Implementing the My Positive Health dialogue tool for children with a chronic condition: barriers and facilitators

S de Jong-Witjes; E E Berkelbach van der Sprenkel; M C Kars; M Huber; S L Nijhof; R Nuboer; D M Broekhuijsen-van Henten; C A Lasham; E G A H van Mil; E M van de Putte

doi:10.1186/s12887-024-05258-0

Implementing the My Positive Health dialogue tool for children with a chronic condition: barriers and facilitators

S de Jong-Witjes, E E Berkelbach van der Sprenkel^*, M C Kars, M Huber, S L Nijhof, R Nuboer, D M Broekhuijsen-van Henten, C A Lasham, E G A H van Mil, E M van de Putte

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: The My Positive Health (MPH) dialogue tool for children was developed to aid children and teenagers in reflecting and communicating about their health from a broader perspective. This study investigates facilitators and barriers to implementation in pediatric care and assesses experiences of healthcare professionals (HCPs) and children regarding effectiveness.

METHODS: We conducted a mixed-methods study involving six Dutch pediatric outpatient clinics. Quantitative data on facilitators and barriers were obtained from 18 out of 20 participating HCPs (pediatricians, nurse practitioners and physician assistants) using the Measurement Instrument for Determinants of Innovations. Additionally, qualitative insights were gathered through semi-structured interviews with 17 HCPs and 30 children (8-18 years old) with chronic conditions.

RESULTS: Facilitators identified in both user and innovation domains included improved patient understanding and the tool's simplicity, while barriers involved organizational constraints and integration issues, for example limited resources and lack of organizational support. Participating HCPs highlighted the tool's role in fostering person-centered conversations, especially for children with chronic conditions. Children positively viewed the tool, noting its ability to enable deeper, personalized interactions with HCPs.

CONCLUSION: This study on the implementation of the MPH dialogue tool for children in pediatric care highlights its user-friendliness and relevance, alongside challenges like organizational constraints. Beneficial for person-centered care and children's active participation, the tool enhanced healthcare dialogues and empowered children in their health journey. However, HCPs faced integration challenges within existing practices. Addressing these barriers and providing organizational support are vital for effectively implementing the MPH dialogue tool and optimizing pediatric patient engagement and care quality.

Original language	English
Article number	168
Number of pages	14
Journal	BMC Pediatrics
Volume	25
Issue number	1
DOIs	https://doi.org/10.1186/s12887-024-05258-0
Publication status	Published - 5 Mar 2025

Keywords

Adolescent
Attitude of Health Personnel
Child
Chronic Disease/therapy
Communication
Female
Humans
Male
Netherlands
Patient Participation
Patient-Centered Care
Qualitative Research

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de Jong-Witjes, S., Berkelbach van der Sprenkel, E. E., Kars, M. C., Huber, M., Nijhof, S. L., Nuboer, R., Broekhuijsen-van Henten, D. M., Lasham, C. A., van Mil, E. G. A. H., & van de Putte, E. M. (2025). Implementing the My Positive Health dialogue tool for children with a chronic condition: barriers and facilitators. BMC Pediatrics, 25(1), Article 168. https://doi.org/10.1186/s12887-024-05258-0

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title = "Implementing the My Positive Health dialogue tool for children with a chronic condition: barriers and facilitators",

abstract = "BACKGROUND: The My Positive Health (MPH) dialogue tool for children was developed to aid children and teenagers in reflecting and communicating about their health from a broader perspective. This study investigates facilitators and barriers to implementation in pediatric care and assesses experiences of healthcare professionals (HCPs) and children regarding effectiveness.METHODS: We conducted a mixed-methods study involving six Dutch pediatric outpatient clinics. Quantitative data on facilitators and barriers were obtained from 18 out of 20 participating HCPs (pediatricians, nurse practitioners and physician assistants) using the Measurement Instrument for Determinants of Innovations. Additionally, qualitative insights were gathered through semi-structured interviews with 17 HCPs and 30 children (8-18 years old) with chronic conditions.RESULTS: Facilitators identified in both user and innovation domains included improved patient understanding and the tool's simplicity, while barriers involved organizational constraints and integration issues, for example limited resources and lack of organizational support. Participating HCPs highlighted the tool's role in fostering person-centered conversations, especially for children with chronic conditions. Children positively viewed the tool, noting its ability to enable deeper, personalized interactions with HCPs.CONCLUSION: This study on the implementation of the MPH dialogue tool for children in pediatric care highlights its user-friendliness and relevance, alongside challenges like organizational constraints. Beneficial for person-centered care and children's active participation, the tool enhanced healthcare dialogues and empowered children in their health journey. However, HCPs faced integration challenges within existing practices. Addressing these barriers and providing organizational support are vital for effectively implementing the MPH dialogue tool and optimizing pediatric patient engagement and care quality.",

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author = "{de Jong-Witjes}, S and {Berkelbach van der Sprenkel}, {E E} and Kars, {M C} and M Huber and Nijhof, {S L} and R Nuboer and {Broekhuijsen-van Henten}, {D M} and Lasham, {C A} and {van Mil}, {E G A H} and {van de Putte}, {E M}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2025.",

year = "2025",

month = mar,

day = "5",

doi = "10.1186/s12887-024-05258-0",

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de Jong-Witjes, S, Berkelbach van der Sprenkel, EE, Kars, MC, Huber, M, Nijhof, SL, Nuboer, R, Broekhuijsen-van Henten, DM, Lasham, CA, van Mil, EGAH & van de Putte, EM 2025, 'Implementing the My Positive Health dialogue tool for children with a chronic condition: barriers and facilitators', BMC Pediatrics, vol. 25, no. 1, 168. https://doi.org/10.1186/s12887-024-05258-0

TY - JOUR

T1 - Implementing the My Positive Health dialogue tool for children with a chronic condition

T2 - barriers and facilitators

AU - de Jong-Witjes, S

AU - Berkelbach van der Sprenkel, E E

AU - Kars, M C

AU - Huber, M

AU - Nijhof, S L

AU - Nuboer, R

AU - Broekhuijsen-van Henten, D M

AU - Lasham, C A

AU - van Mil, E G A H

AU - van de Putte, E M

N1 - Publisher Copyright: © The Author(s) 2025.

PY - 2025/3/5

Y1 - 2025/3/5

N2 - BACKGROUND: The My Positive Health (MPH) dialogue tool for children was developed to aid children and teenagers in reflecting and communicating about their health from a broader perspective. This study investigates facilitators and barriers to implementation in pediatric care and assesses experiences of healthcare professionals (HCPs) and children regarding effectiveness.METHODS: We conducted a mixed-methods study involving six Dutch pediatric outpatient clinics. Quantitative data on facilitators and barriers were obtained from 18 out of 20 participating HCPs (pediatricians, nurse practitioners and physician assistants) using the Measurement Instrument for Determinants of Innovations. Additionally, qualitative insights were gathered through semi-structured interviews with 17 HCPs and 30 children (8-18 years old) with chronic conditions.RESULTS: Facilitators identified in both user and innovation domains included improved patient understanding and the tool's simplicity, while barriers involved organizational constraints and integration issues, for example limited resources and lack of organizational support. Participating HCPs highlighted the tool's role in fostering person-centered conversations, especially for children with chronic conditions. Children positively viewed the tool, noting its ability to enable deeper, personalized interactions with HCPs.CONCLUSION: This study on the implementation of the MPH dialogue tool for children in pediatric care highlights its user-friendliness and relevance, alongside challenges like organizational constraints. Beneficial for person-centered care and children's active participation, the tool enhanced healthcare dialogues and empowered children in their health journey. However, HCPs faced integration challenges within existing practices. Addressing these barriers and providing organizational support are vital for effectively implementing the MPH dialogue tool and optimizing pediatric patient engagement and care quality.

AB - BACKGROUND: The My Positive Health (MPH) dialogue tool for children was developed to aid children and teenagers in reflecting and communicating about their health from a broader perspective. This study investigates facilitators and barriers to implementation in pediatric care and assesses experiences of healthcare professionals (HCPs) and children regarding effectiveness.METHODS: We conducted a mixed-methods study involving six Dutch pediatric outpatient clinics. Quantitative data on facilitators and barriers were obtained from 18 out of 20 participating HCPs (pediatricians, nurse practitioners and physician assistants) using the Measurement Instrument for Determinants of Innovations. Additionally, qualitative insights were gathered through semi-structured interviews with 17 HCPs and 30 children (8-18 years old) with chronic conditions.RESULTS: Facilitators identified in both user and innovation domains included improved patient understanding and the tool's simplicity, while barriers involved organizational constraints and integration issues, for example limited resources and lack of organizational support. Participating HCPs highlighted the tool's role in fostering person-centered conversations, especially for children with chronic conditions. Children positively viewed the tool, noting its ability to enable deeper, personalized interactions with HCPs.CONCLUSION: This study on the implementation of the MPH dialogue tool for children in pediatric care highlights its user-friendliness and relevance, alongside challenges like organizational constraints. Beneficial for person-centered care and children's active participation, the tool enhanced healthcare dialogues and empowered children in their health journey. However, HCPs faced integration challenges within existing practices. Addressing these barriers and providing organizational support are vital for effectively implementing the MPH dialogue tool and optimizing pediatric patient engagement and care quality.

KW - Adolescent

KW - Attitude of Health Personnel

KW - Child

KW - Chronic Disease/therapy

KW - Communication

KW - Female

KW - Humans

KW - Male

KW - Netherlands

KW - Patient Participation

KW - Patient-Centered Care

KW - Qualitative Research

U2 - 10.1186/s12887-024-05258-0

DO - 10.1186/s12887-024-05258-0

M3 - Article

C2 - 40045232

SN - 1471-2431

VL - 25

JO - BMC Pediatrics

JF - BMC Pediatrics

IS - 1

M1 - 168

ER -

Implementing the My Positive Health dialogue tool for children with a chronic condition: barriers and facilitators

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Keywords

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