title: Engaging stakeholders to design a comparative effectiveness trial in children with uncontrolled asthma.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA.
authors.forename: Kim
authors.initials: K
authors.lastname: Erwin
authors.affiliation: University of Illinois at Chicago, 1200 W Harrison St Chicago, IL 60607, USA.
authors.forename: Molly A
authors.initials: MA
authors.lastname: Martin
authors.affiliation: IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA.
authors.forename: Tara
authors.initials: T
authors.lastname: Flippin
authors.affiliation: IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Norell
authors.affiliation: IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA.
authors.forename: Ariana
authors.initials: A
authors.lastname: Shadlyn
authors.affiliation: IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA.
authors.forename: Jie
authors.initials: J
authors.lastname: Yang
authors.affiliation: IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA.
authors.forename: Paula
authors.initials: P
authors.lastname: Falco
authors.affiliation: IIT Institute of Design, 350 N LaSalle, Chicago, IL 60654, USA.
authors.forename: Jaime
authors.initials: J
authors.lastname: Rivera
authors.affiliation: Chicago Asthma Consortium, PO Box 31757, Chicago, IL 60631, USA.
authors.forename: Stacy
authors.initials: S
authors.lastname: Ignoffo
authors.affiliation: Ann & Robert H Lurie Children's Hospital of Chicago, 225 E Chicago Ave., Chicago, IL 60611, USA.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Kumar
authors.affiliation: Sinai Health System, California Avenue, 15th Street, Chicago, IL 60608, USA.
authors.forename: Helen
authors.initials: H
authors.lastname: Margellos-Anast
authors.affiliation: Illinois Emergency Department Asthma Surveillance Project (IEDASP).
authors.forename: Michael
authors.initials: M
authors.lastname: McDermott
authors.affiliation: Respiratory Health Association, 1440 W Washington Blvd, Chicago, IL 60607, USA.
authors.forename: Kate
authors.initials: K
authors.lastname: McMahon
authors.affiliation: Rush University Medical Center, 1653 W Congress Pkwy, Chicago, IL 60612, USA.
authors.forename: Giselle
authors.initials: G
authors.lastname: Mosnaim
authors.affiliation: University of Illinois at Chicago, 1200 W Harrison St Chicago, IL 60607, USA.
authors.forename: Sharmilee M
authors.initials: SM
authors.lastname: Nyenhuis
authors.affiliation: University of Chicago, 5801 S Ellis Ave., Chicago, IL 60637, USA.
authors.forename: Valerie G
authors.initials: VG
authors.lastname: Press
authors.affiliation: Sinai Health System, California Avenue, 15th Street, Chicago, IL 60608, USA.
authors.forename: Jessica E
authors.initials: JE
authors.lastname: Ramsay
authors.affiliation: John H Stroger Jr Hospital of Cook County, 1901 W Harrison St Chicago, IL 60612, USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Soyemi
authors.affiliation: University of Illinois at Chicago, 1200 W Harrison St Chicago, IL 60607, USA.
authors.forename: Trevonne M
authors.initials: TM
authors.lastname: Thompson
authors.affiliation: University of Illinois at Chicago, 1200 W Harrison St Chicago, IL 60607, USA.|University of Illinois Hospital & Health Sciences System, 1740 W Taylor St Chicago, IL 60612, USA.
authors.forename: Jerry A
authors.initials: JA
authors.lastname: Krishnan
mesh_terms: D001249:Asthma / Q000628:therapy*; D017028:Caregivers; D002648:Child; D057186:Comparative Effectiveness Research / Q000379:methods*; D004636:Emergency Service, Hospital; D006801:Humans; D007407:Interviews as Topic; D010820:Physicians
keywords: asthma; health communication; patient discharge; pediatrics; stakeholder engagement; written action plan