title: Maximizing acceptability and usefulness of an automated telephone intervention: Lessons from a developmental mixed-methods approach.
abstract: The objective was to describe the utility of mixed methods to inform the development of an automated telephone intervention to improve patients' compliance with asthma medication. As part of intervention development for a larger trial, we conducted 15 focus groups (n = 53) to design and develop calls, and to identify factors influencing intervention acceptability and usefulness. We piloted four call types and interviewed 64 participants to further improve call content and receptivity to the intervention. Feedback led to several changes to the intervention scripts and eventual calls, and an initial pilot led us to drop one of the calls. During the pilot, we reached 43 percent of target participants; 74 percent of those stayed on the call until it ended. This process provided key insights about automated calls, and may have broader applicability for the development of automated interventions designed to help patients manage a variety of chronic conditions.
authors.affiliation: Kaiser Permanente Center for Health Research, Portland, Oregon 97227-1110, USA. Jennifer.L.Schneider@kpchr.org
authors.forename: Jennifer
authors.initials: J
authors.lastname: Schneider
authors.affiliation: Kaiser Permanente Center for Health Research, Portland, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Waterbury
authors.affiliation: Kaiser Permanente Center for Health Research, Portland, USA.
authors.forename: Adrianne
authors.initials: A
authors.lastname: Feldstein
authors.affiliation: Kaiser Permanente Center for Health Research, Portland, USA.
authors.forename: Jerena
authors.initials: J
authors.lastname: Donovan
authors.affiliation: Kaiser Permanente Center for Health Research, Portland, USA.
authors.forename: William M
authors.initials: WM
authors.lastname: Vollmer
authors.affiliation: Kaiser Permanente Center for Health Research, Honolulu, USA.
authors.forename: Joan
authors.initials: J
authors.lastname: Dubanoski
authors.affiliation: Kaiser Permanente Center for Health Research, Honolulu, USA.
authors.forename: Shelley
authors.initials: S
authors.lastname: Clark
authors.affiliation: Johns Hopkins University, Baltimore, USA.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Rand
mesh_terms: D001249:Asthma / Q000188:drug therapy*; D003695:Delivery of Health Care / Q000379:methods*; D017144:Focus Groups; D006801:Humans; D055118:Medication Adherence; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D036301:Qualitative Research; D017010:Reminder Systems; D013689:Telephone / Q000706:statistics & numerical data*
keywords: automated telephone interventions; interactive voice recognition; intervention development; mixed methods; qualitative methods