Journal of Participatory Medicine最新文献

{"title":"Beyond Known Barriers-Assessing Physician Perspectives and Attitudes Toward Introducing Open Health Records in Germany: Qualitative Study.","authors":"Julia Müller,&nbsp;Charlotte Ullrich,&nbsp;Regina Poss-Doering","doi":"10.2196/19093","DOIUrl":"https://doi.org/10.2196/19093","url":null,"abstract":"<p><strong>Background: </strong>Giving patients access to their medical records (ie, open health records) can support doctor-patient communication and patient-centered care and can improve quality of care, patients' health literacy, self-care, and treatment adherence. In Germany, patients are entitled by law to have access to their medical records. However, in practice doing so remains an exception in Germany. So far, research has been focused on organizational implementation barriers. Little is known about physicians' attitudes and perspectives toward opening records in German primary care.</p><p><strong>Objective: </strong>This qualitative study aims to provide a better understanding of physicians' attitudes toward opening records in primary care in Germany. To expand the knowledge base that future implementation programs could draw from, this study focuses on professional self-conception as an influencing factor regarding the approval for open health records. Perspectives of practicing primary care physicians and advanced medical students were explored.</p><p><strong>Methods: </strong>Data were collected through semistructured guide-based interviews with general practitioners (GPs) and advanced medical students. Participants were asked to share their perspectives on open health records in German general practices, as well as perceived implications, their expectations for future medical records, and the conditions for a potential implementation. Data were pseudonymized, audiotaped, and transcribed verbatim. Themes and subthemes were identified through thematic analysis.</p><p><strong>Results: </strong>Barriers and potential advantages were reported by 7 GPs and 7 medical students (N=14). The following barriers were identified: (1) data security, (2) increased workload, (3) costs, (4) the patients' limited capabilities, and (5) the physicians' concerns. The following advantages were reported: (1) patient education and empowerment, (2) positive impact on the practice, and (3) improved quality of care. GPs' professional self-conception influenced their approval for open records: GPs considered their aspiration for professional autonomy and freedom from external control to be threatened and their knowledge-based support of patients to be obstructed by open records. Medical students emphasized the chance to achieve shared decision making through open records and expected the implementation to be realistic in the near future. GPs were more hesitant and voiced a strong resistance toward sharing notes on perceptions that go beyond clinical data. Reliable technical conditions, the participants' consent, and a joint development of the implementation project to meet the GPs' interests were requested.</p><p><strong>Conclusions: </strong>Open health record concepts can be seen as a chance to increase transparency in health care. For a potential future implementation in Germany, thorough consideration regarding the compatibility of GPs' professional values w","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 4","pages":"e19093"},"PeriodicalIF":0.0,"publicationDate":"2020-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7679209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38574369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Non-Hispanic White Mothers' Willingness to Share Personal Health Data With Researchers: Survey Results From an Opt-in Panel.","authors":"Adam Bouras,&nbsp;Eduardo J Simoes,&nbsp;Suzanne Boren,&nbsp;Lanis Hicks,&nbsp;Iris Zachary,&nbsp;Christoph Buck,&nbsp;Satvinder Dhingra,&nbsp;Richard Ellis","doi":"10.2196/24183","DOIUrl":"https://doi.org/10.2196/24183","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2196/14062.].</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 4","pages":"e24183"},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38561428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting the Implementation of Connected Care Technologies in the Veterans Health Administration: Cross-Sectional Survey Findings from the Veterans Engagement with Technology Collaborative (VET-C) Cohort.","authors":"Bella Etingen,&nbsp;Daniel J Amante,&nbsp;Rachael N Martinez,&nbsp;Bridget M Smith,&nbsp;Stephanie L Shimada,&nbsp;Lorilei Richardson,&nbsp;Angela Patterson,&nbsp;Thomas K Houston,&nbsp;Kathleen L Frisbee,&nbsp;Timothy P Hogan","doi":"10.2196/21214","DOIUrl":"https://doi.org/10.2196/21214","url":null,"abstract":"<p><strong>Background: </strong>Widespread adoption, use, and integration of patient-facing technologies into the workflow of health care systems has been slow, thus limiting the realization of their potential. A growing body of work has focused on how best to promote adoption and use of these technologies and measure their impacts on processes of care and outcomes. This body of work currently suffers from limitations (eg, cross-sectional analyses, limited patient-generated data linked with clinical records) and would benefit from institutional infrastructure to enhance available data and integrate the voice of the patient into implementation and evaluation efforts.</p><p><strong>Objective: </strong>The Veterans Health Administration (VHA) has launched an initiative called the Veterans Engagement with Technology Collaborative cohort to directly address these challenges. This paper reports the process by which the cohort was developed and describes the baseline data being collected from cohort members. The overarching goal of the Veterans Engagement with Technology Collaborative cohort is to directly engage veterans in the evaluation of new VHA patient-facing technologies and in so doing, to create new infrastructure to support related quality improvement and evaluation activities.</p><p><strong>Methods: </strong>Inclusion criteria for veterans to be eligible for membership in the cohort included being an active user of VHA health care services, having a mobile phone, and being an established user of existing VHA patient-facing technologies as represented by use of the secure messaging feature of VHA's patient portal. Between 2017 and 2018, we recruited veterans who met these criteria and administered a survey to them over the telephone.</p><p><strong>Results: </strong>The majority of participants (N=2727) were male (2268/2727, 83.2%), White (2226/2727, 81.6%), living in their own apartment or house (2519/2696, 93.4%), and had completed some college (1176/2701, 43.5%) or an advanced degree (1178/2701, 43.6%). Cohort members were 59.9 years old, on average. The majority self-reported their health status as being good (1055/2725, 38.7%) or very good (524/2725, 19.2%). Most cohort members owned a personal computer (2609/2725, 95.7%), tablet computer (1616/2716, 59.5%), and/or smartphone (2438/2722, 89.6%).</p><p><strong>Conclusions: </strong>The Veterans Engagement with Technology Collaborative cohort is an example of a VHA learning health care system initiative designed to support the data-driven implementation of patient-facing technologies into practice and measurement of their impacts. With this initiative, VHA is building capacity for future, rapid, rigorous evaluation and quality improvement efforts to enhance understanding of the adoption, use, and impact of patient-facing technologies.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 3","pages":"e21214"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38479126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engaging Youth in the Bipolar Youth Action Project: Community-Based Participatory Research.","authors":"Laura Lapadat, Anusha Balram, Joanna Cheek, Eugenia Canas, Andrea Paquette, Erin E Michalak","doi":"10.2196/19475","DOIUrl":"10.2196/19475","url":null,"abstract":"<p><strong>Background: </strong>We describe the methodological dimensions of community-based participatory research through a description of study design, youth engagement, and methods/processes in the cocreation of knowledge within a Canadian study, the Bipolar Youth Action Project. This collaborative partnership-carried out by a team composed of academic, community, and youth partners-was designed to investigate self-management and wellness strategies for young adults living with bipolar disorder.</p><p><strong>Objective: </strong>The aim is to describe the opportunities and challenges of this collaboration and to reflect upon the process of involving youth with bipolar disorder in health research that concerns them, and share lessons learned.</p><p><strong>Methods: </strong>The project was conducted in multiple phases over 2 years: (1) grant-writing, with youth contributing to the process; (2) recruitment, in which 12 youth were selected and trained to help shape and conduct two research forums; (3) the first research forum, where more youth were consulted about the strategies they apply to stay well (self-management strategies); (4) data analysis of Forum I findings; (5) research Forum II, which consulted youth with bipolar disorder about knowledge translation of Forum I findings; and (6) data analysis of Forum II findings. Youth peer researchers with bipolar disorder were involved in a significant capacity at every stage in the process.</p><p><strong>Results: </strong>Of the initial 12 youth peer researchers, 7 remained on the project from the recruitment phase until the project ended. They collaborated in the creation of two youth research forums that consulted youth with bipolar disorder on their self-management strategies.</p><p><strong>Conclusions: </strong>This article shares what was learned from the process of partnering with youth with bipolar disorder in a community-based participatory research study.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 3","pages":"e19475"},"PeriodicalIF":0.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38479124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guiding Pay-As-You-Live Health Insurance Models Toward Responsible Innovation in Health.","authors":"Hassane Alami,&nbsp;Lysanne Rivard,&nbsp;Robson Rocha de Oliveira,&nbsp;Pascale Lehoux,&nbsp;Stéphanie Bernadette Mafalda Cadeddu,&nbsp;Mathilde Savoldelli,&nbsp;Mohamed Ali Ag Ahmed,&nbsp;Jean-Paul Fortin","doi":"10.2196/19586","DOIUrl":"https://doi.org/10.2196/19586","url":null,"abstract":"<p><p>While the transition toward digitalized health care and service delivery challenges many publicly and privately funded health systems, patients are already producing a phenomenal amount of data on their health and lifestyle through their personal use of mobile technologies. To extract value from such user-generated data, a new insurance model is emerging called Pay-As-You-Live (PAYL). This model differs from other insurance models by offering to support clients in the management of their health in a more interactive yet directive manner. Despite significant promises for clients, there are critical issues that remain unaddressed, especially as PAYL models can significantly disrupt current collective insurance models and question the social contract in so-called universal and public health systems. In this paper, we discuss the following issues of concern: the quantification of health-related behavior, the burden of proof of compliance, client data privacy, and the potential threat to health insurance models based on risk mutualization. We explore how more responsible health insurance models in the digital health era could be developed, particularly by drawing from the Responsible Innovation in Health framework.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 3","pages":"e19586"},"PeriodicalIF":0.0,"publicationDate":"2020-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38500531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and Family Participation in Clinical Guidelines Development: The Cystic Fibrosis Foundation Experience.","authors":"Sarah E Hempstead,&nbsp;Kelsey Fredkin,&nbsp;Cade Hovater,&nbsp;Edward T Naureckas","doi":"10.2196/17875","DOIUrl":"https://doi.org/10.2196/17875","url":null,"abstract":"<p><p>Patient and family participation in guideline development is neither standardized nor uniformly accepted in the guideline development community, despite the 2011 Institute of Medicine's Guidelines We Can Trust and the Guideline International Network's GIN-Public Toolkit recommendations. The Cystic Fibrosis Foundation has included patients and/or family members directly in guideline development since 2004. Over time, various strategies for increasing patient and family member participation have been implemented. Surveys of recent patient/family and clinical guidelines committee members have shown that inclusion of individuals with cystic fibrosis and their family members on guidelines committees has provided insight otherwise invisible to clinicians.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 3","pages":"e17875"},"PeriodicalIF":0.0,"publicationDate":"2020-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38495036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Need for Psychosocial Support After Aortic Dissection: Cross-Sectional Survey.","authors":"Gunther Meinlschmidt,&nbsp;Denis Berdajs,&nbsp;Roger Moser-Starck,&nbsp;Alexander Frick,&nbsp;Sebastian Gross,&nbsp;Ulrich Schurr,&nbsp;Friedrich S Eckstein,&nbsp;Sabina Hunziker,&nbsp;Rainer Schaefert","doi":"10.2196/15447","DOIUrl":"https://doi.org/10.2196/15447","url":null,"abstract":"<p><strong>Background: </strong>The gold standard management of aortic dissection, a life-threatening condition, includes multidisciplinary approaches. Although mental distress following aortic dissection is common, evidence-based psychosocial interventions for aortic dissection survivors are lacking.</p><p><strong>Objective: </strong>The aim of this study is to identify the perceived psychosocial needs of aortic dissection survivors by surveying patients, their relatives, and health professionals to inform the development of such interventions.</p><p><strong>Methods: </strong>This study used a cross-sectional survey and collected responses from 41 participants (27 patients with aortic dissection, 8 relatives of patients with aortic dissection, and 6 health professionals) on key topics, types of interventions, best timing, anticipated success, and the intended effects and side effects of psychosocial interventions after aortic dissection.</p><p><strong>Results: </strong>The principal intervention topics were \"changes in everyday life\" (28/41, 68%, 95% CI 54.5%-82.9%), \"anxiety\" (25/41, 61%, 95% CI 46.2%-76.2%), \"uncertainty\" (24/41, 59%, 95% CI 42.9%-73.2%), \"tension/distress\" (24/41, 59%, 95% CI 43.9%-73.8%), and \"trust in the body\" (21/41, 51%, 95% CI 35.9%-67.5%). The most commonly indicated intervention types were \"family/relative therapy\" (21/41, 51%, 95% CI 35%-65.9%) and \"anxiety treatment\" (21/41, 51%, 95% CI 35%-67.5%). The most recommended intervention timing was \"during inpatient rehabilitation\" (26/41, 63%, 95% CI 47.6%-77.5%) followed by \"shortly after inpatient rehabilitation\" (20/41, 49%, 95% CI 32.4%-65%). More than 95% (39/41) of respondents anticipated a benefit from psychosocial interventions following aortic dissection dissection, expecting a probable improvement in 68.6% (95% CI 61.4%-76.2%) of aortic dissection survivors, a worse outcome for 5% (95% CI 2.9%-7.9%), and that 6% (95% CI 1.8%-10.4%) would have negative side effects due to such interventions.</p><p><strong>Conclusions: </strong>Our findings highlight a substantial need for psychosocial interventions in aortic dissection survivors and indicate that such interventions would be a success. They provide a basis for the development and evaluation of interventions as part of state-of-the-art aortic dissection management.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 3","pages":"e15447"},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38598004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencing Positive Health, as a Family, While Living With a Rare Complex Disease: Bringing Participatory Medicine Through Collaborative Decision Making Into the Real World.","authors":"Annapurna Poduri,&nbsp;Orrin Devinsky,&nbsp;Miriam Tabacinic,&nbsp;Alejandro R Jadad","doi":"10.2196/17602","DOIUrl":"https://doi.org/10.2196/17602","url":null,"abstract":"<p><p>Physician-patient collaboration was recognized as a critical core of participatory medicine more than a century ago. However, the subsequent focus on scientific research to enable cures and increased dominance of physicians in health care subordinated patients to a passive role. This paternalistic model weakened in the past 50 years-as women, minorities, and the disabled achieved greater rights, and as incurable chronic diseases and unrelieved pain disorders became more prevalent-promoting a more equitable role for physicians and patients. By 2000, a shared decision-making model became the pinnacle for clinical decisions, despite a dearth of data on health outcomes, or the model's reliance on single patient or solo practitioner studies, or evidence that no single model could fit all clinical situations. We report about a young woman with intractable epilepsy due to a congenital brain malformation whose family and medical specialists used a collaborative decision-making approach. This model positioned the health professionals as supporters of the proactive family, and enabled them all to explore and co-create knowledge beyond the clinical realm. Together, they involved other members of the community in the decisions, while harnessing diverse relationships to allow all family members to achieve positive levels of health, despite the resistance of the seizures to medical treatment and the incurable nature of the underlying disease.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 2","pages":"e17602"},"PeriodicalIF":0.0,"publicationDate":"2020-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38598001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Care Consumer Shopping Behaviors and Sentiment: Qualitative Study.","authors":"Deborah Gordon,&nbsp;Anna Ford,&nbsp;Natalie Triedman,&nbsp;Kamber Hart,&nbsp;Roy Perlis","doi":"10.2196/13924","DOIUrl":"https://doi.org/10.2196/13924","url":null,"abstract":"<p><strong>Background: </strong>Although some health care market reforms seek to better engage consumers in purchasing health care services, health consumer behavior remains poorly understood.</p><p><strong>Objective: </strong>This study aimed to characterize the behaviors and sentiment of consumers who attempt to shop for health care services.</p><p><strong>Methods: </strong>We used a semistructured interview guide based on grounded theory and standard qualitative research methods to examine components of a typical shopping process in a sample size of 54 insured adults. All interviews were systematically coded to capture consumer behaviors, barriers to shopping behavior, and sentiments associated with these experiences.</p><p><strong>Results: </strong>Participants most commonly described determining and evaluating options, seeking value, and assessing or evaluating value. In total, 83% (45/54) of participants described engaging in negotiations regarding health care purchasing. The degree of positive sentiment expressed in the interview was positively correlated with identifying and determining the health plan, provider, or treatment options; making the decision to purchase; and evaluating the decision to purchase. Conversely, negative sentiment was correlated with seeking value and making the decision to buy.</p><p><strong>Conclusions: </strong>Consumer shopping behaviors are prevalent in health care purchasing and can be mapped to established consumer behavior models.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 2","pages":"e13924"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38495034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methicillin-Resistant Staphylococcus aureus Eradication and Decolonization in Children Study (Part 2): Patient- and Parent-Centered Outcomes of Decolonization.","authors":"Courtney M Moore, Sarah E Wiehe, Dustin O Lynch, Gina Em Claxton, Matthew P Landman, Aaron E Carroll, Paul I Musey","doi":"10.2196/14973","DOIUrl":"10.2196/14973","url":null,"abstract":"<p><strong>Background: </strong>Skin and soft tissue infections (SSTIs) due to community-acquired methicillin-resistant Staphylococcus aureus (MRSA) can lead to a number of significant known medical outcomes including hospitalization, surgical procedures such as incision and drainage (I&D), and the need for decolonization procedures to remove the bacteria from the skin and nose and prevent recurrent infection. Little research has been done to understand patient and caregiver-centered outcomes associated with the successful treatment of MRSA infection.</p><p><strong>Objective: </strong>This study aimed to uncover MRSA decolonization outcomes that are important to patients and their parents in order to create a set of prototype measures for use in the MRSA Eradication and Decolonization in Children (MEDiC) study.</p><p><strong>Methods: </strong>A 4-hour, human-centered design (HCD) workshop was held with 5 adolescents (aged 10-18 years) who had experienced an I&D procedure and 11 parents of children who had experienced an I&D procedure. The workshop explored the patient and family experience with skin infection to uncover patient-centered outcomes of MRSA treatment. The research team analyzed the audio and artifacts created during the workshop and coded for thematic similarity. The final themes represent patient-centered outcome domains to be measured in the MEDiC comparative effectiveness trial.</p><p><strong>Results: </strong>The workshop identified 9 outcomes of importance to patients and their parents: fewer MRSA outbreaks, improved emotional health, improved self-perception, decreased social stigma, increased amount of free time, increased control over free time, fewer days of school or work missed, decreased physical pain and discomfort, and decreased financial burden.</p><p><strong>Conclusions: </strong>This study represents an innovative HCD approach to engaging patients and families with lived experience with MRSA SSTIs in the study design and trial development to determine meaningful patient-centered outcomes. We were able to identify 9 major recurrent themes. These themes were used to develop the primary and secondary outcome measures for MEDiC, a prospectively enrolling comparative effectiveness trial.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT02127658; https://clinicaltrials.gov/ct2/show/NCT02127658.</p>","PeriodicalId":36208,"journal":{"name":"Journal of Participatory Medicine","volume":"12 2","pages":"e14973"},"PeriodicalIF":0.0,"publicationDate":"2020-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38500534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}