Lorynn Teela

77 Development of a patient engagement tool; All Voices Count Figure 1. The development process of the game All Voices Count Each step resulted in the development/improvement of the game and provided input for the next step. Step 1: Identification of important themes for adolescents in health care and preferences for an engagement game For the first step, adolescents (12-18 years) with a chronic condition, under treatment at the Emma Children’s Hospital Amsterdam UMC, were invited to participate in 60-minute focus groups and individual interviews (30 – 60 min) to identify important themes for adolescents in health care. Adolescents were recruited for this study by their clinician in June and July 2017. Additionally, patients who were part of the research panel of the KLIK patient-reported outcome measures (PROM) portal (www. hetklikt.nu) were approached by the research team [26]. The KLIK research panel consists of patients who have indicated, during registration for the KLIK PROM portal, that they would like to be approached for research projects in the Emma Children’s Hospital. 3

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