BMJ Open (Jul 2024)

EPIC-CP pilot trial study protocol: a multicentre, randomised controlled trial investigating the feasibility and acceptability of social prescribing for Australian children with cerebral palsy

  • Laurel Mimmo,
  • ,
  • Karen Zwi,
  • Susan Woolfenden,
  • Georgina Chambers,
  • Simon Paget,
  • Raghu Lingam,
  • Sarah Mcintyre,
  • Sue Woolfenden,
  • Valsamma Eapen,
  • Hayley Smithers-Sheedy,
  • Tanya Martin,
  • Timothy Scott,
  • Anne Masi,
  • Iva Strnadová,
  • Katarina Ostojic,
  • Betty-Jean Dee-Price,
  • Heather Burnett,
  • Alison Berg,
  • Michele Scarcella,
  • Jack Calderan,
  • Sheikh Azmatullah,
  • Masyitah Mohamed,
  • Mackenzie Woodbury,
  • Alunya Wilkinson,
  • Russell Dale,
  • Isra Karem,
  • Anne Olaso,
  • Matthew van Hoek,
  • Debbie van Hoek,
  • Mariyam Cadiri,
  • Delfina Diaz Rojas,
  • Georgina Henry,
  • Mick Scarcella,
  • Shaini Shiva,
  • Vesna Stojanovic,
  • Debbie van Hoek,
  • Matthew van Hoek,
  • Joyce Vasquez,
  • Janet Zacharko,
  • Seaneen Wallace

DOI
https://doi.org/10.1136/bmjopen-2023-076304
Journal volume & issue
Vol. 14, no. 7

Abstract

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Introduction The social determinants of health contribute to poorer health outcomes for children with cerebral palsy (CP) and are barriers to families accessing health services. At an individual level, social determinants of health are experienced as unmet social needs, for example, unsafe housing conditions. There is emerging evidence that clinical pathways for the systematic identification and referral to services for unmet social needs can support families to address these needs. These clinical pathways have not been implemented for children with CP. The objectives are to investigate the feasibility and acceptability of two co-designed social needs clinical pathways for parents/caregivers of children with CP—social prescribing (ie, Community Linker plus resource pack) compared with resource pack only.Methods and analysis This pilot randomised controlled trial will run at the three tertiary paediatric rehabilitation services in New South Wales, Australia. A total of 120 participants will be recruited, with randomisation stratified by study site. A survey tool will be used to identify families experiencing unmet social needs. Parents/caregivers who report one or more unmet social need/s and consent will be eligible. The active control group will receive a resource pack containing information on community services to support unmet social needs. The social prescribing intervention group will receive one-on-one Community Linker support, in addition to the resource pack. The survey tool, intervention, logic model, and resource pack were co-designed with patient families and their healthcare workers. Feasibility of the research design and the clinical pathways will be evaluated using the number/proportion of parents/caregivers who complete the survey tool, consent, engage with the intervention, and complete research measures. Acceptability will be evaluated using questionnaires and qualitative interviews.Ethics and dissemination Human research ethics approval was granted by the Sydney Children’s Hospitals Network Human Research Ethics Committee (2022/ETH01688). Participants and stakeholders will receive updates and findings via regular communication channels including meetings, presentations, and publications.Trial registration number Australia New Zealand Clinical Trials Registry: 12622001459718.