Using a logic model to develop an intervention for improving miscarriage care in the emergency department

Area of Science:

• Obstetrics and Gynecology
• Emergency Medicine
• Health Services Research

Background:

• Miscarriage is a common pregnancy complication often managed in emergency departments (ED).
• Parental dissatisfaction with ED miscarriage care necessitates improved interventions.
• Developing effective interventions requires a clear program theory.

Purpose of the Study:

• To describe the logic model process for developing an intervention to improve the parental miscarriage experience in the ED.
• To outline the application of the W. K. Kellogg Foundation's six-step logic model.
• To detail a community-based participatory approach involving parents and health professionals.

Main Methods:

• Utilized the W. K. Kellogg Foundation's six-step logic model for intervention development.
• Employed a community-based participatory approach with two planning groups: parents (N=9) and health professionals (N=8).
• Focused on problem description, needs assessment, identifying expected results, influential factors, intervention strategies, and assumptions.

Main Results:

• The logic model process provided a structured framework for intervention development.
• Integration of parent and health professional experiences ensured relevance and practicality.
• The developed logic model serves as a foundation for creating evidence-based interventions.

Conclusions:

• The logic model approach offers a rigorous method for designing interventions to improve miscarriage care.
• Detailed intervention descriptions facilitate implementation, evaluation, and replication in other healthcare settings.
• This framework supports the development of patient-centered care strategies for sensitive health issues.