Stakeholder Engagement in Developing an Electronic Clinical Support Tool for Tobacco Prevention in Adolescent Primary Care
AuthorsSalloum, Ramzi G.
Theis, Ryan P.
Gurka, Matthew J.
Shenkman, Elizabeth A.
Thompson, Lindsay A.
UMass Chan AffiliationsUMass Worcester Prevention Research Center
Department of Quantitative Health Sciences, Division of Preventive and Behavioral Medicine
Document TypeJournal Article
electronic health record
Behavior and Behavior Mechanisms
Health Information Technology
Health Services Administration
Substance Abuse and Addiction
MetadataShow full item record
AbstractFollowing guideline recommendations to promote tobacco prevention in adolescent primary care, we developed a patient-facing clinical support tool. The electronic tool screens patients for use and susceptibility to conventional and alternative tobacco products, and promotes patient(-)provider communication. The purpose of this paper is to describe the iterative stakeholder engagement process used in the development of the tool. During the pre-testing phase, we consulted with scientists, methodologists, clinicians, and Citizen Scientists. Throughout the development phase, we engaged providers from three clinics in focus groups. Usability testing was conducted via in-depth, cognitive interviewing of adolescent patients. Citizen Scientists (n = 7) played a critical role in the final selection of educational content and interviewer training by participating in mock-up patient interviews. Cognitive interviews with patients (n = 16) ensured that systems were in place for the feasibility trial and assessed ease of navigation. Focus group participants (n = 24) offered recommendations for integrating the tool into clinical workflow and input on acceptability and appropriateness, and anticipated barriers and facilitators for adoption and feasibility. Engaging key stakeholders to discuss implementation outcomes throughout the implementation process can improve the quality, applicability, and relevance of the research, and enhance implementation success.
Children (Basel). 2018 Dec 17;5(12). pii: E170. doi: 10.3390/children5120170. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/40895
Rights© 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).