scholarly journals Are you really doing ‘codesign’? Critical reflections when working with vulnerable populations

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e038339
Author(s):  
Sandra Moll ◽  
Michelle Wyndham-West ◽  
Gillian Mulvale ◽  
Sean Park ◽  
Alexis Buettgen ◽  
...  

‘Codesign’ and associated terms such as ‘coproduction’ or ‘patient engagement’, are increasingly common in the health research literature, due to an increased emphasis on the importance of ensuring that research related to service/systems development is meaningful to end-users.  However, there continues to be a lack of clarity regarding the key principles and practices of codesign, and wide variation in the extent to which service users are meaningfully engaged in the process. These issues are particularly acute when end-users include populations who have significant health and healthcare disparities that are linked to a range of intersecting vulnerabilities (eg, poverty, language barriers, age, disability, minority status, stigmatised conditions).  The purpose of this paper is to prompt critical reflection on the nature of codesign research with vulnerable populations, including key issues to consider in the initial planning phases, the implementation process, and final outputs.  Risks and tensions will be identified in each phase of the process, followed by a tool to foster reflexivity in codesign processes to address these issues.

2014 ◽  
Vol 70 (6) ◽  
pp. 1039-1053 ◽  
Author(s):  
Mark Hepworth ◽  
Philipp Grunewald ◽  
Geoff Walton

Purpose – The purpose of this paper is to provide a critical discussion on the nature of research into people's information behaviour, and in particular the contribution of the phenomenological approach for the development of information solutions. Design/methodology/approach – The approach takes the form of a conceptual analysis drawing on the research literature and personal research experience. Findings – The paper brings to the foreground the relative value of different conceptual approaches and how these underpin and relate to the development of information solutions. Research limitations/implications – The paper, due to the breadth and complexity of the subject, serves to highlight key issues and bringing together ideas. Some topics deserve further explanation. However, this was beyond the scope of this paper. Practical implications – A conceptual framework is provided that indicates the value of the epistemic spectrum for information behaviour studies and provides support for action research and participative design. Social implications – Taking a phenomenological approach, and consequently either a first person approach and/or a highly participative approach to research, challenges the relationship between researcher and respondent. It also raises questions about why the authors conduct research and for whom it is intended. Originality/value – The paper makes explicit the underlying philosophical assumptions and how these ideas influence the way the authors conduct research; it highlights the significance of Cartesian dualism and indicates the significance of these assumptions for the development of information solutions. It supports the view that researchers and developers should be open to respondents leading the exploration of their needs.


2021 ◽  
Vol 35 (6) ◽  
pp. 685-691
Author(s):  
Raechel Johns ◽  
Janet Davey

Purpose While there is burgeoning service literature identifying consumer vulnerabilities and questioning the assumption that all consumers have the resources to co-create, limited research addresses solutions for consumers experiencing vulnerabilities. Service systems can provide support for consumers but can also create inequities and experienced vulnerabilities. This paper aims to identify current and further research needed to explore this issue and addresses marketplace problems for consumers experiencing vulnerabilities. Design/methodology/approach This viewpoint discusses key issues relating to solving marketplace problems for consumers experiencing vulnerabilities. A call for papers focused on solving marketplace problems for consumers experiencing vulnerabilities resulted in a large number of submissions. Nine papers are included in this special issue, and each one is discussed in this editorial according to five emergent themes. Findings Vulnerabilities can be temporary, or permanent, and anyone can suddenly experience vulnerabilities. Inequities and vulnerabilities can be due to individual characteristics, environmental forces, or due to the structure of the marketplace itself. Solutions include taking a strengths-based approach to addressing inequities and using a multiple-actor network to provide support. Practical implications The recommendations addressed in this paper enable more positive approaches to solving marketplace problems for consumers experiencing vulnerabilities. Social implications Taking a solutions-focused lens to research relating to vulnerabilities will contribute toward addressing inequities within the marketplace. Originality/value Increasingly, service literature is identifying inequities; however, very limited research addresses solutions for solving marketplace problems for consumers experiencing vulnerabilities. This paper suggests taking an approach focusing on strengths, rather than weaknesses, to determine strategies, and using the support of other actors (Transformative Service Mediators) where required.


Author(s):  
Diane Feeney Mahoney

This chapter examines the ethical principles applicable to gerontechnology research and development for in-home monitoring of persons with neurocognitive impairments. Principles addressed include respect for persons, autonomy, beneficence, justice, nonabandonment, nonmalfeasance, and privacy. Key issues for designers, developers, end-users, and reviewers are highlighted by uniquely drawing from real-world research examples. Studies indicate that among stakeholders there remains an emotional tension between “high tech” and “high touch” interventions for older adults with dementia. At the extremes, technophobic humanists dismiss technology as universally inferior to human assistance, while techno-proponents view it as the solution to care problems resulting from human limitations. “Benevolent” geriatric protectionism from technology is paternalistic and stifles innovation, while pushing technology without input from geriatric end-users results in products mismatched to their needs. Society will be better served if both viewpoints thoughtfully consider the ethical foundation of their beliefs informed by research findings to foster approaches that do good, not harm.


1994 ◽  
Vol 6 (4) ◽  
pp. 3-14 ◽  
Author(s):  
Peggy L. Lane ◽  
Jeffrey Palko ◽  
Timothy Paul Cronan

Author(s):  
Gennadiy Dmitrovic Koltun ◽  
Carlos Alberto Romero Viturro ◽  
Johan Buchholz ◽  
Juliane Wissel ◽  
Michael Zaggl ◽  
...  

AbstractIt is estimated that about half of all innovations, such as innovations in mechatronic product-service systems (PSS), fail to deliver the expected benefits to the adopting organization. Different studies point out that one of the main reasons for this is an ineffective implementation process.In this paper, we argue that, apart from several organizational challenges, insufficient integration of technical and social aspects is one of the reasons for ineffective innovation implementation in the environment of mechatronic PSS.In order to remedy this weakness, this paper builds on the work of interdisciplinary research collaboration. Experts from technical, socio-technical, and management fields integrate their work within a conceptual innovation implementation management system (IIMS). This IIMS is capable of capturing various methods and models that foster the socio-technical integration in mechatronic PSS. The approach is assessed in a lab-scale demonstration case that is representative of industrial environments.The presented approach supports an effective innovation implementation process, while the IIMS facilitates individual alignments for future practitioners.


2014 ◽  
pp. 8-16
Author(s):  
Keisuke Kato ◽  
Vitaly Klyuev

Password authentication is one of essential services in our life for protecting data. In other words, we may loose a lot of money, sensitive data, etc., if passwords leak out. Thus, we have to understand clearly what is important for creating and/or changing passwords. Our goal is to analyze key issues for setting passwords. We surveyed 262 students of the University of Aizu, Japan. We discussed key security problems, main password protection issues and techniques, and misunderstandings about passwords by end users. Furthermore, we compared the obtained data with results provided by the National Institute of Standard Technology (NIST) and others. The results can help the users set stronger passwords.


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