title: Evaluation, modification and validation of a set of asthma illustrations in children with chronic asthma in the emergency department.
abstract: OBJECTIVE
  To test, modify and validate a set of illustrations depicting different levels of asthma control and common asthma triggers in pediatric patients (and⁄or their parents) with chronic asthma who presented to the emergency department at the Children's Hospital of Eastern Ontario, Ottawa, Ontario.
  
  
  METHODS
  Semistructured interviews using guessability and translucency questionnaires tested the comprehensibility of 15 illustrations depicting different levels of asthma control and common asthma triggers in children 10 to 17 years of age, and parents of children one to nine years of age who presented to the emergency department. Illustrations with an overall guessability score <80% and⁄or translucency median score <6, were reviewed by the study team and modified by the study's graphic designer. Modifications were made based on key concepts identified by study participants.
  
  
  RESULTS
  A total of 80 patients were interviewed. Seven of the original 15 illustrations (47%) required modifications to obtain the prespecified guessability and translucency goals.
  
  
  CONCLUSIONS
  The authors successfully developed, modified and validated a set of 15 illustrations representing different levels of asthma control and common asthma triggers.
  
  
  CONCLUSIONS
  These illustrations will be incorporated into a child-friendly asthma action plan that enables the child to be involved in his or her asthma self-management care.
authors.affiliation: Children's Hospital of Eastern Ontario, Department of Pharmacy, Ottawa.
authors.forename: Joanie
authors.initials: J
authors.lastname: Tulloch
authors.forename: Danica
authors.initials: D
authors.lastname: Irwin
authors.forename: Elena
authors.initials: E
authors.lastname: Pascuet
authors.forename: Régis
authors.initials: R
authors.lastname: Vaillancourt
mesh_terms: D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D004636:Emergency Service, Hospital; D005260:Female; D006266:Health Education / Q000379:methods; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D008488:Medical Illustration; D010353:Patient Education as Topic / Q000379:methods*; D015203:Reproducibility of Results; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires