Woods Leanna, Cummings Elizabeth, Duff Jed, Walker Kim
School of Health Sciences, University of Tasmania, Australia.
School of Nursing and Midwifery, University of Newcastle, Australia.
Stud Health Technol Inform. 2018;252:176-181.
Using participatory co-design methods and in partnership with consumers we have developed a mHealth application to support heart failure self-management. In the first phase of the research we conducted a needs analysis with clinicians. The objectives were to define the features to perceivably support self-management and the clinical requirements in preparation for its implementation as an adjunct to existing multidisciplinary care. Interviews were conducted using the 'Rose, Thorn, Bud' technique from Design Thinking together with a brainstorming session with post-it notes. Six sixty-minute interviews and one email exchange with seven clinicians produced 154 data points in total; 97 relating to self-management support and 57 to clinical relevance. Analysis of these data points resulted in design implications articulated in a design brief for use in subsequent co-design workshops. Our discussion focuses on a critique of the technique, which appears to be useful for this stakeholder group although concerns of adequately representing complexity emerged. This method was considered inadequately comprehensive for use in the needs analysis with patients and family. The authors encourage further research evaluating in-hospital processes for co-designed health technologies.
我们采用参与式协同设计方法，并与消费者合作，开发了一款移动健康应用程序，以支持心力衰竭的自我管理。在研究的第一阶段，我们与临床医生进行了需求分析。目标是确定可明显支持自我管理的功能以及临床要求，为将其作为现有多学科护理的辅助手段实施做准备。使用设计思维中的“玫瑰、荆棘、蓓蕾”技术以及便利贴头脑风暴会议进行访谈。与七位临床医生进行了六次60分钟的访谈和一次电子邮件交流，总共产生了154个数据点；其中97个与自我管理支持有关，57个与临床相关性有关。对这些数据点的分析得出了设计启示，并在设计简报中进行了阐述，以供后续协同设计研讨会使用。我们的讨论集中在对该技术的批评上，尽管出现了对充分体现复杂性的担忧，但该技术对这个利益相关者群体似乎是有用的。这种方法被认为在与患者及家属进行需求分析时不够全面。作者鼓励进一步开展研究，评估共同设计的健康技术在医院内的流程。
