Access to Pediatric Rheumatology Centers for JIA Patients: Factors Associated With Time to Access Pediatric Rheumatology Centers

NCT ID: NCT05696340

Last Updated: 2023-01-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

45 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-10-18

Study Completion Date

2023-09-30

Brief Summary

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JIA patients, their parents, and the health care professionals experience the complexity of the initial care pathway. The aim of the study is to explore the referral pathway to access pediatric rheumatology centers for JIA patients. The exploration will aim to identify the barriers and facilitators of referral, based on the conceptual framework of the health literacy. The investigators will conduct a qualitative study using semi-structured interviews. The perspectives of parents/children/health care professionals will be crossed to enrich the data.

Detailed Description

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Conditions

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Juvenile Idiopathic Arthritis

Study Design

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Observational Model Type

OTHER

Study Time Perspective

OTHER

Study Groups

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JIA patients

Children diagnosed with JIA between 4 and 24 months before the start of the study, treated and followed in a pediatric rheumatology center (old enough to answer the questions)

semi-structured interview

Intervention Type OTHER

Subjects will be recruited in a purposive, non-randomized manner. Data will be collected to obtain a sufficient diversity of perspectives on the topic, while maintaining sufficient homogeneity for analysis.

The number of participants cannot be determined in advance; it will be determined after data saturation.

Parents of JIA patients

Parents of a child diagnosed with JIA between 4 and 24 months prior to the start of the study (treated and followed in a pediatric rheumatology center)

semi-structured interview

Intervention Type OTHER

Subjects will be recruited in a purposive, non-randomized manner. Data will be collected to obtain a sufficient diversity of perspectives on the topic, while maintaining sufficient homogeneity for analysis.

The number of participants cannot be determined in advance; it will be determined after data saturation.

Health care professionals

Physician with experience in the initial management of JIA patients (between symptom onset and first visit with a pediatric rheumatologist)

semi-structured interview

Intervention Type OTHER

Subjects will be recruited in a purposive, non-randomized manner. Data will be collected to obtain a sufficient diversity of perspectives on the topic, while maintaining sufficient homogeneity for analysis.

The number of participants cannot be determined in advance; it will be determined after data saturation.

Interventions

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semi-structured interview

Subjects will be recruited in a purposive, non-randomized manner. Data will be collected to obtain a sufficient diversity of perspectives on the topic, while maintaining sufficient homogeneity for analysis.

The number of participants cannot be determined in advance; it will be determined after data saturation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Children:

* age \> 11 years
* JIA diagnosed between 4 and 24 months prior to the start of the study

Parents:

\- parent of a child with JIA diagnosed between 4 and 24 months prior to the start of the study

Health care professional:

* Physician with experience in the initial management of children with JIA (between symptom onset and first visit with a pediatric rheumatologist).

Exclusion Criteria

For all participants:

* Refusal to participate in interviews
* Presenting a health condition incompatible with an interview
* Participants with inadequate French to take part in semi-structured interviews
Minimum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Research on Healthcare Performance Lab U1290

OTHER

Sponsor Role collaborator

University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aurélie CHAUSSET

Role: STUDY_DIRECTOR

University Hospital, Clermont-Ferrand

Locations

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CHU de Clermont-Ferrand

Clermont-Ferrand, , France

Site Status RECRUITING

Hospices Civils de Lyon

Lyon, , France

Site Status NOT_YET_RECRUITING

APHP

Paris, , France

Site Status NOT_YET_RECRUITING

Hopital Nord Franche-Comté

Trévenans, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Lise LACLAUTRE

Role: CONTACT

334.73.754.963

References

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Chausset A, Pereira B, Echaubard S, Merlin E, Freychet C. Access to paediatric rheumatology care in juvenile idiopathic arthritis: what do we know? A systematic review. Rheumatology (Oxford). 2020 Dec 1;59(12):3633-3644. doi: 10.1093/rheumatology/keaa438.

Reference Type BACKGROUND
PMID: 32940701 (View on PubMed)

Davies K, Cleary G, Foster H, Hutchinson E, Baildam E; British Society of Paediatric and Adolescent Rheumatology. BSPAR Standards of Care for children and young people with juvenile idiopathic arthritis. Rheumatology (Oxford). 2010 Jul;49(7):1406-8. doi: 10.1093/rheumatology/kep460. Epub 2010 Feb 19. No abstract available.

Reference Type BACKGROUND
PMID: 20173199 (View on PubMed)

Scott C, Chan M, Slamang W, Okong'o L, Petty R, Laxer RM, Katsicas MM, Fredrick F, Chipeta J, Faller G, Pileggi G, Saad-Magalhaes C, Wouters C, Foster HE, Kubchandani R, Ruperto N, Russo R. Juvenile arthritis management in less resourced countries (JAMLess): consensus recommendations from the Cradle of Humankind. Clin Rheumatol. 2019 Feb;38(2):563-575. doi: 10.1007/s10067-018-4304-y. Epub 2018 Sep 28.

Reference Type BACKGROUND
PMID: 30267356 (View on PubMed)

Chausset A, Freychet C, Lohse A, Belot A, Merlin E, Echaubard S, Schott AM, Lachal J. Diagnosis journey for children with juvenile idiopathic arthritis: a qualitative study. Arch Dis Child. 2024 Nov 19;109(12):1003-1009. doi: 10.1136/archdischild-2024-327426.

Reference Type DERIVED
PMID: 39174297 (View on PubMed)

Other Identifiers

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2022 CHAUSSET AJILITT

Identifier Type: -

Identifier Source: org_study_id

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