Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Abstract

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Toward promotion of health equity in pediatric disorders of gut–brain interaction: A call to action.

“…Reeves, Penney, et al, 2021; P. T. Reeves et al, 2022; P. T. Reeves, Kolasinski, et al, 2021) and are freely accessible online.…”

The Sickle Cell Pain Action Plan: A low health literacy, pictographic tool to enhance self‐management, and guideline concordance

“…9 Clinical action plans represent one such unique tool with the potential to address the needs of patients with low health literacy, summarize medical team recommendations onto a single page, and provide a platform with technologic enhancements to improve knowledge transfer and self-management. 8,[10][11][12][13][14] The purpose of this letter is to describe the development and assessment of the Uniformed Services Sickle Cell Pain Action Plan using the National Institute of Health (NIH) 5-step patient education materials development process: the "Clear & Simple" campaign. 15 Step 1: Define the target audience We identified patients with SCD and their caregivers as the primary target audience.…”

Clinical action plans make a difference at point-of-care

“…In addition, SMART features assist primary care providers in selecting and dosing appropriate pharmacotherapy (e.g, providing a warning message when a child with persistent asthma is not prescribed inhaled corticosteroid or other guideline-based recommended treatment). Anecdotally, reliance on the SMART features of a clinical action plan for constipation, which automatically outputs age/weight-based laxative doses for clean-out and maintenance laxative therapies, has been effective in the author's general pediatrics clinic [13 ▪ ]. In another example, endocrinologists have reported more rapid and standardized adrenal insufficiency care by relying on the SMART-enhanced clinical action plan for adrenal insufficiency that eliminated the tedious creation of the traditional ‘adrenal crisis’ letter [23].…”

“…CAPs can also be enhanced with clinical pictograms which direct patients and/or caregivers to recignize worsening disease signs and/or to escalate pharmacotherapy care at home. Pictograms should undergo a validation process by using the concepts of transparency, translucency, and recall prior to incorporation to the CAP [see pictogram validation methods in Table 1] [13 ▪ ]. The use of validated clinical pictograms in a CAP has been associated with greater patient adherence to pharmacotherapy and improved clinical outcomes (e.g., asthma) [2,14].…”