Time point | |||
Control period | Embedding period | Intervention period | |
Measure | |||
GP demographics | X | – | X |
Family demographics | X | – | X |
Paediatrician co-consultation data logs | X | X* | X |
Paediatrician case discussion data logs | X | X* | X |
Primary outcome | |||
GP referral outcomes GRAHNITE extracted from routinely collected GP EMR data | X | X* | X |
Secondary outcomes | |||
GPs | |||
Quality of care GRHANITE EMR data extraction on care quality based on measurement of the CareTrack Kids indicators8: Asthma Bronchiolitis Constipation Upper respiratory infections Infant crying and gastro-oesophageal reflux | X | X* | X |
Confidence in paediatric care and access to paediatric services. Study designed based on pilot study. | X | – | X |
Skills to manage child health. Study designed based on pilot study | X | – | X |
Awareness and use of HealthPathways. Study designed based on pilot study | X | – | X |
9-item implementation culture (Consolidated Framework Implementation Research—CFIR)33 | X | – | – |
5-item learning climate (CFIR) | X | – | – |
4-item measure of perceived intervention appropriateness Intervention Appropriateness Measure (IAM) | X | – | – |
18-item intervention buy-in Adapted NoMAD tool based on Normalisation Process Theory26 | – | – | X |
Model feasibility, acceptability, feedback and patient benefit Study designed based on pilot study | – | – | X |
Families | |||
Confidence in GP care Study designed based on pilot study | X | – | X |
Quality of care and interactions with the GP Study designed based on pilot study | X | – | X |
Preference for paediatrician referral and GP review Study designed based on pilot study | X | – | X |
*Data collected during the embedding period month will not be analysed
EMR, electronic medical records; GP, general practitioner.