Applying Human-Centered Design to the Development of an Asthma Essentials Kit for School-Aged Children and Their Parents.
Jennifer Sonney, Morgan Duffy, Lulu Xiao Hoogerheyde and 2 others
PMID 30228032WHAT IT FOUND
Parents and children found a co-designed asthma kit useful and easy to use, including cue cards, an app, a wearable, and a medication bag.
This reports acceptance, not evidence of improved asthma control.
Key findings
01The prioritized kit concepts were a to-go bag, cue cards, a mobile health application, and a wearable device.
02Parent-child dyads in usability testing found the concepts useful and easy to navigate, and the mobile health application was universally liked and intuitive.
03Parent-child dyads reported conflicting views about asthma responsibilities and symptom status, while wanting shared management with parent backup.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was a convenience sample from the principal investigator's research database, so it may not represent all school-aged children with asthma. Participation was limited to English-speaking dyads without vision impairments, and eligibility was based on parent report rather than medical records. The diary data were self-reported, which risks social desirability and recall bias. The sample came from the greater Seattle area, so findings may not generalize elsewhere. Only 14 children participated, and some phases used 11 dyads or 5 dyads. All parent participants were mothers, and 11 of 14 child participants were male. The prototype was still planned for refinement and beta testing. The study reported usability and acceptability, not asthma control or exacerbations.
Declared interests
The authors reported no conflicts of interest.
The easy way to misread this
Do not conclude that the asthma essentials kit improves asthma control, medication adherence, or exacerbations. This was a small design and usability study with no clinical outcome testing. The final usability testing involved 5 dyads, and the contribution of any single component cannot be separated.