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Bakula D, Zax A, Edwards S, Nash K, Escobar A, Graham R, Ricketts A, Thompson R, Bullard S, Brogren J, Shimmens L, Erickson L
Applying the Nonadoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) Framework to Adapt the CHAMP App for Pediatric Feeding Tube Weaning: Application and Case Report
Application of the NASSS Framework to Expand the CHAMP App to Pediatric Feeding Tube Weaning: Application and Case Report
Dana Bakula;
Alexandra Zax;
Sarah Edwards;
Kristina Nash;
April Escobar;
Rachel Graham;
Amy Ricketts;
Ryan Thompson;
Sarah Bullard;
Julianne Brogren;
Leah Shimmens;
Lori Erickson
ABSTRACT
Background:
Evidence-based tube feeding (TF) weaning involves reducing the volume of tube feeds to induce hunger, with interdisciplinary monitoring to allow for proactive medical, nutritional, and behavioral intervention as needed. This can be done outpatient; however, the current standard of care requires a high degree of care coordination, which can be challenging to implement. The CHAMP® App is a mobile application for remote patient monitoring, and may be a valuable solution to improve care coordination.
Objective:
To determine the feasibility of adapting the CHAMP App to children ready to wean from TF.
Methods:
We utilized the Non-adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework as a formative tool and conducted a case study beta test.
Results:
The level of complexity for the digital innovation’s adaptation supported a high likelihood of success. Our beta test patient was successful in weaning off their feeding tube in 4 weeks.
Conclusions:
The CHAMP App is likely to be incredibly valuable in TF weaning. Future work should focus on broader testing of the CHAMP App for TF weaning in outpatient settings. Clinical Trial: N/A
Citation
Please cite as:
Bakula D, Zax A, Edwards S, Nash K, Escobar A, Graham R, Ricketts A, Thompson R, Bullard S, Brogren J, Shimmens L, Erickson L
Applying the Nonadoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) Framework to Adapt the CHAMP App for Pediatric Feeding Tube Weaning: Application and Case Report