Consideration of Insulin Pumps or Continuous Glucose Monitors by Adolescents With Type 1 Diabetes and Their Parents: Stakeholder Engagement in the Design of Web-Based Decision Aids

Purpose This article describes the stakeholder-driven design, development, and testing of web-based, multimedia decision aids for youth with type 1 diabetes who are considering the insulin pump or continuous glucose monitoring and their parents. This is the initial phase of work designed to develop...

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Veröffentlicht in:The Diabetes educator 2016-08, Vol.42 (4), p.395-407
Hauptverfasser: Wysocki, Tim, Hirschfeld, Fiona, Miller, Louis, Izenberg, Neil, Dowshen, Steven A., Taylor, Alex, Milkes, Amy, Shinseki, Michelle T., Bejarano, Carolina, Kozikowski, Chelsea, Kowal, Karen, Starr-Ashton, Penny, Ross, Judith L., Kummer, Mark, Carakushansky, Mauri, Lyness, D’Arcy, Brinkman, William, Pierce, Jessica, Fiks, Alexander, Christofferson, Jennifer, Rafalko, Jessica, Lawson, Margaret L.
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container_end_page 407
container_issue 4
container_start_page 395
container_title The Diabetes educator
container_volume 42
creator Wysocki, Tim
Hirschfeld, Fiona
Miller, Louis
Izenberg, Neil
Dowshen, Steven A.
Taylor, Alex
Milkes, Amy
Shinseki, Michelle T.
Bejarano, Carolina
Kozikowski, Chelsea
Kowal, Karen
Starr-Ashton, Penny
Ross, Judith L.
Kummer, Mark
Carakushansky, Mauri
Lyness, D’Arcy
Brinkman, William
Pierce, Jessica
Fiks, Alexander
Christofferson, Jennifer
Rafalko, Jessica
Lawson, Margaret L.
description Purpose This article describes the stakeholder-driven design, development, and testing of web-based, multimedia decision aids for youth with type 1 diabetes who are considering the insulin pump or continuous glucose monitoring and their parents. This is the initial phase of work designed to develop and evaluate the efficacy of these decision aids in promoting improved decision-making engagement with use of a selected device. Methods Qualitative interviews of 36 parents and adolescents who had previously faced these decisions and 12 health care providers defined the content, format and structure of the decision aids. Experts in children’s health media helped the research team to plan, create, and refine multimedia content and its presentation. A web development firm helped organize the content into a user-friendly interface and enabled tracking of decision aid utilization. Throughout, members of the research team, adolescents, parents, and 3 expert consultants offered perspectives about the website content, structure, and function until the design was complete. Results With the decision aid websites completed, the next phase of the project is a randomized controlled trial of usual clinical practice alone or augmented by use of the decision aid websites. Conclusions Stakeholder-driven development of multimedia, web-based decision aids requires meticulous attention to detail but can yield exceptional resources for adolescents and parents contemplating major changes to their diabetes regimens.
doi_str_mv 10.1177/0145721716647492
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This is the initial phase of work designed to develop and evaluate the efficacy of these decision aids in promoting improved decision-making engagement with use of a selected device. Methods Qualitative interviews of 36 parents and adolescents who had previously faced these decisions and 12 health care providers defined the content, format and structure of the decision aids. Experts in children’s health media helped the research team to plan, create, and refine multimedia content and its presentation. A web development firm helped organize the content into a user-friendly interface and enabled tracking of decision aid utilization. Throughout, members of the research team, adolescents, parents, and 3 expert consultants offered perspectives about the website content, structure, and function until the design was complete. Results With the decision aid websites completed, the next phase of the project is a randomized controlled trial of usual clinical practice alone or augmented by use of the decision aid websites. Conclusions Stakeholder-driven development of multimedia, web-based decision aids requires meticulous attention to detail but can yield exceptional resources for adolescents and parents contemplating major changes to their diabetes regimens.</description><identifier>ISSN: 0145-7217</identifier><identifier>EISSN: 1554-6063</identifier><identifier>DOI: 10.1177/0145721716647492</identifier><identifier>PMID: 27150606</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Blood Glucose Self-Monitoring - psychology ; Child ; Decision Making ; Decision Support Techniques ; Diabetes Mellitus, Type 1 - blood ; Diabetes Mellitus, Type 1 - therapy ; Humans ; Insulin Infusion Systems - psychology ; Multimedia ; Nursing ; Parents - education ; Parents - psychology ; Patient Education as Topic - methods ; Qualitative Research ; Stakeholder Participation</subject><ispartof>The Diabetes educator, 2016-08, Vol.42 (4), p.395-407</ispartof><rights>2016 The Author(s)</rights><rights>2016 The Author(s).</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c356t-a0503000ff71285ab7b196a068ddd338befd5dca4cb70f5afad8e4e852aba0423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0145721716647492$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0145721716647492$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21800,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27150606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wysocki, Tim</creatorcontrib><creatorcontrib>Hirschfeld, Fiona</creatorcontrib><creatorcontrib>Miller, Louis</creatorcontrib><creatorcontrib>Izenberg, Neil</creatorcontrib><creatorcontrib>Dowshen, Steven A.</creatorcontrib><creatorcontrib>Taylor, Alex</creatorcontrib><creatorcontrib>Milkes, Amy</creatorcontrib><creatorcontrib>Shinseki, Michelle T.</creatorcontrib><creatorcontrib>Bejarano, Carolina</creatorcontrib><creatorcontrib>Kozikowski, Chelsea</creatorcontrib><creatorcontrib>Kowal, Karen</creatorcontrib><creatorcontrib>Starr-Ashton, Penny</creatorcontrib><creatorcontrib>Ross, Judith L.</creatorcontrib><creatorcontrib>Kummer, Mark</creatorcontrib><creatorcontrib>Carakushansky, Mauri</creatorcontrib><creatorcontrib>Lyness, D’Arcy</creatorcontrib><creatorcontrib>Brinkman, William</creatorcontrib><creatorcontrib>Pierce, Jessica</creatorcontrib><creatorcontrib>Fiks, Alexander</creatorcontrib><creatorcontrib>Christofferson, Jennifer</creatorcontrib><creatorcontrib>Rafalko, Jessica</creatorcontrib><creatorcontrib>Lawson, Margaret L.</creatorcontrib><title>Consideration of Insulin Pumps or Continuous Glucose Monitors by Adolescents With Type 1 Diabetes and Their Parents: Stakeholder Engagement in the Design of Web-Based Decision Aids</title><title>The Diabetes educator</title><addtitle>Diabetes Educ</addtitle><description>Purpose This article describes the stakeholder-driven design, development, and testing of web-based, multimedia decision aids for youth with type 1 diabetes who are considering the insulin pump or continuous glucose monitoring and their parents. This is the initial phase of work designed to develop and evaluate the efficacy of these decision aids in promoting improved decision-making engagement with use of a selected device. Methods Qualitative interviews of 36 parents and adolescents who had previously faced these decisions and 12 health care providers defined the content, format and structure of the decision aids. Experts in children’s health media helped the research team to plan, create, and refine multimedia content and its presentation. A web development firm helped organize the content into a user-friendly interface and enabled tracking of decision aid utilization. Throughout, members of the research team, adolescents, parents, and 3 expert consultants offered perspectives about the website content, structure, and function until the design was complete. Results With the decision aid websites completed, the next phase of the project is a randomized controlled trial of usual clinical practice alone or augmented by use of the decision aid websites. 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This is the initial phase of work designed to develop and evaluate the efficacy of these decision aids in promoting improved decision-making engagement with use of a selected device. Methods Qualitative interviews of 36 parents and adolescents who had previously faced these decisions and 12 health care providers defined the content, format and structure of the decision aids. Experts in children’s health media helped the research team to plan, create, and refine multimedia content and its presentation. A web development firm helped organize the content into a user-friendly interface and enabled tracking of decision aid utilization. Throughout, members of the research team, adolescents, parents, and 3 expert consultants offered perspectives about the website content, structure, and function until the design was complete. Results With the decision aid websites completed, the next phase of the project is a randomized controlled trial of usual clinical practice alone or augmented by use of the decision aid websites. Conclusions Stakeholder-driven development of multimedia, web-based decision aids requires meticulous attention to detail but can yield exceptional resources for adolescents and parents contemplating major changes to their diabetes regimens.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27150606</pmid><doi>10.1177/0145721716647492</doi><tpages>13</tpages></addata></record>
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subjects Adolescent
Blood Glucose Self-Monitoring - psychology
Child
Decision Making
Decision Support Techniques
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - therapy
Humans
Insulin Infusion Systems - psychology
Multimedia
Nursing
Parents - education
Parents - psychology
Patient Education as Topic - methods
Qualitative Research
Stakeholder Participation
title Consideration of Insulin Pumps or Continuous Glucose Monitors by Adolescents With Type 1 Diabetes and Their Parents: Stakeholder Engagement in the Design of Web-Based Decision Aids
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