In this study, we will analyse the lived experience of DMD patients living in different countries with high quality medical systems but differing organizational and geographic structures. In a mixed methods design we will compare differences and similarities on the level of patients/caregivers and care organizations with regard to the realisation of transition guidelines. Through the identification of barriers and enablers we will develop a conceptual model and policy recommendations to improve the quality of transition and opportunities for participation for DMD patients which can be applied to other countries.
Universitätsklinikum Freiburg
Germany
The Department for Neuropediatrics and Muscular Disorders (Interim Chair: Applicant Dr. Langer) and the Section of HealthCare Research and Rehabilitation Research within the Full proposal application form EJP RD JTC 2021
Faculty of Medicine (Director Prof. Farin-Glattacker) have collaborated closely in a number of projects combining clinical excellence in rare neuromuscular diseases with methodological expertise in qualitative and quantitative methods, particularly the evaluation of complex interventions.
Examples related to this proposal are listed below:
- Comparative international survey of care practices in DMD in 2011 (care-nme.eu).
- Comparative analysis of intervention policies and social security in case of reduced working capacity in the Netherlands, Finland and Germany.
- Development and evaluation of case management to improve care integration in Spinal Muscular Atrophy (SMA).
- Analyzing the decision-making process regarding mechanical ventilation in patients with Spinal Muscular Atrophy (SMA) from the parents‘ and physicians‘ perspectives.
- Development of a Patient and Family Advisory Board for the healthcare research group since 2020 (publication in preparation).

Prof. Dr. Thorsten Langer
Prof. Dr. Thorsten Langer
Consultant in Paediatric Neurology and Leader,
Paediatric Healthcare Research Group
Principal Investigator,
GrowDMD

Dr. Sebastian Friedrich
Dr. Sebastian Friedrich
Resident in Paediatrics
Work Package 2 Coordinator,
GrowDMD

Jana Willems
Jana Willems
Psychologist/Research Associate
Institute for Medical Biometry and Statistics,
Section of Health Care Research and Rehabilitation Research
Anastasiya Kazhan
Anastasiya Kazhan
Project Coordinator,
Department of Neuropediatrics and Muscle Disorders
Deutsche Gesellschaft für Muskelkranke e.V. (DGM)
Germany
With more than 9600 members the DGM is the largest self-help organization in Germany for people with neuromuscular disorders.
The organization offers comprehensive advice, support and the opportunity to exchange experience for affected people and their families. The DGM is committed to the interests of those affected in the health policy area and specifically promotes research in the field of neuromuscular diseases.
Gudrun Reeskau is part of the professional social consulting team. She is engaged in the Grow DMD project to improve the transition process for young people with muscle dystrophy Duchenne.

Gudrun Reeskau
Gudrun Reeskau
Social consulting team
CanChild – McMaster University
Canada
CanChild is housed within the School of Rehabilitation Science at McMaster University and is the hub of an academic network of international scientists who conduct applied clinical and health services research. CanChild research efforts focus on children and youth with disabilities and their families. We will rely on:
- our vast experience and strong network of parents participating in research(22); we established a dedicated “Parents Participating in Research Group” with about 200 members across Canada and beyond, as well as establishing the first “Family Engagement in Research Course” in collaboration with Kids Brain Health Network Canada and McMaster University Department for Continuing Education.
- our experience in Transition research (15, 23) with currently 3 transition studies underway (˝Transition˝, ˝TRUST Study˝ and ˝MyStory˝).
- our capacity to implement knowledge gained into the Canadian healthcare system as evidenced by our status as one of the co-founders of the Canadian Transition Hub with representation of stakeholders from across the whole country.

Dr. Olaf Kraus De Camargo
Dr. Olaf Kraus De Camargo
Co-Director, CanChild;
Associate Professor (Pediatrics),
McMaster University

Dr. Julia Frei
Dr. Julia Frei
Assistant Professor (Pediatrics),
McMaster University

Dr. Kinga Pozniak
Dr. Kinga Pozniak
Postdoctoral Fellow,
CanChild

Ms. Anna (Anya) Swain
Ms. Anna (Anya) Swain
Research Coordinator,
CanChild
Muscular Dystrophy Canada
Canada

Homira Osman Ph.D.
Homira Osman Ph.D.
VP of Research & Public Policy,
Muscular Dystrophy Canada
CHU Sainte-Justine Montréal
Canada

Prof. Dr. Anne Fournier
Prof. Dr. Anne Fournier
Professor of Pediatrics, University of Montreal,
Chief of Electrophysiology Section

Rocio Gutierrez
Rocio Gutierrez
Research project manager
Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano
Italia
The Neurological Institute Besta with its Units is strongly translational and its research contributes to defining functioning and disability profiles with the development and implementation of new measurement tools and the use of the Patient-Reported Outcome Measures (PROMs) both of patients and of their caregivers. Our specific experience includes:
- developing and implementing the Questionnaire Transition Besta (QTB) with chronic patients within a national project on models for managing follow-up of patients living with complex pathological conditions during the transition from childhood into adulthood (CCM COTEAM)
- investigating functioning and disability measures of AGEing in people with Down syndrome. The project developed an instrument for a national and European implementation, analyzed age-related transitions in people with Down syndrome and their caregivers and evaluated policies and future plans (Project DOSAGE).(25)
- evaluating the burden on and needs of caregivers of people with disorders of consciousness and developing guidelines for policy and services development (Project PRECIOUS).
Nardo Nardocci
Nardo Nardocci
… is the PI of the WP1 supervising all the activities of the project.
Child Neurologist with a career as head of the Department of Pediatric Neuroscience at Besta Institute.
Isabella Moroni
Isabella Moroni
… is the Child Neurologist of the Neurological Institute Carlo Besta, Milan, taking care of patients affected with Neuromuscular diseases, including DMD.
She is involved both in the evaluation of the SLR, development of the Semi-structured interviews and the Quantitative survey and the administration of the questionnaires to patients and caregivers.
Matilde Leonardi
Matilde Leonardi
… is a Neurologist, Paediatrician, Child Neurologist and Neonatologist. She is the Director of Neurology, Public Health, Disability Unit & Coma Research Centre. She is the Director Italian WHO-Collaborating Centre Research Branch. In the project she coordinates the research activities based on bio-psychosocial model.

Erika Guastafierro
Erika Guastafierro
… is a psychologist and researcher in the Neurology, Public Health, Disability Unit with experience in European Projects on neurological conditions and public health issues. In this project she is involved both in the development of the semi-structured interviews and the quantitative survey, supervising the activities related to data collection and data analysis.

Alessia Marcassoli
Alessia Marcassoli
…is a psychologist and researcher at the Neurology, Public Health and Disability Unit, with experience in projects on chronic neurological diseases, neuromuscular disorders, and public health. In this project, she is involved in the development and administration of semi-structured interviews and quantitative surveys, as well as in data collection, analysis, and dissemination of results.

Angelica Mazzilli
Angelica Mazzilli
…is a psychologist and researcher at the Neurology, Public Health, and Disability Unit. In this project, she is involved in activities related to data collection and analysis, as well as in the dissemination of the results.

Giulia Trucco
Giulia Trucco
…is a psychologist and researcher in the Department of Pediatric Neuroscience. In this project she is involved in data collection and analysis and dissemination of results.
Duchenne Parent Project
Italia
Parent Project aps is a non-profit organization of patients and parents with children affected by Duchenne and Becker Muscular Dystrophy (DMD/BMD). Since 1996, Parent Project has been working to improve the treatment, quality of life and long-term prospects of children and young men living with the disease through research, education, training and awareness. Our goals are: to sustain families who face DMD/BMD through a network of counselling centres with the professional help of psychologists and social workers; to promote and support scientific research on the disease through fundraising activities and campaigns; to develop a collaborative network in order to share and disseminate key information.

Fernanda de Angelis
Fernanda de Angelis
…is a biologist with a PhD in genetics and molecular biology with more than 10 years of research experience mostly spent on the development of therapeutic strategies for Duchenne and Becker muscular dystrophy. Since 2011, she is a member of the Italian Parent Project Scientific Office where she works on the promotion of scientific research related to DMD/BMD, dissemination of research results to patients and their family and in the management of the Italian DMD/BMD Patient Registry.

Giada Perinel
Giada Perinel
…is a clinical psychologist and psychotherapist. Since 2017 she has been one of the referents of the Duchenne Counseling Centre of Parent Project aps, providing support to patients and families affected by Duchenne and Becker muscular dystrophy. She collaborates with IRCCS Carlo Besta within the GrowDMD project, where she has participated in coordination, reviewed study instruments, involved and supported patients and caregivers.

Anna Petruzza
Anna Petruzza
…is a clinical psychologist and psychotherapist. She works in the Parent Project support center, providing psychological support to patients and families affected by Duchenne and Becker muscolar dystrophy. She assists them from the moment of diagnosis onward. She is involved in the Grow DMD project, reviewing study instruments and engaging patients and caregivers.