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Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study

Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study

Potentially missing asthma diagnoses due to the lack of a CDS tool at the point of care was also identified as a barrier to management. Missing the possible, not the ones that are established. For the ones you’re considering a new diagnosis. It’s a little bit out of sight out of mind. So people aren’t thinking about [the CDS tool] to administer the survey, and that’s a little bit cumbersome to go and try to find it.

David A Fedele, Jessica M Ray, Jaya L Mallela, Jiang Bian, Aokun Chen, Xiao Qin, Ramzi G Salloum, Maria Kelly, Matthew J Gurka, Jessica Hollenbach

JMIR Form Res 2025;9:e65794

Combining Federated Machine Learning and Qualitative Methods to Investigate Novel Pediatric Asthma Subtypes: Protocol for a Mixed Methods Study

Combining Federated Machine Learning and Qualitative Methods to Investigate Novel Pediatric Asthma Subtypes: Protocol for a Mixed Methods Study

Asthma is a chronic respiratory disease characterized by constriction of the lower airways, resulting in wheezing, cough, and shortness of breath [1]. Although asthma can be diagnosed with pulmonary function tests, it is often diagnosed clinically by a physician based on patient history and examination [1]. Pediatric asthma is a heterogeneous disease characterized by a range of etiologies, triggers, clinical manifestations, severities, and treatment responses [6].

Jie Xu, Sankalp Talankar, Jinqian Pan, Ira Harmon, Yonghui Wu, David A Fedele, Jennifer Brailsford, Jennifer Noel Fishe

JMIR Res Protoc 2024;13:e57981

Exploring Caregiver Interest in and Preferences for Interventions for Children With Risk of Asthma Exacerbation: Web-Based Survey

Exploring Caregiver Interest in and Preferences for Interventions for Children With Risk of Asthma Exacerbation: Web-Based Survey

The first aim was to explore whether caregivers of children who experienced a recent exacerbation (ie, those with a high risk of experiencing future exacerbation) would express greater interest in the intervention programs and delivery methods than would caregivers of children who did not experience a recent exacerbation (ie, those with a low risk of future exacerbation).

Gabrielle Pogge, David A Fedele, Erika A Waters, Julia Maki, Jean M Hunleth, Sreekala Prabhakaran, Deborah J Bowen, James A Shepperd

JMIR Form Res 2023;7:e46341

A Stress and Pain Self-management mHealth App for Adult Outpatients With Sickle Cell Disease: Protocol for a Randomized Controlled Study

A Stress and Pain Self-management mHealth App for Adult Outpatients With Sickle Cell Disease: Protocol for a Randomized Controlled Study

For those who meet the eligibility criteria, we anticipate enrolling 195 participants to retain 170 (87.2%) participants with complete data at 8 weeks, based on a 13% attrition rate observed in our previous longitudinal studies in which follow-up was more than a year. We will strive for a sample in which 95% participants have African descent and approximately 50% are women.

Miriam O Ezenwa, Yingwei Yao, Molly W Mandernach, David A Fedele, Robert J Lucero, Inge Corless, Brenda W Dyal, Mary H Belkin, Abhinav Rohatgi, Diana J Wilkie

JMIR Res Protoc 2022;11(7):e33818

Adaptive Mobile Health Intervention for Adolescents with Asthma: Iterative User-Centered Development

Adaptive Mobile Health Intervention for Adolescents with Asthma: Iterative User-Centered Development

Asthma is a leading cause of emergency department visits, missed school days, and healthcare expenditures, making it a significant public health concern [2,3]. Youth can mitigate asthma-related morbidity via consistent engagement in a complex set of daily disease self-management behaviors (eg, monitoring symptoms, avoiding triggers).

David A Fedele, Christopher C Cushing, Natalie Koskela-Staples, Susana R Patton, Elizabeth L McQuaid, Joshua M Smyth, Sreekala Prabhakaran, Selina Gierer, Arthur M Nezu

JMIR Mhealth Uhealth 2020;8(5):e18400

Parents’ Perspectives on the Theoretical Domains Framework Elements Needed in a Pediatric Health Behavior App: A Crowdsourced Social Validity Study

Parents’ Perspectives on the Theoretical Domains Framework Elements Needed in a Pediatric Health Behavior App: A Crowdsourced Social Validity Study

However, when asked if they had downloaded a m Health app, 156 parents (85.2%) reported they had not; additionally, only 29.6% (8/27) of participants who had downloaded a m Health app reported that they downloaded the app on their child’s cell phone. When asked to rate how much of a problem physical activity was for their child, 70 of 183 (38.3%) parents reported it was little to a lot of a problem; 90 of 183 (49.2%) parents reported diet was a little to a lot of a problem for their child.

Christopher C Cushing, David A Fedele, Erin E Brannon, Tiffany Kichline

JMIR Mhealth Uhealth 2018;6(12):e192