D. Babbage, J. Drown, Jonathan Armstrong, Maegan Van Solkema, W. Levack, N. Kayes
{"title":"Co-design of a tablet app for communicating inpatient brain injury rehabilitation goals","authors":"D. Babbage, J. Drown, Jonathan Armstrong, Maegan Van Solkema, W. Levack, N. Kayes","doi":"10.1080/24735132.2022.2151776","DOIUrl":"https://doi.org/10.1080/24735132.2022.2151776","url":null,"abstract":"Abstract The design of a tablet app for people with recent severe brain injuries is described, providing short videos outlining their current rehabilitation goals during inpatient rehabilitation. This research explored questions of desirability, functionality and usability. A co-design process was undertaken with clinicians and three current clients of such a brain injury service along with their family/whānau, iterating on a series of prototypes. Clinician, client and family participants responded positively to the concept and guided the design. Many design considerations reflected fairly universal principles—providing graphical/visual cues to complement text-based controls, and striving for a simple user interface and experience. The final design struck a balance between user control and a curated linear flow through app content. A sharp focus on the main objective was key—guiding rehabilitation goal setting best practice. The end result was an iPad app ready for clinical trial. Such tools may be able to contribute to rehabilitation processes through supporting client engagement, raising awareness of the purpose of rehabilitation, and thus potentially contributing to rehabilitation outcomes. GRAPHICAL ABSTRACT","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"11 1","pages":"367 - 387"},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91109377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Rehn-Groenendijk, E. Chrysikou, Helena M. Müller
{"title":"Everyday objects as therapeutic elements in psychiatric wards: a theoretical design framework to strengthen patients’ valorization and control","authors":"J. Rehn-Groenendijk, E. Chrysikou, Helena M. Müller","doi":"10.1080/24735132.2022.2143157","DOIUrl":"https://doi.org/10.1080/24735132.2022.2143157","url":null,"abstract":"Abstract Concerning inpatient mental healthcare, the fields of design and architecture face enormous challenges. While focussing on meeting high safety and anti-ligature standards, many psychiatric facilities are designed as highly institutionalized settings. This institutionalization neglects essential psychosocially supportive elements, which promote health, wellbeing, as well as social interaction of patients and staff. With the aim of changing such institutional structures on a small scale and in an easily implementable manner, a new framework on how everyday objects could decrease institutionalization in psychiatric facilities is proposed. This framework includes two separate mechanisms: (1) design-induced priming of the concept of valorization and (2) increasing patients’ sense of control through everyday objects. As psychiatric environments affect patients as well as staff, we advocate using participatory approaches to determine the selection of product categories and styles of such objects.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"36 1","pages":"280 - 295"},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72931536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie E Schouten, Hanneke Kip, T. Dekkers, J. Deenik, N. Beerlage-de Jong, Geke D. S. Ludden, S. Kelders
{"title":"Best-practices for co-design processes involving people with severe mental illness for eMental health interventions: a qualitative multi-method approach","authors":"Stephanie E Schouten, Hanneke Kip, T. Dekkers, J. Deenik, N. Beerlage-de Jong, Geke D. S. Ludden, S. Kelders","doi":"10.1080/24735132.2022.2145814","DOIUrl":"https://doi.org/10.1080/24735132.2022.2145814","url":null,"abstract":"Abstract The lack of adoption of eMental Health technologies by people with severe mental illness (SMI) might be explained by a mismatch between technology design and users’ skills, context and preferences. Co-design can optimize this fit, but populations labelled as ‘vulnerable’ are often excluded or misrepresented. The goal of this study is to gain insight into best-practices for co-design with people with SMI. A qualitative, multi-method approach was used, consisting of a systematic scoping review of 21 included studies, 25 co-design expert surveys and six participant interviews. The results delivered 23 best-practices divided into four overarching aspects of co-design, namely: (1) activities to carry out before the start of a co-design study; (2) fruitful collaboration of the co-design team; (3) bespoke approach within co-design to accommodate the skills and abilities of SMI participants; and (4) mitigation of challenges surrounding power balance. The best-practices may help researchers and designers offer the SMI population a more specialized approach for co-design, which can cause the innovative output of eMH projects to be more effective and better adopted. Throughout the co-design process, more attention should be paid to the personal and clinical benefits of participation for the participants themselves.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"46 1","pages":"316 - 344"},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85946204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Finding what fits: Explorative self-experimentation for health behaviour change","authors":"Antonia Fedlmeier, Merijn Bruijnes, Marina Bos-de Vos, Mailin Lemke, J. Kraal","doi":"10.1080/24735132.2022.2147336","DOIUrl":"https://doi.org/10.1080/24735132.2022.2147336","url":null,"abstract":"Abstract Changing a specific health behaviour can be highly complex and is often influenced by many personal, social, and environmental factors. Therefore, interventions that aim at behaviour change cannot be one-size-fits-all solutions, and no behaviour change technique is effective for everyone. One potential solution could be to support individuals in finding interventions through self-experimentation. This research explored the requirements for an explorative self-experimentation intervention and developed tools that support users in the process, complementing developments in quantitative self-experimentation. Based on a research through design approach, we developed three different prototypes for supporting a change in health-related behaviour, which were used and evaluated by fourteen participants over a four-week period. A thematic analysis of interviews with participants led to seven themes, which can be used as a starting point when designing for explorative self-experimentation.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"344 1","pages":"345 - 366"},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77319820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew Lievesley, Rachael Powell, Daniel Carey, Sharon Hulme, Lucy O'Malley, Wendy Westoby, Jess Zadik, Audrey Bowen, Paul Brocklehurst, Craig J Smith
{"title":"Co-designing for behaviour change: The development of a theory-informed oral-care intervention for stroke survivors.","authors":"Matthew Lievesley, Rachael Powell, Daniel Carey, Sharon Hulme, Lucy O'Malley, Wendy Westoby, Jess Zadik, Audrey Bowen, Paul Brocklehurst, Craig J Smith","doi":"10.1080/24735132.2022.2096291","DOIUrl":"https://doi.org/10.1080/24735132.2022.2096291","url":null,"abstract":"<p><p>This article discusses how research to understand the oral care needs and experiences of stroke survivors was translated into a prototypical intervention. It addresses the challenge of how to develop service improvements in healthcare settings that are both person-centred, through the use of co-design, and also based on theory and evidence. A sequence of co-design workshops with stroke survivors, family carers, and with health and social care professionals, ran in parallel with an analysis of behavioural factors. This determined key actions which could improve mouthcare for this community and identified opportunities to integrate recognized behaviour-change techniques into the intervention. In this way, behaviour change theory, evidence from qualitative research, and experience-based co-design were effectively combined. The intervention proposed is predominantly a patient-facing resource, intended to support stroke survivors and their carers with mouth care, as they transition from hospital care to living at home. This addresses a gap in existing provision, as other published oral-care protocols for stroke are clinician-facing and concerned primarily with acute care (in the first days after a stroke). Although it draws on the experiences of a single design project, this study articulates a 'working relationship' between design practice methods and the application of behaviour change theory.</p>","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"6 2","pages":"221-243"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrícia Alves-Oliveira, Tanya Budhiraja, S. So, Raida Karim, Elin A. Björling, M. Cakmak
{"title":"Robot-mediated interventions for youth mental health","authors":"Patrícia Alves-Oliveira, Tanya Budhiraja, S. So, Raida Karim, Elin A. Björling, M. Cakmak","doi":"10.1080/24735132.2022.2101825","DOIUrl":"https://doi.org/10.1080/24735132.2022.2101825","url":null,"abstract":"Abstract Evidence-based therapies have proven effective in treating the mental health of adolescents. However, these interventions are not without shortcomings: therapies are costly and not accessible for everyone who needs them; psychologists are scarce, with more adolescents needing support than therapists available. We contribute to mental health support tools with a digital robot agent that delivers micro-interventions to adolescents. Our key insight is that translating therapies traditionally provided in a physical workbook format to an interactive robot uncovers therapeutic mechanisms that promote healing. We present our translation process from workbook to robot-mediated therapy, which include the co-design of a robot with adolescents and heuristic evaluations with evidence-based clinical psychologists. This work presents a preliminary study with adolescents in which they used both the workbook (traditional medium) and the digital robot (interactive medium) during two consecutive weeks. Results show both a preference for the robot and more engagement of this treatment delivery option.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"29 1","pages":"138 - 162"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81025064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Young, K. Sage, D. Broom, Andrew Hext, Christine Smith
{"title":"Effective use of storyboarding as a co-design method to enhance power assisted exercise equipment for people with stroke","authors":"R. Young, K. Sage, D. Broom, Andrew Hext, Christine Smith","doi":"10.1080/24735132.2022.2101257","DOIUrl":"https://doi.org/10.1080/24735132.2022.2101257","url":null,"abstract":"Abstract Power assisted exercise equipment designed to assist multi-directional movements represent an exercise solution for people with stroke. Users identified digitization of the equipment through a new Graphical User Interface (GUI) to display feedback on exercise performance as a development priority. The Medical Device Technology (MDT) framework was adopted to structure the four-stage digitization programme and ensure meaningful user involvement. This paper reports on stage two of the digitization programme, the aim of which was to create a prototype GUI. Storyboarding followed by participatory data analysis was selected as a co-design method to engage professional (n = 6) and expert (n = 8) end users to create artefacts and express preferences relevant to the design of the GUI. Four overarching themes emerged from thematic analysis of the data; (a) aesthetic format, (b) functional features, (c) exercise programme, (d) motivation and reward. The data was crystallized with external sources to generate a design criterion matrix which directed the first iteration of the prototype GUI. Storyboarding with participatory analysis was an effective method for engaging participants in the design of the GUI and associated user experience. This paper represents a novel application of storyboarding to the MDT framework in user centred digital design.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"4 1","pages":"244 - 275"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87655885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Donovan, Gareth Furber, Alex Cothren, Jane Andrew, I. Gwilt
{"title":"Visualizing mental health: co-design for innovative mental health promotion prototypes through interdisciplinary collaboration between psychology professionals, communication design students and tertiary design educators","authors":"D. Donovan, Gareth Furber, Alex Cothren, Jane Andrew, I. Gwilt","doi":"10.1080/24735132.2022.2096789","DOIUrl":"https://doi.org/10.1080/24735132.2022.2096789","url":null,"abstract":"Abstract Approaches to improving people’s mental health fall across a spectrum from those targeting risk and protective factors in healthy individuals to those targeting individuals with mental illness. Common to all approaches is a focus on mental health literacy, improving people’s knowledge about mental health and how it is fostered. Communication designers are not typically involved early in the development of mental health literacy campaigns or products, reflecting a prioritization of the mental health content. This article reports on the benefits of an interdisciplinary collaboration between mental health clinicians, undergraduate communication design students and tertiary design educators, called Visualizing Mental Health, which takes a different approach. Mental health concepts are used to inspire designers to create unique prototypes including games, apps, toys, and books. The development of these prototypes emerges from design thinking and creative idea generation methods. A key to the development of these outcomes is a focus on deliberately open-ended briefing, through which the creative skills of participating communication designers are expressed prior to finalization of client parameters. This approach in a mental health intervention context over a six-year period has attracted attention from mental health sector funding and led to the development of pilotable interventions into mental health literacy.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"11 1","pages":"163 - 184"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87404924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring a human-centred approach to improve the usability of medical devices used in an outpatient intravenous antibiotic treatment","authors":"Kate Weatherly, S. Reay","doi":"10.1080/24735132.2022.2091839","DOIUrl":"https://doi.org/10.1080/24735132.2022.2091839","url":null,"abstract":"Abstract There is limited evidence for how the medical devices used by a New Zealand District Health Board’s Outpatient Intravenous Antibiotic (OPIVA) system could be improved. This study used human-centred design (HCD) to explore a possible redesign of this system to improve patients’ experiences. Using an iterative design process, informed by semi-structured interviews, the study explored problems with the existing OPIVA system. Through the experiences and input of participants, potential product design opportunities were explored. This case study primarily focuses on the design of a new product solution to replace the surgical tape used to hold the intravenous line used within the existing system in place on the patient’s arm. This new solution, an adhesive clip, could increase the accessibility and ease of use of the system. Furthermore, it helps demonstrates the value of human-centred design-based approaches to medical product improvement. Historically, the design of medical products has centred on minimizing costs and improving health outcomes, often leaving patients out of the development process. Our findings demonstrate how putting patients’ experiences at the centre of the product improvement process can result in novel opportunities that may help drive medical device innovation.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"2 1","pages":"204 - 220"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86947924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Design for health: a holistic approach","authors":"C. Craig","doi":"10.1080/24735132.2022.2127074","DOIUrl":"https://doi.org/10.1080/24735132.2022.2127074","url":null,"abstract":"","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"20 1","pages":"135 - 137"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78392538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}