Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits

Sleath, Betsy; Carpenter, Delesha M.; Davis, Scott; Watson, Claire Hayes; Lee, Charles; Loughlin, Ceila E.; Garcia, Nacire; Etheridge, Dana; Rivera-Duchesne, Laura; Reuland, Daniel S.; Batey, Karolyne; Duchesne, Cristina; Tudor, Gail

doi:10.1016/j.pec.2017.05.013

Cited by 23 publications

(27 citation statements)

References 29 publications

(32 reference statements)

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“…The youth then completed a one-page asthma question prompt list, in which they checked off the questions they wanted to ask their provider before their clinic visits. 17 Clinic visits were audiotaped. All youth were interviewed after their medical visits by a research assistant while their caregivers completed a questionnaire.…”

Section: Methodsmentioning

confidence: 99%

“…To encourage youth to be more actively involved during asthma visits, we created an asthma question prompt list and an educational video intervention. 16 , 17 The intervention seeks to motivate adolescents to ask questions about asthma management to help them understand how to manage their asthma better after leaving the clinic visit. We conducted a randomized, controlled trial of the intervention and found that it significantly improved the youth’s question-asking ability and provider education during asthma visits.…”

Section: Introductionmentioning

confidence: 99%

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Provider use of a participatory decision-making style with youth and caregivers and satisfaction with pediatric asthma visits

Sleath¹,

Carpenter²,

Coyne³

et al. 2018

PROM

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BackgroundWe conducted a randomized controlled trial to test the effectiveness of an asthma question prompt list with video intervention to engage the youth during clinic visits. We examined whether the intervention was associated with 1) providers including youth and caregiver inputs more into asthma treatment regimens, 2) youth and caregivers rating providers as using more of a participatory decision-making style, and 3) youth and caregivers being more satisfied with visits.MethodsEnglish- or Spanish-speaking youth aged 11–17 years with persistent asthma and their caregivers were recruited from four pediatric clinics and randomized to the intervention or usual care groups. The youth in the intervention group watched the video with their caregivers on an iPad and completed a one-page asthma question prompt list before their clinic visits. All visits were audiotaped. Generalized estimating equations were used to analyze the data.ResultsForty providers and their patients (n=359) participated in this study. Providers included youth input into the asthma management treatment regimens during 2.5% of visits and caregiver input during 3.3% of visits. The youth in the intervention group were significantly more likely to rate their providers as using more of a participatory decision-making style (odds ratio=1.7, 95% confidence interval=1.1, 2.5). White caregivers were significantly more likely to rate the providers as more participatory (odds ratio=2.3, 95% confidence interval=1.2, 4.4). Youth (beta=4.9, 95% confidence interval=3.3, 6.5) and caregivers (beta=7.5, 95% confidence interval=3.1, 12.0) who rated their providers as being more participatory were significantly more satisfied with their visits. Youth (beta=−1.9, 95% confidence interval=−3.4, −0.4) and caregivers (beta=−8.8, 95% confidence interval=−16.2, −1.3) who spoke Spanish at home were less satisfied with visits.ConclusionThe intervention did not increase the inclusion of youth and caregiver inputs into asthma treatment regimens. However, it did increase the youth’s perception of participatory decision-making style of the providers, and this in turn was associated with greater satisfaction.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Provider use of a participatory decision-making style with youth and caregivers and satisfaction with pediatric asthma visits

Sleath¹,

Carpenter²,

Coyne³

et al. 2018

PROM

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“…The workshop developed in the current study could be used in continuing education programmes aimed at improving practicing pharmacist confidence and knowledge in communicating with adolescents. Future research should develop further educational material, such as communication checklists and templates to facilitate more effective counselling, and to in turn support pharmacists to empower adolescents to be more involved in discussions with their healthcare providers …”

Section: Discussionmentioning

confidence: 99%

“…Future research should develop further educational material, such as communication checklists and templates to facilitate more effective counselling, and to in turn support pharmacists to empower adolescents to be more involved in discussions with their healthcare providers. [29] Future research should assess workshop applicability in other countries and determine its optimal placement within pharmacy curricula, as well as if the workshop improves objectively measured communication.…”

Section: Discussionmentioning

confidence: 99%

Preparing pharmacy students to communicate effectively with adolescents

Gilmartin‐Thomas

Sleath

Bailey

et al. 2019

International Journal of Pharmacy Practice

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Objectives To develop an elective workshop designed to equip pharmacy students with skills to effectively communicate with adolescents. To conduct preliminary evaluation of the workshop to assess its impact on pharmacy student perceived confidence and knowledge relating to the importance of adolescent counselling and counselling techniques. Methods Academics from three universities in three countries collaborated on the workshop development and evaluation. The workshop structure was designed upon the foundations of communication best practices and established techniques, and it consisted of two online modules and an in‐person tutorial. Pharmacy students undertaking a 4‐year Bachelor, Master or Doctor of Pharmacy degree from all three participating universities evaluated the workshop via pre‐ and post‐questionnaires. Key findings A total of 81 pharmacy students volunteered to attend and evaluate the workshop. Of these 81 students, 31 completed paired pre‐ and post‐questionnaires, 44 students completed unpaired questionnaires and six students were lost to follow‐up. Of the paired pre‐ and post‐questionnaires, students were mostly female (67.7%) with an average age of 24.9 years (standard deviation, SD = 5.6) and were in the first (32.3%), second (16.1%) or third (51.6%) year of their pharmacy programme. Over 80% of students somewhat or strongly agreed that the workshop made them feel more comfortable speaking with young people in pharmacy settings. Mean (SD) perceived confidence (pre = 21.7 (4.0) and post = 24.9 (4.5)) and knowledge scores (pre = 5.2 (1.5) and post = 6.6 (1.6)) significantly improved after undertaking the workshop. Conclusions The workshop increased pharmacy student perceived confidence and knowledge relating to the importance of adolescent counselling and counselling techniques.

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“…The QPL may potentially improve patient participation in decision-making about breast cancer treatment (13). The QPL is user-friendly and requires limited financial and human resources, and can be implemented in a busy care environment (10).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Using the Question Prompt List on Shared Decision Making, Self-Efficacy in Decision Making, and Preferences for Participation Among Women with Breast Cancer: A Study Protocol

et al. 2020

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Background: There is increasing awareness that patients with cancer desire information as well as strategies to support their capacity to actively participate in informed decision-making. This study will evaluate outcomes of using a question prompt list (QPL) on shared decision making (SDM), decision-making self-efficacy, and preferences for participation among Iranian women with breast cancer, who are referred to a Tehran Comprehensive Cancer Center. Methods: This research will utilize a randomized controlled trial. The research population is patients with breast cancer, who are referred to the Oncology Radiotherapy Unit, Imam Khomeini Hospital, Tehran following tumor resection. After completing baseline surveys (demographics and health survey, decision self-efficacy scale, and control preferences scale), participants will be randomized into either a control or a treatment group based on block design. The treatment group will receive routine care along with the QPL that provides information on decision-making relative to treatment options (chemotherapy, radiotherapy, or both treatments) following meeting their oncologist. They will be trained to use the QPL which they will use to ask questions about their treatment choices when meeting with their physician or through computer-mediated modalities such as WhatsApp or other social messengers. These patients will have the opportunity to think about the treatment options and will be referred for medical treatment following their decision. The control group will receive routine care (physician discussion and receipt of treatment information). Following decision-making regarding treatment, the questionnaires will be administered (9-item SDM questionnaire, decision self-efficacy scale, and control preferences scale). Data will be analyzed using SPSS 16. Discussion: The current study will provide experimental evidence for the efficiency or lack of intervention that has the potential to improve shared decision-making outcomes, a better understanding of personal preferences related to decision-making and self-efficacy in medical decision-making for Iranian patients with breast cancer.

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Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits

Cited by 23 publications

References 29 publications

Provider use of a participatory decision-making style with youth and caregivers and satisfaction with pediatric asthma visits

Provider use of a participatory decision-making style with youth and caregivers and satisfaction with pediatric asthma visits

Preparing pharmacy students to communicate effectively with adolescents

The Effect of Using the Question Prompt List on Shared Decision Making, Self-Efficacy in Decision Making, and Preferences for Participation Among Women with Breast Cancer: A Study Protocol

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