the departments, including children with CP, parents/caregivers, and clinicians. Mixed‐methods co‐design was used in intervention co‐production and prototyping. The project was overseen by research advisors with lived experience of CP.ResultsMore than 200 participants contributed to the co‐design research. Families experienced a substantial burden of unmet social needs. Co‐designed interventions involved systematic identification of unmet social needs with (1) targeted community resources and (2) engagement with a ‘community linker’ who supported children/young people and their families to access health, education, and social services that matched their identified needs and preferences. Research participants co‐developed the programme logic model and prototype. This was piloted in research action cycles and iteratively refined until consensus was achieved.InterpretationWe co‐designed a social prescribing programme responsive to the needs of its end‐users and purposefully developed to be embedded in the Australian health setting. A pilot randomized controlled trial will further evaluate this intervention.

Funder

Cerebral Palsy Alliance Research Foundation

Publisher

Wiley

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