Evidence map›Paper›PMID 36173364›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Take on transplant: human-centered design of a patient education tool to facilitate informed discussions about lung transplant among people with cystic fibrosis.

Andrea L Hartzler, Lauren E Bartlett, Mara R Hobler, Nick Reid, Joseph B Pryor, Siddhartha G Kapnadak, Donna L Berry, William B Lober, Christopher H Goss, Kathleen J Ramos and 1 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT06030206 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Preparation for Lung Transplant Discussions and Decisions Among People With Cystic Fibrosis

TypeinterventionalSponsorUniversity of WashingtonRan2023 to 2027Enrolled132ConditionsCystic FibrosisArmsInvestigator-designed lung transplant education resource (Research Intervention), Publicly available transplant education resource (Attention-control)
NCT06032273 narecruitingnot on this mapstarted 2023, after this paper: background citation

Exploring Caregiver Needs While Supporting People with CF Learning About Lung Transplant

TypeinterventionalSponsorUniversity of WashingtonRan2023 to 2027Enrolled132ConditionsCystic FibrosisArmsInvestigator-designed lung transplant education website
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Andrea L HartzlerDepartment of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, Washington, USA.ORCID 0000-0003-4932-7314
Lauren E BartlettDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Mara R HoblerDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Nick ReidDepartment of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, Washington, USA.
Joseph B PryorDepartment of General Internal Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Siddhartha G KapnadakDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Donna L BerryBiobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington, USA.
William B LoberDepartment of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, Washington, USA.
Christopher H GossDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Kathleen J RamosDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Take on Transplant Study Group

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
University of Washington Biomedical Informatics and Data Science Research Training ProgramT15LM007442 · NLM · UNIVERSITY OF WASHINGTON · PI JOHN H. GENNARI, Andrea L. Hartzler · 2002 to 2026
$19.6M
Predicting survival and planning for lung transplantation in severe cystic fibrosisK23HL138154 · NHLBI · UNIVERSITY OF WASHINGTON · PI RAMOS, KATHLEEN JESSICA · 2017 to 2021
$947k
Evaluation and Pilot Testing of a Decision Support Tool for Lung Transplant in People Living with Cystic FibrosisR03HL158728 · NHLBI · UNIVERSITY OF WASHINGTON · PI RAMOS, KATHLEEN JESSICA · 2021 to 2022
$156k
NHLBI NIH HHS K23 HL138154NHLBI NIH HHS R03 HL158728NIDDK NIH HHS P30 DK089507NIH HHS K23HL138154NLM NIH HHS T15 LM007442
6 · The paper itself

Abstract

objectiveLung transplant (LTx) saves lives in cystic fibrosis (CF). However, many potential candidates express uncertainty about LTx and die before receiving this treatment. CF guidelines recommend LTx education and clinical discussions well before the need for LTx arises, but limited patient resources exist. MATERIALS AND

methodsWe engaged people with CF and CF physicians in human-centered design of "Take On Transplant" (TOT), a web-based education tool to prepare patients for LTx discussions. Across 3 phases, needs assessment, design groups, and iterative user testing of TOT, we refined TOT from wireframe prototypes, to an interactive website, to a fully functional intervention ready for clinical trials.

resultsFifty-five people with CF and 105 physicians identified information needs to prepare for LTx discussions. Design groups (n = 14 participants) then established core requirements: didactic education ("Resource Library"), patient narratives ("CF Stories"), frequently asked questions ("FAQ"), and self-assessment to tailor content ("My CF Stage"). Iterative usability testing (n = 39) optimized the design of CF Stories and prototype layout. We then developed the TOT website and demonstrated feasibility and preliminary efficacy of use through 2-week field testing (n = 9). DISCUSSION: Our human-centered design process provided guidance for educational tools to serve the evolving needs of potential LTx candidates. Our findings support the process of patient deliberation as a foundation for shared decision-making in CF, and inform educational tools that could potentially translate beyond LTx.

conclusionTOT fills a critical gap in preparing people with CF for shared decision-making about LTx and may serve as a model for educational tools for other preference-sensitive decisions.

Indexed as

Cystic FibrosisLung TransplantationPhysiciansDecision Making, SharedHumansPatient Education as Topicconsumer health informationdecision-makinghealth educationlung transplantationshareduser-centered design

Identifiers

PMID36173364
PMCPMC9748576

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.