Gamification of Medication Management for Transition-Aged Patients with Epilepsy
Abstract number :
3.39
Submission category :
15. Practice Resources
Year :
2023
Submission ID :
1200
Source :
www.aesnet.org
Presentation date :
12/4/2023 12:00:00 AM
Published date :
Authors :
Presenting Author: Adam Greenberg, MSN, CRNP – Children's Hospital of Philadelphia
Summer Summer Griffaton, BA – Children's Hospital of Philadelphia; Martin Tuttle, MA, MS – Children's Hospital of Philadelphia; Laurel Caffee, BA – Children's Hospital of Philadelphia; Sarah Stoney, MSW, LSW – Children's Hospital of Philadelphia; Marissa DiGiovine, MD – Children's Hospital of Philadelphia; Lawrence Fried, MD, MBA – Children's Hospital of Philadelphia
Rationale: Transitioning adolescents and young adults (AYA) with epilepsy to adult medical care is multi-faceted. In addition to care coordination, transition involves moving away from parent-directed to self-directed care, which is a complex process itself. Domains commonly associated with healthcare independence, as measured by the self-scoring Transition Readiness Assessment Questionnaire (TRAQ), are managing medications, appointment keeping, tracking health issues, talking with providers, and managing daily activities. At our institution, TRAQ is distributed annually to patients with epilepsy over age 14. Providers report wanting to review results and provide educational resources that AYA would utilize but are limited by the lack of clinic time to do so. In the past, this content was delivered via passive webinars, which were rejected by AYA. Interactive gamification represents a novel means of content delivery and would create sustainable patient-driven, self-paced learning modules based on the TRAQ domains.
Methods: Our epilepsy Youth Advisory Council (YAC) was consulted and recommended prioritizing the TRAQ domains in terms of highest learning need, and to establish a format for delivering the educational content. They recommended focusing on medication management and delivering this content via an online, interactive game. development and game design were iterative cycles with input from the YAC, the pediatric and adult neurology transition teams, clinical pharmacists, and an instructional designer. The game was designed using Articulate Storyline and animated videos created with Vyond. Initial metrics to be collected are dissemination and completion, followed by game optimization via feedback solicited from end-users.
Results: In this self-directed, scenario-based learning game, users progress through a sequence of interactive events to fill a new prescription and then safely store it (to promote compliance and shelf life). Interactions occur within the virtual home, provider's office, and at the pharmacy; some also occur over the phone and via text. To promote engagement, some scenarios provide users with tools needed for future interactions (e.g., prescription card, currency, etc.) and users are rewarded as they advance using a point-based system. The anticipated launch of the game is summer 2023 with concomitant metric collection. This data will be presented at the time of the conference.
Conclusions: With input from a multidisciplinary team, we developed a game that reflected the current and often complex process for obtaining a prescription and provided it in a format that aligned with AYA preferences. Ideally, this will promote its utilization and prepare AYA to assume medication management. Moreover, since a process for creating these games is established, it could more easily be replicated for other transition domains.
Funding: Funding Source: HRSA Grant H98MC33238
Practice Resources