The application of human-centered design approaches in health research and innovation: a systematic review of current practices. (Preprint)

2021 ◽  
Author(s):  
Irene Göttgens ◽  
Sabine Oertelt-Prigione
Keyword(s):  
Health Research ◽  
Design Thinking ◽  
Data Extraction ◽  
Innovation Process ◽  
Research Process ◽  
Cochrane Library ◽  
Future Research ◽  
User Centered Design ◽  
Human Centered Design ◽  
Health Innovations

BACKGROUND Design-based approaches to healthcare strive to support the development of innovative, effective and person-centered solutions for healthcare. Although their use is increasing, there is no systematic overview describing the details of human centered design (HCD) methods in health innovations. OBJECTIVE This study aims to provide an overview of human centered design approaches applied for the development of health innovations, with the aim of assisting healthcare workers and design researchers in selecting suitable methods for participatory and human centered design processes. METHODS We performed electronic searches in Pubmed, CINHAL, Embase, Cochrane Library, Web of Science, PsycInfo and Sociological Abstracts (2000 – 2020) using search terms related to “human-centered design”, “design thinking”(DT) and “user-centered design”(UCD). Abstracts and full-text articles were screened by two reviewers independently based on predefined inclusion criteria. Data extraction focussed on (a) the methodology employed throughout the research process, (b) the choice of methods in different phases of the innovation cycle and (c) the level of engagement of end-users. RESULTS A wide variation of design-based practices are increasingly applied in health research. Design-based approaches are applied in health research in combination with traditional qualitative and quantitative approaches. All included studies structured the innovation process using a variation of the following phases: understand – define – generate ideas – test. HCD/DT-based research primarily targeted understanding the context and defining the problem whereas UCD-based work focused mainly on the direct generation of solutions. CONCLUSIONS Design-based researchers should tailor their choice of design methods according to their primary focus; problem identification or solution development. Design techniques are challenging to evaluate with traditional biomedical research methods, limiting the opportunity for standardized assessment. Future research on HCD practices should focus on the development of specific standards, transdisciplinary evaluation methods, and guidelines for stakeholder engagement.

scholarly journals Interventions to improve adherence to reporting guidelines in health research: a scoping review protocol

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017551 ◽  
Author(s):  
David Blanco ◽  
Jamie J Kirkham ◽  
Douglas G Altman ◽  
David Moher ◽  
Isabelle Boutron ◽  
...  
Keyword(s):  
Scoping Review ◽  
Health Research ◽  
Data Extraction ◽  
Grey Literature ◽  
Reporting Guidelines ◽  
Cochrane Library ◽  
Improve Compliance ◽  
Review Protocol ◽  
Journal Policies ◽  
Research Stage

IntroductionThere is evidence that the use of some reporting guidelines, such as the Consolidated Standards for Reporting Trials, is associated with improved completeness of reporting in health research. However, the current levels of adherence to reporting guidelines are suboptimal. Over the last few years, several actions aiming to improve compliance with reporting guidelines have been taken and proposed. We will conduct a scoping review of interventions to improve adherence to reporting guidelines in health research that have been evaluated or suggested, in order to inform future interventions.Methods and analysisOur review will follow the Joanna Briggs Institute scoping review methods manual. We will search for relevant studies in MEDLINE, EMBASE and Cochrane Library databases. Moreover, we will carry out lateral searches from the reference lists of the included studies, as well as from the lists of articles citing the included ones. One reviewer will screen the full list, which will be randomly split into two halves and independently screened by the other two reviewers. Two reviewers will perform data extraction independently. Discrepancies will be solved through discussion. In addition, this search strategy will be supplemented by a grey literature search. The interventions found will be classified as assessed or suggested, as well as according to different criteria, in relation to their target (journal policies, journal editors, authors, reviewers, funders, ethical boards or others) or the research stage at which they are performed (design, conducting, reporting or peer review). Descriptive statistical analysis will be performed.Ethics and disseminationA paper summarising the findings from this review will be published in a peer-reviewed journal. This scoping review will contribute to a better understanding and a broader perspective on how the problem of adhering better to reporting guidelines has been tackled so far. This could be a major first step towards developing future strategies to improve compliance with reporting guidelines in health research.

scholarly journals User Preferences and Persona Design for an mHealth Intervention to Support Adherence to Cardiovascular Disease Medication in Singapore: A Multi-Method Study (Preprint)

2018 ◽  
Author(s):  
Victoria Haldane ◽  
Joel Jun Kai Koh ◽  
Aastha Srivastava ◽  
Krichelle Wei Qi Teo ◽  
Yao Guo Tan ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Technology Use ◽  
Text Messaging ◽  
Design Thinking ◽  
User Preferences ◽  
Future Research ◽  
Atherosclerotic Cardiovascular Disease ◽  
User Centered Design ◽  
Mhealth Intervention ◽  
Key Characteristics

BACKGROUND The use of mobile health (mHealth) has gained popularity globally, including for its use in a variety of health interventions, particularly through short message service (SMS) text messaging. However, there are challenges to the use of mHealth, particularly among older users who have a large heterogeneity in usability and accessibility barriers when using technology. OBJECTIVE In order to better understand and conceptualize the diversity of users and give insight into their particular needs, we turned to persona creation. Personas are user archetypes created through data generated from multi-method inquiry with actual target users. Personas are an appropriate yet largely underutilized component of current mHealth research. METHODS Leveraging data from a multi-method study conducted in Singapore with an ethnically diverse population including Chinese, Malay, and Indian participants, we used a proforma to analyze data from the qualitative component (ie, 20 in-depth interviews) and quantitative component (ie, 100 interviewer-guided surveys). We then identified key characteristics, including technology use and preferences as well as adherence factors, to synthesize five personas reflective of persons over the age of 40 years in Singapore with atherosclerotic cardiovascular disease (ASCVD) or ASCVD risk factors, such as hypertension. RESULTS We present five personas typologized as (1) The Quiet Analog, (2) The Busy Grandparent, (3) The Socializer, (4) The Newly Diagnosed, and (5) The Hard-to-Reach. We report on four key characteristics: health care access, medication adherence, mobile phone technology usage (ie, ownership, access, and utilization), and interest in mHealth. Finally, we provide insights into how these personas may be used in the design and implementation of an mHealth intervention. Our work demonstrates how multi-method data can create biopsychosocial personas that can be used to explore and address the diversity in behaviors, preferences, and needs in user groups. CONCLUSIONS With wider adoption of mHealth, it is important that we consider user-centered design techniques and design thinking in order to create meaningful, patient-centered interventions for adherence to medications. Future research in this area should include greater exploration of how these five personas can be used to better understand how and when is best to deliver mHealth interventions in Singapore and beyond.

scholarly journals Preventable medication harm across health care settings: a systematic review and meta-analysis

BMC Medicine ◽  
2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Alexander Hodkinson ◽  
Natasha Tyler ◽  
Darren M. Ashcroft ◽  
Richard N. Keers ◽  
Kanza Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Medical Care ◽  
Data Extraction ◽  
Meta Analysis ◽  
Surgical Care ◽  
World Health ◽  
Cochrane Library ◽  
Future Research ◽  
Life Threatening ◽  
Preventable Harm

Abstract Background Mitigating or reducing the risk of medication harm is a global policy priority. But evidence reflecting preventable medication harm in medical care and the factors that derive this harm remain unknown. Therefore, we aimed to quantify the prevalence, severity and type of preventable medication harm across medical care settings. Methods We performed a systematic review and meta-analysis of observational studies to compare the prevalence of preventable medication harm. Searches were carried out in Medline, Cochrane library, CINAHL, Embase and PsycINFO from 2000 to 27 January 2020. Data extraction and critical appraisal was undertaken by two independent reviewers. Random-effects meta-analysis was employed followed by univariable and multivariable meta-regression. Heterogeneity was quantified using the I2 statistic, and publication bias was evaluated. PROSPERO: CRD42020164156. Results Of the 7780 articles, 81 studies involving 285,687 patients were included. The pooled prevalence for preventable medication harm was 3% (95% confidence interval (CI) 2 to 4%, I2 = 99%) and for overall medication harm was 9% (95% CI 7 to 11%, I2 = 99.5%) of all patient incidence records. The highest rates of preventable medication harm were seen in elderly patient care settings (11%, 95% 7 to 15%, n = 7), intensive care (7%, 4 to 12%, n = 6), highly specialised or surgical care (6%, 3 to 11%, n = 13) and emergency medicine (5%, 2 to 12%, n = 12). The proportion of mild preventable medication harm was 39% (28 to 51%, n = 20, I2 = 96.4%), moderate preventable harm 40% (31 to 49%, n = 22, I2 = 93.6%) and clinically severe or life-threatening preventable harm 26% (15 to 37%, n = 28, I2 = 97%). The source of the highest prevalence rates of preventable harm were at the prescribing (58%, 42 to 73%, n = 9, I2 = 94%) and monitoring (47%, 21 to 73%, n = 8, I2 = 99%) stages of medication use. Preventable harm was greatest in medicines affecting the ‘central nervous system’ and ‘cardiovascular system’. Conclusions This is the largest meta-analysis to assess preventable medication harm. We conclude that around one in 30 patients are exposed to preventable medication harm in medical care, and more than a quarter of this harm is considered severe or life-threatening. Our results support the World Health Organisation’s push for the detection and mitigation of medication-related harm as being a top priority, whilst highlighting other key potential targets for remedial intervention that should be a priority focus for future research.

scholarly journals Predicting Postpartum Haemorrhage: A systematic review of prognostic models

2021 ◽  
Author(s):  
Bethany Carr ◽  
Maryam Jahangirifar ◽  
Ann Nicholson ◽  
Ben Mol ◽  
Wentao Li ◽  
...  
Keyword(s):  
Prognostic Model ◽  
Postpartum Haemorrhage ◽  
Assessment Tool ◽  
Data Extraction ◽  
Experimental Studies ◽  
Risk Of Bias ◽  
Prognostic Models ◽  
Cochrane Library ◽  
Future Research ◽  
Mortality And Morbidity

Background: Postpartum Haemorrhage (PPH) remains a leading cause of maternal mortality and morbidity worldwide, and the rate is increasing. Using a reliable predictive model could identify those at risk, support management and treatment, and improve maternal outcomes. Objectives: To systematically identify and appraise existing prognostic models for PPH and ascertain suitability for clinical use. Search strategy: MEDLINE, CINAHL, Embase, and the Cochrane Library were searched using combinations of terms and synonyms including ‘postpartum haemorrhage’, ‘prognostic model’, and ‘risk factors’ that were developed from a scoping review. Selection Criteria: Observational or experimental studies describing a prognostic model for risk of PPH, published in English. Data Collection and Analysis: The Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies checklist informed data extraction and Prediction Model Risk of Bias Assessment Tool guided analysis. Main Results: 16 studies met the inclusion criteria after screening 1612 records. All studies were hospital settings from 8 different countries. Models were developed for women who experienced vaginal birth (n=7), caesarean birth(n=2), any type of birth(n=2), hypertensive disorders(n=1) and those with placental abnormalities(n=4). All studies were at high risk of bias due to use of inappropriate analysis methods or omission of important statistical considerations or suboptimal validation. Conclusions: No existing prognostic models for PPH are ready for clinical application. Future research is needed to externally validate existing models and potentially develop a new model that is reliable and applicable to clinical practice. Funding: This study received no funding. Keywords: Postpartum haemorrhage, prognostic model, prediction tool.

scholarly journals Using human-centered design to improve the quality of vaccine communication

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Rath
Keyword(s):  
Public Health ◽  
Design Thinking ◽  
Point Of Care ◽  
Travel Medicine ◽  
Vaccine Safety ◽  
Future Research ◽  
Human Centered Design ◽  
Policy Makers ◽  
Individual Level ◽  
Vaccine Preventable Diseases

Abstract In recent years, one-on-one vaccine communication has become more important that ever. Research has shown that an intact parent-paediatrician relationship is the most important predictor for positive attitudes toward immunisation. Yet, much of the discussion around the benefits of vaccines and the risk of vaccine preventable diseases has also moved online. New communication channels and discussion fora are evolving rapidly, and their use may differ significantly among different sociodemographic groups. These recent developments have implications for the work of policy makers. Public health messaging will need to be tailored to different subsectors of the population, such as those primarily interested in maternal-infant care, adolescent health, or travel medicine. Mobile applications, telemedicine, video blogs, and other digital fora provide room for science-informed vaccine communication extending beyond the brief conversations at the doctor's office. Each mode of communication may have its own impact, but pediatricians will need to get involved in bridging the communication gap between policy makers and public health agencies on one hand, and children and families on the other. We will discuss the results of recent projects undertaken by the Vienna Vaccine Safety Initiative using the innovation technique of Design Thinking to move the experience of children and their caretakers back into the center of the conversation. We will provide practical examples of human-centered design i) to improve the understanding of individual-level disease severity in flu patients, ii) to empower parents to keep the vaccination records in their family up-to-date, iii) to improve safety reporting at the point of care, and iv) to enable migrant populations to report missed immunizations and other health needs. We will invite active discussion with the audience while providing critical analysis of lessons learnt and implications for health policy and future research.

scholarly journals A scoping review of breastfeeding peer support models applied in hospital settings

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Dorothy Chepkirui ◽  
Jacinta Nzinga ◽  
Julie Jemutai ◽  
Benjamin Tsofa ◽  
Caroline Jones ◽  
...  
Keyword(s):  
Peer Support ◽  
Scoping Review ◽  
Severe Acute Malnutrition ◽  
Data Extraction ◽  
Implementation Strategies ◽  
The United States ◽  
Acute Malnutrition ◽  
Cochrane Library ◽  
Future Research ◽  
Support Strategies

Abstract Background The 2013 updated guidelines on management of severe acute malnutrition in infants and children recommends the support of exclusive breastfeeding. These guidelines are inconsistently applied in low and middle income countries (LMICs) due to barriers including unclear implementation guides, technical support and epidemiological factors. Peer support strategies have been used to offer psychological support to families with infants in NICU and improve mental health outcomes. Breastfeeding peer supporters (BFPS) have been shown to be effective in improving breastfeeding outcomes in community settings however, their success within hospital settings in LMICs is unknown. We conducted a scoping review to explore implementation of breastfeeding peer support strategies as have been applied to hospitalized infants globally and highlight their implementation strategies in order to guide future research and practice. Methods A scoping review of the literature was conducted using the Arksey and O’Malley framework. A search was conducted in five online databases (PubMed, Cochrane library, Hinari, Google Scholar and Open Grey library). Data were extracted and charted in data extraction tables to capture general characteristics, modes of peer support delivery, implementation details and evaluation procedures. Results From the online search 276 articles were identified, however only 18 met the inclusion criteria for the study. The majority of these articles were reports on in-patient breastfeeding peer support interventions applied in Europe and the United States of America and only two were from LMICs. The articles described peer supporters’ identification, training (n = 13) and supervision (n = 14). The majority of the BFPS were employed (n = 10) compared to volunteers (n = 3) and support was mainly one-to-one (n = 11) rather than group support. Process and impact evaluation (n = 13) reported positive breastfeeding outcomes associated with breastfeeding peer support. Conclusion Breastfeeding peer support strategies are applied in different hospital settings and can be used to improve breastfeeding outcomes. However, to achieve integration, scalability and comparability of impact and outcomes, there is a need to standardize training, develop consistent implementation and supervision plans of in-patient peer supporters’ strategies. Further research to assess sustainability and evaluate cost-effectiveness of in-patient breastfeeding peer support strategies will improve uptake and scalability of these potentially lifesaving interventions.

scholarly journals A CONCEPTUAL MODEL FOR INTEGRATING DESIGN THINKING AND LEAN STARTUP METHODS INTO THE INNOVATION PROCESS

2021 ◽  
Vol 1 ◽  
pp. 31-40
Author(s):  
Tucker Marion ◽  
David Cannon ◽  
Tahira Reid ◽  
Anna-Maria McGowan
Keyword(s):  
Conceptual Model ◽  
Process Model ◽  
Design Thinking ◽  
Innovation Process ◽  
Design Methods ◽  
Future Research ◽  
Research Perspective ◽  
High Level ◽  
Gaining Insight ◽  
Lean Startup

AbstractDesign thinking is a methodology that comes from the industrial design realm and is centred on culling better needs insight from users. Another popular methodology is based gaining insight on the potential of an opportunity through experimentation, testing, and iterating with users. This is commonly referred to as lean startup methods. However, from a research perspective, we still do not know the most effective way to implement these user focused design methods within the innovation process within organizations, and which aspects of the design process are the most impactful in developing new opportunities. In this research, we propose a high-level conceptual process model on how user focused design methods such as design thinking and lean startup methods can be integrated into the up-front innovation process within organizations. We review the conceptual model, associated activities, and process considerations. The article concludes with thoughts on future research.

Using Insights from Behavioural Science and Design Thinking to Develop mHealth Interventions: a Systematic Scoping Review (Preprint)

2022 ◽  
Author(s):  
Paula Voorheis ◽  
Albert Zhao ◽  
Kerry Kuluski ◽  
Quynh Pham ◽  
Ted Scott ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Design Process ◽  
Scoping Review ◽  
Design Thinking ◽  
Design Science ◽  
Data Extraction ◽  
Descriptive Analysis ◽  
Future Research ◽  
Behaviour Change Techniques ◽  
Behavioural Science

BACKGROUND Mobile health (mHealth) interventions are increasingly being designed to facilitate health-related behaviour change. Integrating insights from behavioural science and design science can help support the development of more effective mHealth interventions. Behavioural Design (BD) and Design Thinking (DT) have emerged as best practice approaches in their respective fields. Until now, little work has been done to examine how BD and DT can be integrated throughout the mHealth design process. OBJECTIVE The aim of this scoping review was to map the evidence on how insights from BD and DT can be integrated to guide the design of mHealth interventions. The following questions were addressed: (1) what are the main characteristics of studies that integrate BD and DT during the mHealth design process? (2) what approaches do mHealth design teams use to integrate BD and DT during the mHealth design process? (3) what are key implementation considerations, design challenges, and future directions for integrating BD and DT during mHealth design? METHODS We identified relevant studies from MEDLINE, PSYCINFO, EMBASE, CINAHL and JMIR using search terms related to mHealth, behavioural design, and design thinking. Included articles had to clearly describe their mHealth design process and how behaviour change theories, models, frameworks, or techniques were incorporated. Two independent reviewers screened articles for inclusion and completed the data extraction. A descriptive analysis was conducted. RESULTS A total of 75 articles met the inclusion criteria. All studies were published between 2012 and 2021. Studies integrated BD and DT in notable ways, which we refer to as “Behavioural Design Thinking”. Five steps were followed in the “Behavioural Design Thinking” approach: (1) empathise with users and their behaviour change needs, (2) define user and behaviour change requirements, (3) ideate user-centred features and behaviour change content, (4) prototype a user-centred solution that supports behaviour change, (5) test the solution against users’ needs and for its behaviour change potential. Key challenges experienced during mHealth design included meaningfully engaging patient and public partners in the design process, translating evidence-based behaviour change techniques into actual mHealth features, and planning for how to integrate the mHealth intervention into existing clinical systems. Guidance is needed on how to conduct the design process itself, how to meaningfully engage key stakeholders, and how to operationalize behaviour change techniques in a user-friendly and context-specific way. CONCLUSIONS Best practices from BD and DT can be integrated throughout the mHealth design process to ensure that mHealth interventions are purposefully developed to effectively engage users. Although this scoping review clarified how insights from BD and DT could be integrated during mHealth design, future research is needed to identify the most effective design approaches. CLINICALTRIAL n/a

Interventions that support major life transitions in older adulthood: a systematic review

2018 ◽  
Vol 31 (3) ◽  
pp. 393-415 ◽  
Author(s):  
Brenda Vrkljan ◽  
Ariane Montpetit ◽  
Gary Naglie ◽  
Mark Rapoport ◽  
Barbara Mazer
Keyword(s):  
Data Extraction ◽  
Later Life ◽  
Well Being ◽  
Life Transitions ◽  
Cochrane Library ◽  
Future Research ◽  
Major Life ◽  
Major Transitions ◽  
Quasi Experimental ◽  
Major Life Transitions

ABSTRACTBackground:Major life transitions can negatively impact the emotional well-being of older people. This study examined the effectiveness of interventions that target the three most common transitions in later life, namely bereavement, retirement, and relocation.Methods:A systematic search was performed via MEDLINE, EMBASE, CINAHL, Cochrane Library, PsycINFO, and reference lists of retrieved non-randomized and randomized controlled trials (RCTs) in English that studied the effectiveness of interventions addressing the three transitions in those >50 years of age. Two researchers independently selected the publications, piloted the data extraction form, and critically appraised studies specific to transition type and study design.Results:A total of 11 studies (bereavement: 7; retirement: 2; relocation: 2) of 8 unique interventions met the inclusion criteria of which nine were RCTs and two were of quasi-experimental designs were reviewed. Six studies were group-based interventions, three studies used individualized sessions, and one intervention used a combination of group and individualized programming. Group size varied (20–32 participants), as did qualifications of those administering the interventions. The methodological quality of included studies was weak. Findings suggest that group-based approaches provided by trained personnel can mitigate the negative health-related consequences associated with major transitions in later life.Conclusion:Evidence concerning interventions that address mental health challenges associated with these major transitions is limited. Future research should better characterize participants at study outset and use validated measures to capture effectiveness. Use of peer mentorship to navigate such transitions is promising, but given the small number of studies and their methodological weaknesses, further research on effectiveness is warranted.

scholarly journals The Use of Global Rating Scales and Checklists in Clinical Simulation-Based Assessments: A Protocol for a Scoping Review

2021 ◽  
Author(s):  
Karien Henrico ◽  
Andrew Makkink
Keyword(s):  
Scoping Review ◽  
Rating Scales ◽  
Data Extraction ◽  
Grey Literature ◽  
Cochrane Library ◽  
Future Research ◽  
Global Rating ◽  
Clinical Simulation ◽  
Scoping Reviews ◽  
Simulation Based

Abstract Background Assessment in health sciences education remains a hotly debated topic, with measures of competency and how to determine them in simulation-based assessments enjoying much of the focus. Global rating scales (GRS) and checklists enjoy widespread use within simulation-based education but there is a question regarding how the two strategies are used within clinical simulation assessment. The aim of this proposed scoping review is therefore to explore, map and summarise the nature, range and extent of published literature available relating to the use of GRS and checklists in clinical simulation-based assessment. Methods We will follow the methodological frameworks and updates described by Arksey and O’Malley, Levac, Colquhoun and O'Brien, and Peters, Marnie and Tricco et al and will report using the PRISMA extension for Scoping Reviews. We will search PubMed, CINAHL, ERIC, Cochrane Library, Scopus, EBSCO, ScienceDirect, Web of Science, the DOAJ, and several sources of grey literature. We developed a search strategy in collaboration with an experienced research librarian and include an example of a full electronic search in this article. We will screen all titles and abstracts and relevant full-text articles and extract the relevant data using the data extraction form. Quantitative data will be presented as will a narrative account of all included studies. We will import the narrative into Atlas.ti and use thematic analysis to identify themes and map the data. We will be including all identified sources published in English after 1 January 2010 that relate to the use of GRS and/or checklists in clinical simulation-based assessments. Discussion The overview of literature produced will help to identify knowledge gaps and inform future research in the use of GRS and checklists in clinical simulation-based assessments. This information will be valuable and useful for all stakeholders that are interested in clinical simulation-based assessments. Scoping review protocol registration: Open Science Framework (OSF) submitted on 26 November 2021 and available at https://osf.io/7yfbq.

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