共同设计数字中风预防平台:利用生活经验和专家建议

IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Tara Purvis, Catherine Burns, Seamus Barker, Monique F. Kilkenny, Seana L. Gall, Christine Farmer, Vaishnavi Sudhakar, Dominique A. Cadilhac, Brenda Booth, Janet E. Bray, Jan Cameron, Lachlan L. Dalli, Stephanie Ho, Eleanor Horton, Timothy Kleinig, Lisa Murphy, Mark R. Nelson, Muideen T. Olaiya, Amanda G. Thrift, Rosanne Freak-Poli
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引用次数: 0

摘要

背景:通过有效的危险因素管理,大多数中风是可以预防的。现有的初级预防战略覆盖面和有效性不足。数字卫生技术提供了克服其中一些障碍的潜力。本研究的目的是共同设计“爱你的大脑”数字平台,包括一个在线教育项目(大规模开放在线课程,MOOC)和短信系统,用于社区中风预防教育和管理。方法采用滚雪球法,从澳大利亚各地的社区成员和卫生知识专家(如卫生专业人员和研究人员)那里寻求感兴趣的表达。参与者在年龄、性别、地点、教育程度(社区)和专业(卫生知识专家)方面有目的地选择。计划了一系列的八个焦点小组。从2023年5月到2023年8月,我们分别对每个队列进行了7个在线焦点小组,以探讨与核心功能、内容和设计特征相关的看法。他们的见解被用于开发数字平台。在测试期之后,每个队列(2024年3月)进行最后一次焦点小组讨论,以进一步评估数字平台。在参与者同意的情况下对焦点小组进行记录。使用归纳和演绎主题方法对焦点小组的录音和文字记录、实时聊天和互动民意调查进行分析,并将主题映射到mooc设计和评估框架中。结果12名社区成员和10名健康知识专家至少参加了8个焦点小组中的一个,86%的人参加了5个或更多。虽然小组对报告的发表和内容有不同的意见,但所有与会者都强调使用简单易懂的语言和布局,包括各种统计数据、个人故事和专家资料的重要性。关注情感动机被认为是参与数字平台的关键。此外,能够个性化内容并为人们提供探索更高级信息的选项(通过外部资源和具有可信链接的项目特定网站)被认为是有利的。结论与社区和知识专家共同设计,为“爱你的大脑”数字平台的发展提供了信息和丰富。共同设计的平台目前正在进行可行性试验。患者或公众贡献有中风生活经历的人,以及家人/照顾者和公众成员,积极参与共同设计焦点小组。爱你的大脑管理委员会由中风幸存者和护理人员组成,他们与研究人员和临床医生合作,为研究的各个阶段的发展和实施提供监督和指导,包括本手稿的准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Co-Designing a Digital Stroke Prevention Platform: Leveraging Lived Experience and Expert Advice

Co-Designing a Digital Stroke Prevention Platform: Leveraging Lived Experience and Expert Advice

Background

The majority of strokes are preventable through effective risk factor management. Existing primary prevention strategies have insufficient reach and effectiveness. Digital health technologies offer the potential to overcome some of these barriers. The aim of this study was to co-design the ‘Love Your Brain’ digital platform, including an online education program (Massive Open Online Course, MOOC) and text messaging system, for community stroke prevention education and management.

Methods

Using snowballing methods, expressions of interest were sought from community members and health knowledge experts (e.g., health professionals and researchers) from across Australia. Participants were purposively selected for diversity in age, sex, location, education (community) and profession (health knowledge experts). A series of eight focus groups were planned. From May 2023 to August 2023, seven online focus groups were undertaken separately with each cohort, to explore perceptions related to the core functions, content and design features. Their insights were used to develop the digital platform. Following a testing period, a final focus group was held with each cohort (March 2024) to evaluate the digital platform further. Focus groups were recorded with participant consent. Recordings and transcripts, live chats and interactive polls from the focus groups were analysed using inductive and deductive thematic approaches, with themes mapped to the Framework for the Design and Evaluation of MOOCs.

Results

Twelve community members and ten health knowledge experts participated in at least one of the eight focus groups, with overall 86% attending five or more. Although some diversity existed in group opinions about the delivery and content, all participants emphasised the importance of using simple, easy-to-understand language and layout throughout, with the inclusion of a variety of statistics, personal stories and expert information. Focusing on emotional motivation was perceived as essential for engagement with the digital platform. Furthermore, being able to personalise the content and provide options for people to explore more advanced information (via external resources and a project-specific website with trusted links) was considered advantageous.

Conclusion

Co-design with community and knowledge expert cohorts informed and enriched the development of the Love Your Brain digital platform. The co-designed platform is currently being piloted in a feasibility trial.

Patient or Public Contribution

People with lived experience of stroke, along with family/caregivers and members of the public, actively participated in the co-design focus groups. The Love Your Brain Management Committee comprises lived experience stroke survivors and carers who worked in partnership with researchers and clinicians to provide oversight and guidance to the development and implementation of all stages of the study, including the preparation of this manuscript.

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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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