| Title | A shared e-decision support portal for pediatric asthma. |
| Publication Type | Journal Article |
| Year of Publication | 2014 |
| Authors | Fiks AG, Mayne SL, Karavite DJ, DeBartolo E, Grundmeier RW |
| Journal | J Ambul Care Manage |
| Volume | 37 |
| Issue | 2 |
| Pagination | 120-6 |
| Date Published | 04/2014 |
| ISSN | 1550-3267 |
| Keywords | Adult, Asthma, Child, Child, Preschool, Communication, Decision Making, Decision Support Systems, Clinical, Electronic Health Records, Humans, Patient Participation, Patient Safety, Pennsylvania |
| Abstract | We describe the user-centered development of an electronic medical record-based portal, "MyAsthma," designed to facilitate shared decision making in pediatric asthma. Interviews and focus groups with 7 parents of children with asthma and 51 clinical team members elicited 2 overarching requirements: that the portal should support sustained communication and ensure patient safety. Parents and clinicians prioritized features including collecting parent and child concerns and goals; symptom, side effect, and medication adherence tracking with decision support; and accessible educational materials. Iterative usability testing refined the system. MyAsthma provides a model for using technology to foster shared decision making in ambulatory care settings. |
| DOI | 10.1097/JAC.0000000000000025 |
| Alternate Journal | J Ambul Care Manage |
| PubMed ID | 24594560 |
| PubMed Central ID | PMC4189083 |
| Grant List | 1P30HS021645 / HS / AHRQ HHS / United States K23 HD059919 / HD / NICHD NIH HHS / United States K23HD059919 / HD / NICHD NIH HHS / United States |