scholarly journals Comparing Output from Two Methods of Participatory Design for Developing Implementation Strategies: Traditional Contextual Inquiry vs. Rapid Crowd Sourcing

2021 ◽  
Author(s):  
Emily Becker-Haimes ◽  
Brinda Ramesh ◽  
Jacqueline Buck ◽  
Heather J. Nuske ◽  
Kelly A. Zentgraf ◽  
...  
Keyword(s):  
Participatory Design ◽  
Qualitative Interviews ◽  
Implementation Strategies ◽  
Design Methods ◽  
Crowd Sourcing ◽  
Team Members ◽  
Implementing Change ◽  
Collection Practices ◽  
Technological Platform ◽  
Innovation Tournament

Abstract BackgroundParticipatory design methods are a key component of designing tailored implementation strategies. These methods vary in the resources required to execute and analyze their outputs. No work to date has examined the extent to which the output obtained from different approaches to participatory design varies.MethodsWe concurrently used two separate participatory design methods: 1) field observations and qualitative interviews and 2) rapid crowd sourcing (an innovation tournament). Our goal was to generate information to tailor implementation strategies to increase the use of evidence-based data collection practices among one-to-one aides working with children with autism. Each method was executed and analyzed by study team members blinded to the output of the other method. We estimated the personnel time and monetary costs associated with each method to further facilitate comparison.ResultsObservations and interviews generated nearly double the number of implementation strategies (n = 26) than did the innovation tournament (n = 14). When strategies were classified into clusters from the Expert Recommendations for Implementing Change (ERIC) taxonomy, there was considerable overlap in the content of identified strategies. Strategies derived from observations and interviews were more specific than those from the innovation tournament. Nine strategies (23%) reflected content unique to observations and interviews and 4 (10%) strategies were unique to the innovation tournament. Only observations and interviews identified implementation strategies related to adapting and tailoring to context; only the innovation tournament identified implementation strategies that used incentives. Observations and interviews required more than three times the personnel hours than the innovation tournament, but the innovation tournament was more costly overall due to the technological platform used.ConclusionsThere was substantial overlap in content derived from observations and interviews and the innovation tournament. However, each yielded unique information. To select the best participatory design approach to inform implementation strategy design for a particular context, researchers should carefully consider what each method may elicit and weigh the resources available to invest in the process.Trial RegistrationN/A

scholarly journals Strategies to Integrate Genomic Medicine into Clinical Care: Evidence from the IGNITE Network

2021 ◽  
Vol 11 (7) ◽  
pp. 647
Author(s):  
Nina R. Sperber ◽  
Olivia M. Dong ◽  
Megan C. Roberts ◽  
Paul Dexter ◽  
Amanda R. Elsey ◽  
...  
Keyword(s):  
Precision Medicine ◽  
Program Implementation ◽  
Clinical Care ◽  
Genomic Medicine ◽  
Implementation Strategies ◽  
Clinical Decision ◽  
Implementing Change ◽  
Implementation Outcomes ◽  
Planning Framework

The complexity of genomic medicine can be streamlined by implementing some form of clinical decision support (CDS) to guide clinicians in how to use and interpret personalized data; however, it is not yet clear which strategies are best suited for this purpose. In this study, we used implementation science to identify common strategies for applying provider-based CDS interventions across six genomic medicine clinical research projects funded by an NIH consortium. Each project’s strategies were elicited via a structured survey derived from a typology of implementation strategies, the Expert Recommendations for Implementing Change (ERIC), and follow-up interviews guided by both implementation strategy reporting criteria and a planning framework, RE-AIM, to obtain more detail about implementation strategies and desired outcomes. We found that, on average, the three pharmacogenomics implementation projects used more strategies than the disease-focused projects. Overall, projects had four implementation strategies in common; however, operationalization of each differed in accordance with each study’s implementation outcomes. These four common strategies may be important for precision medicine program implementation, and pharmacogenomics may require more integration into clinical care. Understanding how and why these strategies were successfully employed could be useful for others implementing genomic or precision medicine programs in different contexts.

scholarly journals What Do You Mean by Trust? Establishing Shared Meaning in Interdisciplinary Design for Assistive Technology

2021 ◽  
Author(s):  
Isabel Schwaninger ◽  
Florian Güldenpfennig ◽  
Astrid Weiss ◽  
Geraldine Fitzpatrick
Keyword(s):  
Older Adults ◽  
Participatory Design ◽  
Qualitative Interviews ◽  
Active Role ◽  
Light Weight ◽  
Abstract Concept ◽  
Shared Meaning ◽  
Interdisciplinary Design ◽  
Everyday Practices ◽  
Weight Method

AbstractThe topic of trust has attracted increasing interest within HRI research, and is particularly relevant in the context of social robots and their assistance of older people at home. To make this abstract concept of trust more tangible for developers of robotic technologies and to connect it with older people’s living spaces and their daily practices, we propose a light-weight method drawing on elicitation cards to be used at early stages of participatory design. The cards were designed to serve as a guide for qualitative interviews at ideation phases. This was accomplished by using the cards connected to the living spaces of the participants, their daily practices, and ‘provocative’ questions to structure conversations. We developed the method with 10 inexperienced interviewers who conducted 10 qualitative interviews on the topic of trust without cards, and who tested the cards with 10 older adults. Our findings indicate that the method served as a powerful facilitator of conversations around the topic of trust and enabled interviewers to engage with everyday practices of older adults; it also facilitated a more active role for older adults during the conversations. As indicators of findings that can come from the cards, salient trust-related themes that emerged from the analysis of card usage were the desire for control, companionship, privacy, understandability, and location-specific requirements with regards to trust.

A Qualitative Study Exploring Well-Being and the Potential Impact of Work-Related Stress Among Commercial Airline Pilots

2021 ◽  
pp. 1-12
Author(s):  
Paul Cullen ◽  
Joan Cahill ◽  
Keith Gaynor
Keyword(s):  
Lived Experience ◽  
Participatory Design ◽  
Qualitative Interviews ◽  
Well Being ◽  
Work Related Stress ◽  
Airline Pilots ◽  
Work Related ◽  
Commercial Airline ◽  
Related Stress ◽  
The Relationship

Abstract. Increasing evidence suggests that commercial airline pilots can experience physical, mental, and social health difficulties. Qualitative interviews with commercial airline pilots explored the relationship between work-related stress and well-being. Participatory workshops involving pilots were conducted. The methodology of this action-based research involved a blend of person-centered design approaches; specifically, “stakeholder evaluation” and “participatory design.” The findings further support the hypothesis that pilot well-being is being negatively affected by the nature of their work. The biopsychosocial model of the lived experience of a pilot, as presented in this paper, provides a useful structure to examine pilot well-being, and to identify and scope potential coping strategies to self-manage health and well-being issues associated with the job of being a pilot.

How rewards fuel or fail innovation

2019 ◽  
Vol 18 (1) ◽  
pp. 8-12
Author(s):  
Susan Kuczmarski ◽  
Thomas Kuczmarski
Keyword(s):  
Qualitative Interviews ◽  
Innovation Process ◽  
Field Research ◽  
High Tech ◽  
Collaborative Culture ◽  
Content Type ◽  
Team Members ◽  
Self Confidence ◽  
Solution Generation ◽  
Self Worth

Purpose The purpose of our research is to explore how rewards serve to fuel a collaborative culture, energize and motivate team members and nurture innovation. Design/methodology/approach In total, 30 in-depth, qualitative interviews were conducted with executives – high-tech, low-tech and no-tech. Findings The following findings emerged from the field research: rewards can be both financial, such as bonuses and incentives, and non-financial, such as extra vacations or other gifts. Huge internal personal benefits accrue from setting up a reward structure, including increased pride, peer recognition, higher self-confidence, greater job satisfaction and enhanced self-accomplishment. When we recognize others, it can impact an individual's self-worth on a profound level. It is described as feedback that sinks into the core. Originality/value Three milestones have been outlined throughout the innovation process where opportunities for recognition can exist: upon recognizing insights for identifying a problem, after understanding and overcoming difficulties encountered during creative solution generation and when recognizing and activating the benefits accrued from pinpointing solutions to the problem.

Improvisation as Technique and Practice for Design

2020 ◽  
pp. 170-187
Author(s):  
Kristian Kloeckl
Keyword(s):  
Performing Arts ◽  
Participatory Design ◽  
Role Play ◽  
Design Methods ◽  
Design Approach ◽  
Concrete Situation

This chapter explores the richness of practice-based frameworks and improvisation techniques in the performing arts. It illustrates how these can become a resource for an improvisation-based design approach by developing a concrete hybrid city application. Participatory design methods use improvisation to develop applications in collaboration with users. They attempt to unlock tacit kinds of knowing and gain firsthand appreciation of existing or future conditions by engaging participants and designers together in a concrete situation. In role-play techniques, for example, cards are handed to each participant that introduce the scene and contain information about rules associated with that specific scene, goals to be achieved, and the roles that participants enact.

scholarly journals Implementing large-system, value-based healthcare initiatives: a realist study protocol for seven natural experiments

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e044049
Author(s):  
Mitchell N Sarkies ◽  
Emilie Francis-Auton ◽  
Janet C Long ◽  
Andrew Partington ◽  
Chiara Pomare ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Quantitative Data ◽  
Care Delivery ◽  
Qualitative Interviews ◽  
Healthcare Delivery ◽  
Implementation Strategies ◽  
Large System ◽  
Natural Experiments ◽  
System Transformation ◽  
Delivery Models

IntroductionValue-based healthcare delivery models have emerged to address the unprecedented pressure on long-term health system performance and sustainability and to respond to the changing needs and expectations of patients. Implementing and scaling the benefits from these care delivery models to achieve large-system transformation are challenging and require consideration of complexity and context. Realist studies enable researchers to explore factors beyond ‘what works’ towards more nuanced understanding of ‘what tends to work for whom under which circumstances’. This research proposes a realist study of the implementation approach for seven large-system, value-based healthcare initiatives in New South Wales, Australia, to elucidate how different implementation strategies and processes stimulate the uptake, adoption, fidelity and adherence of initiatives to achieve sustainable impacts across a variety of contexts.Methods and analysisThis exploratory, sequential, mixed methods realist study followed RAMESES II (Realist And Meta-narrative Evidence Syntheses: Evolving Standards) reporting standards for realist studies. Stage 1 will formulate initial programme theories from review of existing literature, analysis of programme documents and qualitative interviews with programme designers, implementation support staff and evaluators. Stage 2 envisages testing and refining these hypothesised programme theories through qualitative interviews with local hospital network staff running initiatives, and analyses of quantitative data from the programme evaluation, hospital administrative systems and an implementation outcome survey. Stage 3 proposes to produce generalisable middle-range theories by synthesising data from context–mechanism–outcome configurations across initiatives. Qualitative data will be analysed retroductively and quantitative data will be analysed to identify relationships between the implementation strategies and processes, and implementation and programme outcomes. Mixed methods triangulation will be performed.Ethics and disseminationEthical approval has been granted by Macquarie University (Project ID 23816) and Hunter New England (Project ID 2020/ETH02186) Human Research Ethics Committees. The findings will be published in peer-reviewed journals. Results will be fed back to partner organisations and roundtable discussions with other health jurisdictions will be held, to share learnings.

Identifying Strategies for Robust Survivorship Program Implementation: A Qualitative Analysis of Cancer Programs

2021 ◽  
Author(s):  
Soohyun Hwang ◽  
Burcu Bozkurt ◽  
Tamara Huson ◽  
Sarah Asad ◽  
Lauren Richardson ◽  
...  
Keyword(s):  
Program Implementation ◽  
Health Care Professionals ◽  
Implementation Strategies ◽  
The United States ◽  
Survivorship Care ◽  
Team Members ◽  
Care Plans ◽  
Care Processes ◽  
Key Stakeholders ◽  
Template Analysis

PURPOSE The Commission on Cancer seeks to promote robust survivorship programs among accredited cancer programs. In practice, cancer programs' survivorship programs range from cursory (eg, developing care plans without robust services) to robust (eg, facilitating follow-up care). To inform cancer programs' future efforts, in this study, we identified the implementation strategies that cancer programs used to achieve robust survivorship programs, distinguishing them from cursory programs. METHODS We sampled 39 cancer programs across the United States with approaches to survivorship program implementation ranging from cursory to robust on the basis of LIVESTRONG survivorship care consensus elements. Within sampled cancer programs, we conducted in-depth semistructured interviews with a total of 42 health care professionals. We used template analysis to distinguish implementation strategies used in cancer programs with robust survivorship programs from strategies that yielded cursory survivorship programs. RESULTS Cancer programs with robust survivorship programs established clear systems survivorship care and formal committees to improve the survivorship care processes. They sought buy-in from multiple stakeholders to leverage cancer program resources and defined clear roles with shared accountability among multidisciplinary groups. By contrast, cancer programs with cursory survivorship programs reported less consistency in survivorship care processes and lacked buy-in from key stakeholders. They had limited resources, faced persistent structural concerns, and had insufficient clarity in roles among team members. CONCLUSION Accrediting bodies may consider incorporating the implementation strategies that robust survivorship programs have used as guidance for supporting cancer programs in operationalizing survivorship care and evaluating the use of these strategies during the accreditation and review process.

scholarly journals Participatory Design Methods When Working in Remote Locations: The Case of Red Puna in North West Argentina

2020 ◽  
Vol 23 (2) ◽  
pp. 239-262 ◽  
Author(s):  
Claudia Murray ◽  
Joe Doak ◽  
Katherine McNeil ◽  
Paloma Oms
Keyword(s):  
Participatory Design ◽  
Design Methods ◽  
North West ◽  
Remote Locations

scholarly journals Collaborating to co-produce strategies for delivering adolescent sexual and reproductive health interventions: processes and experiences from an implementation research project in Nigeria

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii84-ii97
Author(s):  
Chinyere Ojiugo Mbachu ◽  
Ifunanya Clara Agu ◽  
Obinna Onwujekwe
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Qualitative Interviews ◽  
Group Discussion ◽  
Implementation Strategies ◽  
Design Strategies ◽  
Secondary Sources ◽  
Key Stakeholders ◽  
Academic Researchers ◽  
Document Review

Abstract Implementation science embraces collaboration between academic researchers and key stakeholders/implementers for the dual purpose of capacity building and context-adaptation. Co-production ensures that knowledge created with inputs from various groups of stakeholders is more reflective of local contexts. This paper highlights the experiences of academic researchers and non-academic implementers in collaborating to design implementation strategies for improving access to sexual and reproductive information and services for adolescents. Data were collected through primary and secondary sources. Detailed review of project documents such as minutes of research meetings, reports of workshops and outputs of group work activities enabled detailed description of the processes and steps of co-designing implementation strategies. Information on experiences and perspectives of benefits of the collaborative were collected through in-depth interviews of non-academic partners and focus group discussion with academic researchers. Narrative synthesis was done for information extracted through document review. Thematic analysis of qualitative interviews was done. The process of designing implementation strategies happened in three chronological steps of setting up the collaborative, selecting intervention areas and convening partners’ meetings to design strategies. Specific activities include stakeholder engagement, situation analysis, selection of intervention areas, designing the implementation strategies and pre-testing implementation tools. The process of analysing and selecting collaborators was iterative, and facilitated by having an ‘insider’ key informant. Working with key stakeholders enabled knowledge sharing and exchange among partners. Information sharing within the collaborative facilitated shifting of mindsets about adolescent sexual and reproductive health, and contextual adaptation of names and labels given to strategies. Co-producing implementation strategies with non-academic implementers enabled stakeholder ownership of implementation strategies and set the scene for their adoption in implementation settings. Some challenges of co-production of knowledge are that it is time consuming; involves several iterations that may influence coherence of strategies; involves multiple interests and priorities and poses a threat to fidelity.

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