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    Home medication support for childhood cancer: family-centered design and testing

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    Authors
    Walsh, Kathleen E.
    Biggins, Colleen
    Blasko, Deb
    Christiansen, Steven M.
    Fischer, Shira H.
    Keuker, Christopher P.
    Klugman, Robert A.
    Mazor, Kathleen M.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Document Type
    Journal Article
    Publication Date
    2014-11-01
    Keywords
    Health Information Technology
    Health Services Administration
    Oncology
    Pediatrics
    
    Metadata
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    Link to Full Text
    http://dx.doi.org/10.1200/JOP.2014.001482
    Abstract
    PURPOSE: Errors in the use of medications at home by children with cancer are common, and interventions to support correct use are needed. We sought to (1) engage stakeholders in the design and development of an intervention to prevent errors in home medication use, and (2) evaluate the acceptability and usefulness of the intervention. METHODS: We convened a multidisciplinary team of parents, clinicians, technology experts, and researchers to develop an intervention using a two-step user-centered design process. First, parents and oncologists provided input on the design. Second, a parent panel and two oncology nurses refined draft materials. In a feasibility study, we used questionnaires to assess usefulness and acceptability. Medication error rates were assessed via monthly telephone interviews with parents. RESULTS: We successfully partnered with parents, clinicians, and IT experts to develop Home Medication Support (HoMeS), a family-centered Web-based intervention. HoMeS includes a medication calendar with decision support, a communication tool, adverse effect information, a metric conversion chart, and other information. The 15 families in the feasibility study gave HoMeS high ratings for acceptability and usefulness. Half recorded information on the calendar to indicate to other caregivers that doses were given; 34% brought it to the clinic to communicate with their clinician about home medication use. There was no change in the rate of medication errors in this feasibility study. CONCLUSION: We created and tested a stakeholder-designed, Web-based intervention to support home chemotherapy use, which parents rated highly. This tool may prevent serious medication errors in a larger study.
    Source
    J Oncol Pract. 2014 Nov;10(6):373-6. doi: 10.1200/JOP.2014.001482. Epub 2014 Oct 21. Link to article on publisher's site
    DOI
    10.1200/JOP.2014.001482
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/37313
    PubMed ID
    25336081
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1200/JOP.2014.001482
    Scopus Count
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    UMass Chan Faculty and Researcher Publications

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