Case study

Preparing and supporting children undergoing gene therapy

21/10/2024
A happy family looking and waving at the camera.
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Background

Little Journey partnered with a global pharmaceutical company to tailor our support solution for children with Duchenne Muscular Dystrophy (DMD) participating in gene therapy research.

DMD is a rare genetic disorder characterised by progressive muscle degeneration and weakness due to a fault in the dystrophin gene. Dystrophin is a protein that helps keep muscle cells intact.

Gene therapy is a new treatment which aims to introduce a working version of a gene into cells in place of the faulty one. For individuals with DMD, this therapy has the potential to protect the muscles and prevent disease progression. 

Challenge

Screening & Enrolment

Gene therapy research presents unique challenges in screening and enrolment. Families pin their hope on the potential treatment, but not all will meet the inclusion criteria. For those who are eligible, enrolling means they forfeit any future gene therapy options. This creates a daunting "all or nothing" scenario for families. Our client needed to provide clear information and manage expectations sensitively, supporting ineligible participants while empowering eligible families to make informed enrolment decisions.

Engagement & Retention

Retaining participants during the monitoring phase is vital for successful data collection. However, this period brings uncertainty for families, who may worry about adverse events, effectiveness, and disruption to their child's life. If the burden feels too high for families, their dropout risk increases. Our client needed to offer ongoing support, motivation, and reassurance to keep families engaged throughout.

A cute looking cartoon mountain with a flag in the top.

Our solutions

Family-centric information delivery

We developed support across five key stages of the gene therapy journey:

Eligibility
Planning & Preparation
Gene Therapy Infusion
Short-Term Monitoring
Long-Term Monitoring


Support was tailored for children aged 2-7, children aged 8-12, and caregivers. Animated videos, articles, and interactive activities were chosen to deliver key medical concepts and research information in an age and developmentally-appropriate way.  

73 topics were covered including ‘what is gene therapy?’, ‘what happens if my child isn’t eligible?’, ‘supporting emotions’, ‘celebrating bravery’, ‘medical site checklists’ and ‘why does my child need to be monitored?’.

Speech bubbles with questions, which say "what is gene therapy?", "What happens if my child isn't eligible?" and "Why does my child need to be monitored?"
Little Journey app on a phone, with some printed play materials.

Preparation and psychological support

Our established platform of digital content and offline resources was at the core. Developed with psychologists, child life specialists and medical writers, every resource uses evidence-based frameworks to help families prepare for, cope with and remain motivated throughout their clinical journey.

Co-creation

We collaborated with our ‘Little Leaders’ children’s advisory group, patient advocacy groups, and pharmaceutical industry experts to further understand the daily challenges families face with DMD and their questions around gene therapy. Through workshops, interviews, events, and surveys we gathered insights from 49 families to tailor our solution to rare disease gene therapy research.

Little Journey staff at an event, talking to children about app and play materials.
A graphic to represent the 'happy' and 'unhappy' paths which are possible on a gene therapy trial.

Happy vs. unhappy paths

These insights enabled us to map potential pathways that families may take on their gene therapy journey—including both ‘happy’ and ‘unhappy’ paths. We designed a wide range of resources so our solution could anticipate diverse need, supporting families at every step, whether it was expected or unexpected.


Outcomes

[Overview of the outcomes. Rearrange the cards below as needed!]

speech marks

Little Journey's power wheel is this psychosocial aspect that is helping kids, and the parents as well. They are speaking to the gaps I cannot speak to.

Patient Lead

Pharmaceutical Client

Laptop, tablet and phone screens showing mock-ups of the information and support flows for this project.

Example early design mock-ups

We created over 50 mock-ups across different device types and screen sizes. This defined the best order, layout, and flow of support information across the five stages.
A caregiver and child sitting on a sofa, looking at the Little Journey app.

89% of caregivers say Little Journey’s information was useful for them and their child.

speech marks

Thank you for working to improve lives!

Rare disease parent-caregiver

Workshop participant
A graphic of site support staff on the phone.

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