Narges Farahnak Majd, Jan Golembiewski, A. Tarkashvand
{"title":"The psychiatric facility: how patients with schizophrenia respond to place","authors":"Narges Farahnak Majd, Jan Golembiewski, A. Tarkashvand","doi":"10.1080/24735132.2020.1846849","DOIUrl":"https://doi.org/10.1080/24735132.2020.1846849","url":null,"abstract":"Abstract There is strong evidence that people with psychosis are highly responsive to environmental changes. The institutional tradition has been blamed for chronic psychotic illness in the past, but there has been little evidence to identify the negative influences that it has perpetrated. This study attempts to identify hitherto unknown factors embedded in the physical design of psychiatric environments. A grounded theory method was chosen for this study. The study was undertaken from April 2013 until May 2015 in a mental health facility with 110 male patients with psychosis mostly diagnosed with chronic schizophrenia. Data were collected by covert non-participant observation and unstructured interviews with nine centre staff. The study found that there are standing patterns of behaviour around affordances – that is, around opportunities for action. When these encourage self-expression, better sensory, and bodily engagement and form meaningful experiences, they are positive and recovery-oriented. However, when they involve competition for territory and relative comfort, they are deleterious to mental health. Standing patterns of behaviour are predictable – be they good or bad. An understanding of these patterns will enable better mental health facility design in the future.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"59 4","pages":"384 - 406"},"PeriodicalIF":0.0,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24735132.2020.1846849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72390009","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}
Lars Veldmeijer, B. Wartena, G. Terlouw, J. V. van't Veer
{"title":"Reframing loneliness through the design of a virtual reality reminiscence artefact for older adults","authors":"Lars Veldmeijer, B. Wartena, G. Terlouw, J. V. van't Veer","doi":"10.1080/24735132.2020.1848976","DOIUrl":"https://doi.org/10.1080/24735132.2020.1848976","url":null,"abstract":"Abstract Loneliness among older adults is a major societal problem. Research shows that feelings of loneliness are often linked to a lack of social relationships and social connectivity. Therefore, most loneliness interventions are focussing on strengthening and expanding the social life of older adults. Lonely older adults can also experience a lack of meaning in life, which can be countered by meaning-making interventions. Literature provides minimal insight into the design rationale of those interventions. This paper aims to provide insight into the design rationale of a Virtual Reality (VR) artefact for older adults with feelings of loneliness. The artefact focuses on retrieving meaningful memories through reminiscence. The needs and context of the participants were mapped by Research through Design (RtD), and a prototype was designed and tested. Preliminary test results suggest that VR-reminiscence can promote the well-being of lonely older adults, as well as the participatory design approach itself. VR-reminiscence triggered in-depth conversations about past, present, and future life. Based on the results of this study, it is recommended to design loneliness interventions beyond merely social relationships and social connectivity through designing tailored interventions that focus on the individual experience of loneliness by engaging older adults in the design process.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"12 1","pages":"407 - 426"},"PeriodicalIF":0.0,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84990168","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":"How the built environment matters in recovery after neurotrauma: a qualitative examination of first-person experiences across two inpatient settings","authors":"Jacinta Colley, H. Zeeman, E. Kendall","doi":"10.1080/24735132.2020.1848975","DOIUrl":"https://doi.org/10.1080/24735132.2020.1848975","url":null,"abstract":"Abstract Following neurotrauma, people may experience prolonged inpatient neurorehabilitation, during which they are dependent on and influenced by their immediate surroundings for support and stimulation. However, there is currently a lack of evidence relating to first person, or end-user, experiences of rehabilitation built environments, and consequently, limited knowledge of how to best design the physical space to promote rehabilitation after neurotrauma. Here, we report end-user experiences of rehabilitation after brain and spinal cord injury, to inform future rehabilitation environment design thinking. Semi-structured interviews and focus groups with patients (n = 24) and staff (n = 33) from two adult neurorehabilitation units in Australia revealed that the neurorehabilitation setting was an important midpoint between hospital and home, where the built environment could facilitate, or block, two fundamental patient recovery processes: change and certainty. This study provides evidence that the built environment directly and dynamically contributes to rehabilitation and wellbeing following life-changing neurotrauma. Highlights The physical environment is central to the experience of recovery after neurotrauma Rehabilitation environments must respond to patient progress and growth during a potentially lengthy hospital stay An environmental emphasis on safety was reassuring for staff during early-stage rehabilitation A shift in emphasis to patient independence would support better recovery prior to discharge Environmental capacity for encouraging participation in usual activities could support identity and sense of purpose, which is important after cognitive injury The dynamic nature of rehabilitation practice ought to be reflected in the building design. This is a key challenge for future rehabilitation health design.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"64 1","pages":"365 - 383"},"PeriodicalIF":0.0,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83276468","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":"A sense of place","authors":"P. Atkinson","doi":"10.1080/24735132.2020.1848978","DOIUrl":"https://doi.org/10.1080/24735132.2020.1848978","url":null,"abstract":"Kelsey and Taylor have collaborated with Petteril Bank Primary School and their work there has been cited locally and nationally for its innovative approach to negotiating our role as artists and educator within the school community and for the work undertaken with staff and children. It has also underpinned their own research into collaborative interdisciplinary practice, the role of artists in society and the creation of art in a negotiated situation, which is ongoing.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"110 1","pages":"273 - 275"},"PeriodicalIF":0.0,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80611234","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":"Re-thinking health through design: collaborations in research, education and practice","authors":"Aidan Rowe, Michelle Knox, G. Harvey","doi":"10.1080/24735132.2020.1841918","DOIUrl":"https://doi.org/10.1080/24735132.2020.1841918","url":null,"abstract":"Abstract Current health-care systems are confronted with progressively complex demands: ageing populations, growing drug ineffectiveness, health mis/disinformation and access to comprehensive services are just a few of the challenges faced today. Design offers methods, practices and processes to help address these challenges. While design and health have a long history of working together, much of this work has been limited. In this article, we make the case for further opportunities for design and health to work together in deep, innovative and human ways. We start by reviewing the transforming space(s) of design, moving on to a discussion of the similarities between healthcare and design. Next, we present three case studies that employ design methods and processes within healthcare settings, exploring new opportunities for synergy. We conclude by summarizing the areas of opportunity uncovered through these case studies, articulating future possibilities for design and healthcare to collaborate.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"41 1","pages":"327 - 344"},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85120262","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}
G. Collier, N. Kayes, S. Reay, Nick Hayes, A. Bill
{"title":"Designing a diagnosis? Reflections on design, medicalization, and mild cognitive impairment (MCI)","authors":"G. Collier, N. Kayes, S. Reay, Nick Hayes, A. Bill","doi":"10.1080/24735132.2020.1837507","DOIUrl":"https://doi.org/10.1080/24735132.2020.1837507","url":null,"abstract":"Abstract Medicalization refers to the process by which ordinary human problems and experiences—such as depression, anxiety, addiction, and child hyperactivity—come to be defined and treated as distinct medical conditions. The growing influence of Western medicine (or ‘biomedicine’) in contemporary society has had a profound impact on people’s understanding of what it means to be ‘normal’, how they conceptualize and respond to illness, and perhaps even their understanding of life itself. Despite the increasing number of products, services, and interventions that extend the reach of medicine into everyday life, the concept of medicalization has received surprisingly little attention in the design literature. This article presents a single case study, a web design project called ‘Living Well with Mild Cognitive Impairment (MCI)’, to provoke discussion around how design processes and practices are sometimes embroiled in the construction of new medical diagnoses, and the implications this might have for the emerging field of design for health. The research found that the website helped legitimize the MCI diagnosis by giving it form, despite ongoing debates about its use and validity in clinical practice.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"8 1 1","pages":"296 - 312"},"PeriodicalIF":0.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78228212","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}
M. Ramos, S. Bowen, Peter C. Wright, M. G. G. Ferreira, F. Forcellini
{"title":"Experience based co-design in healthcare services: an analysis of projects barriers and enablers","authors":"M. Ramos, S. Bowen, Peter C. Wright, M. G. G. Ferreira, F. Forcellini","doi":"10.1080/24735132.2020.1837508","DOIUrl":"https://doi.org/10.1080/24735132.2020.1837508","url":null,"abstract":"Abstract Experience Based Co-Design (EBCD) has become a popular way of using experience for healthcare service improvement. Despite its popularity, there are few comparative studies on the use of the approach evaluating its enablers and barriers. Here we analyse the barriers and enablers found in literature and of seven projects that used EBCD in the United Kingdom’s National Health Service (NHS) and identify scenarios that may contribute to project success. Thematic analysis of semi-structured interviews with EBCD project facilitators showed that the main project barriers were human and organizational barriers, and main enablers were the project facilitator role, the use of narratives, full organizational support, pre-intervention actions and the relationship between service and patients. We conclude that EBCD improvement projects are likely to be successful when key enablers are in place and that active management participation in the process facilitates implementing changes.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"75 1","pages":"276 - 295"},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86310343","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 to improve patients' sleep experience in NHS hospital wards: involving students in solving 'real world' problems","authors":"Emilene Zitkus, E. Harris, G. Miles, F. Astin","doi":"10.1080/24735132.2020.1848977","DOIUrl":"https://doi.org/10.1080/24735132.2020.1848977","url":null,"abstract":"Abstract This article presents a collaborative educational initiative designed to enhance the learning experience for undergraduate product design students and boost their employability through an introduction to ‘real-world’ design challenges in healthcare settings. The initiative centred upon enhancing the learning experience for a cohort of 38 product design undergraduate students across a 3-year programme through interdisciplinary research-informed teaching. We started with a student project in year one designed to help learners to understand the complexities and opportunities when designing for healthcare environment, as well as the importance of understanding stakeholders' needs (public involvement). This paper addresses the three steps taken to involve them in the project: (1) the research used to guide the selection of the problem; (2) the approaches we used to engage the students with an unfamiliar scenario, and(3) the involvement of students and stakeholders. The results of the student projects are discussed with some reflection on ways to improve teaching. In this way our ideas contribute to new and innovative approaches to learning and teaching in design through cross-disciplinary collaborations with healthcare researchers, academics, practitioners and patients. These approaches can help to overcome common challenges that might hinder design educators in proposing human-centred healthcare projects to students.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"120 1","pages":"345 - 364"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85942595","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 in healthcare: the challenge of translation","authors":"J. West","doi":"10.1080/24735132.2020.1783880","DOIUrl":"https://doi.org/10.1080/24735132.2020.1783880","url":null,"abstract":"Abstract This paper draws on the history of inclusive design and design for patient safety work at the Helen Hamlyn Centre for Design at the Royal College of Art to illustrate translational difficulties facing product designs developed with and initiated by clinical researchers. Three case studies are explored to outline common challenges faced by innovations in the efforts to commercialise and achieve adoption into front line use. Translational difficulties were discussed in a multidisciplinary workshop with designers, human factors, regulatory and procurement personnel. The differences between the conceptions of the design process and the process by which innovations are adopted into widespread use were explored in more detail through mapping exercises and a pilot design project. The paper uses the case studies and a workshop to draw on theory of design and models for optimising translation, with a particular focus on procurement and incremental innovation. The conclusion is a proposed methodology for optimising the inclusive design process in healthcare to produce innovations which are more likely to be adopted into front line use. The methodology involves downstream stakeholders (namely regulatory and procurement expertise) in addition to the standard front line users, building in ambition from incremental to more fundamental innovations.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"14 2 1","pages":"252 - 269"},"PeriodicalIF":0.0,"publicationDate":"2020-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79485329","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}
I. Nakarada-Kordic, N. Kayes, S. Reay, J. Wrapson, G. Collier
{"title":"Co-creating health: navigating a design for health collaboration","authors":"I. Nakarada-Kordic, N. Kayes, S. Reay, J. Wrapson, G. Collier","doi":"10.1080/24735132.2020.1800982","DOIUrl":"https://doi.org/10.1080/24735132.2020.1800982","url":null,"abstract":"Abstract We drew on the principles of co-autoethnography to explore the experiences of two multidisciplinary university-based teams engaged in design for health work: (1) a design team embedded in a hospital consisting of designers and social researchers; and (2) a person-centred rehabilitation research team of health researchers and professionals. We explored ‘how might our experience of working in design for health inform how we work more effectively together?’ Written reflections provided by contributors from each team and a transcript of a group discussion were analysed drawing on conventional content analysis. We identified that design for health collaborations are often surrounded by substantial challenges and tensions that are perpetuated through: (1) A clash of worlds and disciplines; and (2) Constraining systems and structures. A shared sense of excitement, hope, and passion for the possibility that a design for health collaboration brings were also identified, as was the need for risk-taking. This work will have practical utility for those commencing work in this complex, transdisciplinary space. We propose successful design for health collaborations are conditional on three core processes: (1) Understanding psychosocial contexts; (2) Building connectivity; and (3) Building capability. These should be enacted through collaborative discussion at the initiation of each new collaborative project.","PeriodicalId":92348,"journal":{"name":"Design for health (Abingdon, England)","volume":"43 1","pages":"213 - 230"},"PeriodicalIF":0.0,"publicationDate":"2020-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85778586","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}