Developing an Educational Resource for Parents on Pediatric Catheter-Associated Urinary Tract Infection (CAUTI) Prevention.

Abstract Background : Pediatric catheter-associated urinary tract infection (CAUTI) prevention guidelines encourage family engagement; however, there is a dearth of research on parent-facing CAUTI prevention resources. We aimed to meet the learning needs of parents about CAUTI prevention in the hospital by developing and refining an educational pamphlet with parents. Methods : Phase 1: We compiled existing evidence from CAUTI prevention guidelines and conducted a focus group with parents to form learning objectives. Phase 2: We developed prototype design elements, tested initial designs with a survey, and conducted qualitative participatory design sessions with parents to iteratively refine the pamphlet until design saturation was reached. Results : We identified the following key themes and preferences: 1) Clear boundaries for engagement (e.g., parents would not be emptying the catheter); 2) Positive, actionable framing (e.g., what should proper catheter positioning look like?); 3) What to expect (e.g. is the catheter painful for my child?); 4) Parents considered both their and their child's comprehension of the content when providing feedback. Conclusions : Overall, we demonstrated the utility of remote participatory design methods in developing and refining a CAUTI prevention resource based on parents’ preferences. Future research should consider adapting these methods and implementing formal evaluation for comprehension for eventual integration into clinical practice.