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健康信息技术开发中协同共创与敏捷方法相结合的挑战与解决方案

The challenges of and solutions for combining cocreation and agile in the development of health information technologies.

作者信息

Tabeau Kasia, de Mul Marleen, Strating Mathilde, Fiorini Laura, Cavallo Filippo, Sengès Eloise, Guiot Denis, Arzoz Fernandez Estibaliz, Sancarlo Daniele, Fabbricotti Isabelle

机构信息

Erasmus School of Health Policy and Management, Erasmus University, the Netherlands.

Erasmus School of Health Policy and Management, Erasmus University, the Netherlands.

出版信息

Int J Med Inform. 2024 Nov;191:105557. doi: 10.1016/j.ijmedinf.2024.105557. Epub 2024 Jul 20.

DOI:10.1016/j.ijmedinf.2024.105557
PMID:39096596
Abstract

BACKGROUND

Involving users has become a prominent principle in the development of Health Information Technologies (HIT) and has led to an uprise in agile and cocreation methods. Previous literature shows how the two can be combined in one method, but also suggest that using such a method may come with challenges, for which the solutions are unclear.

PURPOSE

To identify the challenges of using a method that combines agile and cocreation, provide solutions for these challenges, and evaluate its usage.

METHODS AND MATERIALS

The setting for this research was the Agile Cocreation of Robots for Aging (ACCRA) project. The research consisted of three phases: 1) evaluating the Agile Cocreation method to identify challenges in its usage, by analysing documents from the project (e-mails, meeting notes), 2) solving the challenges to improve the method, by designing solutions in a cocreation session; and 3) evaluating the usage of the improved version via a survey among engineers and user researchers involved in the project.

RESULTS

We identified three main challenges and developed three solutions, which were used in the next phase of the project. First, to engage all stakeholders in cocreation, we implemented more fun and playful materials. Second, to bridge the differences between engineers and user researchers we invested in face-to-face meetings. Third, to manage knowledge in the project we intensified our meeting schedule to weekly meetings. In the quantitative evaluation of the improved cocreation method, the engineers and user researchers were positive about the agile cocreation method and about our improvements.

CONCLUSION

When developing HIT, a method that combines agile and cocreation is useful because it helps to identify user needs and to translate these needs into technology. To identify the needs of these users and other stakeholders it is important to involve them as active partners in cocreation using fun and playful materials. Engineers and user researchers should bridge their differences and meet face-to-face as much as possible.

摘要

背景

让用户参与已成为健康信息技术(HIT)开发中的一项重要原则,并促使敏捷方法和共同创造方法兴起。以往文献展示了如何将这两种方法结合为一种方法,但也表明使用这种方法可能会带来挑战,而这些挑战的解决方案尚不明晰。

目的

识别使用结合敏捷和共同创造的方法所面临的挑战,为这些挑战提供解决方案,并评估其使用情况。

方法和材料

本研究的背景是机器人辅助老龄化敏捷共创(ACCRA)项目。该研究包括三个阶段:1)通过分析项目文档(电子邮件、会议记录)评估敏捷共创方法,以识别其使用中的挑战;2)通过在共创会议中设计解决方案来解决这些挑战,以改进该方法;3)通过对参与项目的工程师和用户研究人员进行调查,评估改进版本的使用情况。

结果

我们识别出三个主要挑战并制定了三个解决方案,这些方案在项目的下一阶段得到应用。首先,为了让所有利益相关者参与共创,我们采用了更有趣、好玩的材料。其次,为了弥合工程师和用户研究人员之间的差异,我们增加了面对面会议。第三,为了管理项目中的知识,我们将会议安排强化为每周例会。在对改进后的共创方法进行的定量评估中,工程师和用户研究人员对敏捷共创方法及其改进表示肯定。

结论

在开发健康信息技术时,结合敏捷和共同创造的方法很有用,因为它有助于识别用户需求并将这些需求转化为技术。要识别这些用户和其他利益相关者的需求,重要的是让他们作为积极伙伴,使用有趣、好玩的材料参与共创。工程师和用户研究人员应弥合他们之间的差异,并尽可能多地进行面对面交流。

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