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Transitions of care: An aerodigestive provider assessment survey.
Brown, Jennifer N; Blumhardt, Sarah; Lostak, Brittany; Acorda, Darlene; Weissbrod, Philip A; Henningfeld, Jennifer K; Gavini, Sravanya; Anani, Anthony O; Brown, Ashley; Raol, Nikhila P; Sterling, Laurie; Jiwani, Ali; Bedwell, Joshua R; Ongkasuwan, Julina.
Afiliação
  • Brown JN; Department of Otolaryngology, Texas Children's Hospital, 6701 Fannin Street, Houston, TX, 77030, USA. Electronic address: jn3brown@utmb.edu.
  • Blumhardt S; Department of Otolaryngology, Baylor College of Medicine, 1977 Butler Blvd, Suite E5.200, Houston, TX, 77030, USA. Electronic address: sarah.blumhardt@bcm.edu.
  • Lostak B; Department of Otolaryngology, Baylor College of Medicine, 1977 Butler Blvd, Suite E5.200, Houston, TX, 77030, USA. Electronic address: brittany.lostak@bcm.edu.
  • Acorda D; Department of Critical Care Medicine, Texas Children's Hospital, 6651 Main Street, MC E1420, Houston, TX, 77030, USA. Electronic address: deacorda@texaschildrens.org.
  • Weissbrod PA; Department of Otolaryngology, University of California San Diego Health System - San Diego, CA, 9500 Gilman Drive, La Jolla, CA, 92093, USA. Electronic address: p.weissbrod@gmail.com.
  • Henningfeld JK; Department of Pediatric Pulmonology and Sleep Medicine, Medical College of Wisconsin, 8915 W. Connell Court, Milwaukee, MI, 53226, USA. Electronic address: jhenningfeld@mcw.edu.
  • Gavini S; Department of Gastroenterology, UT Southwestern, 1801 Inwood Road, Suite 102, Dallas, TX, 75390, USA. Electronic address: Sravanya.gavini@utsouthwestern.edu.
  • Anani AO; Department of Gastroenterology, Cook Children's Hospital, 4200 W. University, Prosper, TX, 75078, USA. Electronic address: anthony.anani@cookchildrens.org.
  • Brown A; Department of Speech and Language Pathology, Children's Medical Center Dallas, 2350 N. Stemmons Fwy, Ste F5300, Dallas, TX, 75207, USA. Electronic address: ashley.brown@childrens.org.
  • Raol NP; Department of Pediatric Otolaryngology, Emory University School of Medicine, Children's Healthcare of Atlanta, 1400 Tullie Road NE, Atlanta, GA, 30329, USA. Electronic address: nikhila.raol@choa.org.
  • Sterling L; Adult Speech and Language Pathology, Houston Methodists Hospitals, 18123 Upper Bay Rd, Ste 400, Houston, TX, 77058, USA. Electronic address: lsterlingslp@gmail.com.
  • Jiwani A; Department of Pulmonology, Orlando Health, 22 W. Underwood St, Orlando, FL, 32806, USA. Electronic address: ali.jiwani@orlandohealth.com.
  • Bedwell JR; Department of Otolaryngology, Texas Children's Hospital, 6701 Fannin Street, Houston, TX, 77030, USA; Department of Otolaryngology, Baylor College of Medicine, 1977 Butler Blvd, Suite E5.200, Houston, TX, 77030, USA. Electronic address: jrbedwel@texaschildrens.org.
  • Ongkasuwan J; Department of Otolaryngology, Texas Children's Hospital, 6701 Fannin Street, Houston, TX, 77030, USA; Department of Otolaryngology, Baylor College of Medicine, 1977 Butler Blvd, Suite E5.200, Houston, TX, 77030, USA. Electronic address: julinao@bcm.edu.
Int J Pediatr Otorhinolaryngol ; 180: 111933, 2024 May.
Article em En | MEDLINE | ID: mdl-38692234
ABSTRACT

OBJECTIVE:

To create, validate, and apply an aerodigestive provider assessment survey.

METHODS:

A survey assessing provider knowledge and current practice in the transition of patients with chronic aerodigestive disorders from pediatric to adult care was drafted by a multidisciplinary expert panel. Once agreement of the initial survey items was obtained, the survey was distributed to a national multidisciplinary panel of aerodigestive experts for review. Responses from the national panel were systematically quantified and a content validity index (CVI) was calculated. A final survey was developed and distributed to pediatric and adult aerodigestive providers.

RESULTS:

From the initial 22 items presented to the national panel, 20 of the initial questions were included in the final instrument. Two additional questions were developed as a result of feedback from the expert panel. All items included in the survey had an Item Content Validity Index (I-CVI) of >0.85. The average Scale CVI in proportion to the average proportion of relevance (S-CVI/Ave) for the tool was 0.88. The average Scale CVI in proportion to universal agreement (S-CVI/UA) was 0.52. The survey was then administered to pediatric and adult specialty providers at our institution. Twenty-two providers completed the final survey.

CONCLUSION:

The content validity index measurements from this newly developed survey suggest that it is a valid tool for assessing current knowledge and practice in care transitions among patients with complex aerodigestive needs. The survey developed in this project has been used to identify knowledge gaps and process issues that can be addressed to ease the transition of adolescents from pediatric specialty care into adult specialty care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transição para Assistência do Adulto Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Int J Pediatr Otorhinolaryngol Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transição para Assistência do Adulto Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Int J Pediatr Otorhinolaryngol Ano de publicação: 2024 Tipo de documento: Article