{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:36:36Z","timestamp":1786988196116,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2007970"],"award-info":[{"award-number":["2007970"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Familial hypercholesterolaemia (FH) affects 1 in 311 people. Left untreated, it elevates LDL\u2010cholesterol from early life and drives premature atherosclerotic cardiovascular disease. Despite paediatric guidelines for early lipid\u2010lowering, detection and management in Australia remain suboptimal. Shared\u2010care models across general practice, paediatrics, and FH\u2010specialist services are promising but under\u2010implemented. We co\u2010developed implementation strategies to support a paediatric FH risk\u2010reduction pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two qualitative focus\u2010group workshops with clinical, policy and advocacy stakeholders were conducted. Transcripts underwent inductive and deductive thematic analysis. Barriers and facilitators were mapped to the Consolidated Framework for Implementation Research and strategies to the Expert Recommendations for Implementing Change, with structured specification of actor, action, target, temporality and dose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Barriers included unclear responsibility across settings, limited clinician confidence, constrained access to specialist dietary advice and treatment non\u2010adherence. Facilitators included patient\/family empowerment, existing financial reimbursement and engaged clinical champions. Nine strategies emerged: (1) treatment\u2010guidance letters; (2) coordination and phone support; (3) individualised patient passports; (4) financial reimbursement; (5) diet and lifestyle resources; (6) patient and family engagement; (7) decision support systems; (8) audit and feedback; and (9) development of clinical champions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A co\u2010designed suite of nine strategies could enable shared\u2010care for paediatric FH in Australia. This structured,\u00a0replicable package is adaptable across jurisdictions and can support earlier detection and improved management. Evaluation of effectiveness and scalability in routine care is warranted, with potential relevance to other paediatric lipid disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70447","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T06:06:06Z","timestamp":1780293966000},"page":"1411-1420","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Co\u2010Design of Strategies to Support the Implementation of a Paediatric Risk\u2010Reduction Pathway for Familial Hypercholesterolaemia"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7318-3598","authenticated-orcid":false,"given":"Mitchell","family":"Sarkies","sequence":"first","affiliation":[{"name":"Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Implementation Science Academy Sydney Health Partners  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0417-4502","authenticated-orcid":false,"given":"Shubha","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Institute of Endocrinology and Diabetes The Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"Discipline of Child and Adolescent Health, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2043-4343","authenticated-orcid":false,"given":"Ari","family":"Horton","sequence":"additional","affiliation":[{"name":"Victorian Heart Institute Monash University  Melbourne Victoria Australia"},{"name":"Victorian Heart Hospital  Melbourne Victoria Australia"},{"name":"Paediatric Cardiology Monash Children's Hospital, Monash Health  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventative Medicine Monash University  Melbourne Victoria Australia"},{"name":"Department of Paediatrics Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquie","family":"Garton\u2010Smith","sequence":"additional","affiliation":[{"name":"Health Networks, Clinical Excellence Division Department of Health Western Australia  East Perth Western Australia Australia"},{"name":"Royal Perth Bentley Group East Metropolitan Health Service  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2276-1524","authenticated-orcid":false,"given":"Gerald F.","family":"Watts","sequence":"additional","affiliation":[{"name":"Medical School University of Western Australia  Perth Western Australia Australia"},{"name":"Lipid Disorders Clinic, Cardiometabolic Service, Departments of Cardiology and Internal Medicine Royal Perth Hospital  Perth Western 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of Health and Medical Sciences University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9700-6948","authenticated-orcid":false,"given":"Jing","family":"Pang","sequence":"additional","affiliation":[{"name":"Medical School University of Western Australia  Perth Western Australia Australia"},{"name":"FH Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Martin","sequence":"additional","affiliation":[{"name":"Department General Paediatrics Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Division of Paediatrics, Faculty of Health and Medical Sciences University of Western Australia  Perth Western Australia 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