Kim Erwin1, Molly A Martin2, Tara Flippin1, Sarah Norell1, Ariana Shadlyn1, Jie Yang1, Paula Falco1, Jaime Rivera1, Stacy Ignoffo3, Rajesh Kumar4, Helen Margellos-Anast5, Michael McDermott6, Kate McMahon7, Giselle Mosnaim8, Sharmilee M Nyenhuis2, Valerie G Press9, Jessica E Ramsay5, Kenneth Soyemi10, Trevonne M Thompson2, Jerry A Krishnan2,11. 1. IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA. 2. University of Illinois at Chicago, 1200 W Harrison St Chicago, IL 60607, USA. 3. Chicago Asthma Consortium, PO Box 31757, Chicago, IL 60631, USA. 4. Ann & Robert H Lurie Children's Hospital of Chicago, 225 E Chicago Ave., Chicago, IL 60611, USA. 5. Sinai Health System, California Avenue, 15th Street, Chicago, IL 60608, USA. 6. Illinois Emergency Department Asthma Surveillance Project (IEDASP). 7. Respiratory Health Association, 1440 W Washington Blvd, Chicago, IL 60607, USA. 8. Rush University Medical Center, 1653 W Congress Pkwy, Chicago, IL 60612, USA. 9. University of Chicago, 5801 S Ellis Ave., Chicago, IL 60637, USA. 10. John H Stroger Jr Hospital of Cook County, 1901 W Harrison St Chicago, IL 60612, USA. 11. University of Illinois Hospital & Health Sciences System, 1740 W Taylor St Chicago, IL 60612, USA.
Abstract
AIM: To present the methods and outcomes of stakeholder engagement in the development of interventions for children presenting to the emergency department (ED) for uncontrolled asthma. METHODS: We engaged stakeholders (caregivers, physicians, nurses, administrators) from six EDs in a three-phase process to: define design requirements; prototype and refine; and evaluate. RESULTS: Interviews among 28 stakeholders yielded themes regarding in-home asthma management practices and ED discharge experiences. Quantitative and qualitative evaluation showed strong preference for the new discharge tool over current tools. CONCLUSION: Engaging end-users in contextual inquiry resulted in CAPE (CHICAGO Action Plan after ED discharge), a new stakeholder-balanced discharge tool, which is being tested in a multicenter comparative effectiveness trial.
AIM: To present the methods and outcomes of stakeholder engagement in the development of interventions for children presenting to the emergency department (ED) for uncontrolled asthma. METHODS: We engaged stakeholders (caregivers, physicians, nurses, administrators) from six EDs in a three-phase process to: define design requirements; prototype and refine; and evaluate. RESULTS: Interviews among 28 stakeholders yielded themes regarding in-home asthma management practices and ED discharge experiences. Quantitative and qualitative evaluation showed strong preference for the new discharge tool over current tools. CONCLUSION: Engaging end-users in contextual inquiry resulted in CAPE (CHICAGO Action Plan after ED discharge), a new stakeholder-balanced discharge tool, which is being tested in a multicenter comparative effectiveness trial.
Entities:
Keywords:
asthma; health communication; patient discharge; pediatrics; stakeholder engagement; written action plan
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