Evidence map›Paper›PMID 35018753›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2022

Exploring the Patient Experience with Noninvasive Ventilation: A Human-Centered Design Analysis to Inform Planning for Better Tolerance.

Jill L McCormick, Taylar A Clark, Christopher M Shea, Dean R Hess, Peter K Lindenauer, Nicholas S Hill, Crystal E Allen, MaryJo S Farmer, Ashley M Hughes, Jay S Steingrub and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Jill L McCormickTechSpring, Baystate Health, Springfield, Massachusetts, United States.
Taylar A ClarkInstitute for Healthcare Delivery and Population Science, University of Massachusetts Chan Medical School - Baystate, Springfield, Massachusetts, United States.
Christopher M SheaDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, United States.
Dean R HessCollege of Professional Studies, Respiratory Care Leadership, Northeastern University, Boston Massachusetts, United States.
Peter K LindenauerInstitute for Healthcare Delivery and Population Science, University of Massachusetts Chan Medical School - Baystate, Springfield, Massachusetts, United States.
Nicholas S HillDivision of Pulmonary and Critical Care Medicine, Tufts University School of Medicine, Boston, Massachusetts, United States.
Crystal E AllenTechSpring, Baystate Health, Springfield, Massachusetts, United States.
MaryJo S FarmerDepartment of Medicine, University of Massachusetts Chan Medical School - Baystate, Springfield, Massachusetts, United States.
Ashley M HughesCollege of Applied Health Science at the University of Illinois at Chicago, Chicago, Illinois, United States.
Jay S SteingrubDepartment of Medicine, University of Massachusetts Chan Medical School - Baystate, Springfield, Massachusetts, United States.
Mihaela S StefanInstitute for Healthcare Delivery and Population Science, University of Massachusetts Chan Medical School - Baystate, Springfield, Massachusetts, United States.
Baystate Health · USMassachusetts General Hospital · USTufts University · USUniversity of Illinois Chicago · USUniversity of Massachusetts Chan Medical School · USUniversity of North Carolina at Chapel Hill · US

Funding

Implementation of interprofessional training to improve uptake of noninvasive ventilation in patients hospitalized with severe COPD exacerbationR01HL146615 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI STEFAN, MIHAELA S · 2019 to 2021
$1.5M
NHLBI NIH HHS R01 HL146615NIH HHS 1R01HL146615
6 · The paper itself

Abstract

backgroundThis study brings a human-centered design (HCD) perspective to understanding the patient experience when using noninvasive ventilation (NIV) with the goal of creating better strategies to improve NIV comfort and tolerance.

methodsUsing an HCD motivational approach, we created a semi-structured interview to uncover the patients' journey while being treated with NIV. We interviewed 16 patients with chronic obstructive pulmonary disease (COPD) treated with NIV while hospitalized. Patients' experiences were captured in a stepwise narrative creating a journey map as a framework describing the overall experience and highlighting the key processes, tensions, and flows. We broke the journey into phases, steps, emotions, and themes to get a clear picture of the overall experience levers for patients.

resultsThe following themes promoted NIV tolerance: trust in the providers, the favorable impression of the facility and staff, understanding why the mask was needed, how NIV works and how long it will be needed, immediate relief of the threatening suffocating sensation, familiarity with similar treatments, use of meditation and mindfulness, and the realization that treatment was useful. The following themes deterred NIV tolerance: physical and psychological discomfort with the mask, impaired control, feeling of loss of control, and being misinformed.

conclusionsUnderstanding the reality of patients with COPD treated with NIV will help refine strategies that can improve their experience and tolerance with NIV. Future research should test ideas with the best potential and generate prototypes and design iterations to be tested with patients.

Indexed as

copdhuman-centered designnoninvasive ventilationpatient experiencequalitative analysis

Identifiers

PMID35018753
PMCPMC8893973
OpenAlexW4206730917

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.