Neuropsychological and biopsychosocial evolution, therapeutic adherence and unmet care needs during paediatric transplantation: study protocol of a mixed-methods design (observational cohort study and focus groups) - the TransplantKIDS mental health project
- PMID: 38449767
- PMCID: PMC10915199
- DOI: 10.3389/fpsyg.2024.1308418
Neuropsychological and biopsychosocial evolution, therapeutic adherence and unmet care needs during paediatric transplantation: study protocol of a mixed-methods design (observational cohort study and focus groups) - the TransplantKIDS mental health project
Abstract
The present article describes the protocol of a mixed-methods study (an observational cohort design and focus groups), aimed to examine neuropsychological functioning and other biopsychosocial outcomes, therapeutic adherence and unmet care needs in paediatric population undergoing solid organ or allogeneic hematopoietic transplant during the pre- and post-transplant phases. Following a multi-method/multi-source approach, neuropsychological domains will be comprehensively measured with objective tests (SDMT, K-CPT 2/CPT 3, TAVECI/TAVEC, WISC-V/WAIS-IV Vocabulary and Digit Span subtests, Verbal Fluency tests, Stroop, ROCF, and TONI-4); ecological executive functioning, affective and behavioral domains, pain intensity/interference, sleep quality and therapeutic adherence will be assessed through questionnaires (parent/legal guardians-reported: BRIEF-2 and BASC-3; and self-reported: BASC-3, BPI, PROMIS, AIQ and SMAQ); and blood levels of prescribed drugs will be taken from each patient's medical history. These outcomes will be measured at pre-transplant and at 4-weeks and 6-months post-transplant phases. The estimated sample size was 60 patients (any type of transplant, solid organ, or hematopoietic) from La Paz University Hospital (Madrid, Spain). Finally, three focus group sessions will be organized with patients, parents/guardians, and transplant clinicians (n = 15, with 5 participants per group), in order to qualitatively identify unmet care needs during the pre-, and post-transplant stages of the process. The study protocol was registered at ClinicalTrials.gov (NCT05441436).
Keywords: allogeneic hematopoietic transplantation; biopsychosocial model; children/adolescents; focus groups; neuropsychological outcomes; observational cohort design; organ transplantation.
Copyright © 2024 Garrido-Bolton, Alcamí-Pertejo, de la Vega, Hernández-Oliveros, Pérez-Martínez, Bravo-Ortiz and Fernández-Jiménez.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
Figures
Similar articles
-
Cognitive deficits including executive functioning in relation to clinical parameters in paediatric MS patients.PLoS One. 2018 Mar 22;13(3):e0194873. doi: 10.1371/journal.pone.0194873. eCollection 2018. PLoS One. 2018. PMID: 29566099 Free PMC article.
-
Impact of Unmet Social Needs, Scarcity, and Future Discounting on Adherence to Treatment in Children With Asthma: Protocol for a Prospective Cohort Study.JMIR Res Protoc. 2023 Mar 7;12:e37318. doi: 10.2196/37318. JMIR Res Protoc. 2023. PMID: 36881458 Free PMC article.
-
Clinical Utility of the OmniGraf Biomarker Panel in the Care of Kidney Transplant Recipients (CLARITY): Protocol for a Prospective, Multisite Observational Study.JMIR Res Protoc. 2022 Dec 14;11(12):e41020. doi: 10.2196/41020. JMIR Res Protoc. 2022. PMID: 36515980 Free PMC article.
-
Kidney and liver organ transplantation in persons with human immunodeficiency virus: An Evidence-Based Analysis.Ont Health Technol Assess Ser. 2010;10(4):1-56. Epub 2010 Mar 1. Ont Health Technol Assess Ser. 2010. PMID: 23074407 Free PMC article.
-
Interventions for preventing thrombosis in solid organ transplant recipients.Cochrane Database Syst Rev. 2021 Mar 15;3(3):CD011557. doi: 10.1002/14651858.CD011557.pub2. Cochrane Database Syst Rev. 2021. PMID: 33720396 Free PMC article.
References
-
- Annema C., De Smet S., Castle E. M., Overloop Y., Klaase J. M., Janaudis-Ferreira T., et al. . (2023). European Society of Organ Transplantation (ESOT) consensus statement on Prehabilitation for solid organ transplantation candidates. Transpl. Int. 36:11564. doi: 10.3389/ti.2023.11564, PMID: - DOI - PMC - PubMed
Associated data
LinkOut - more resources
Full Text Sources
Medical