Donachie Kim, Hansma Michel, Adriaansen Marian, Cornel Erik, Bakker Esther, Lechner Lilian
HAN University of Applied Sciences, Health Academy, Kapittelweg 33, 6525EN Nijmegen, the Netherlands.
Andros Clinics, Meester E.N. van Kleffensstraat 5, 6842 CV Arnhem, the Netherlands.
Internet Interv. 2025 Jun 25;41:100853. doi: 10.1016/j.invent.2025.100853. eCollection 2025 Sep.
Active surveillance (AS) is a preferred treatment for men with low- to intermediate-risk prostate cancer, but its psychosocial impact presents challenges. This study used design thinking to develop a digital psychosocial support program aimed at improving quality of life and health outcomes for men on AS.
The design process followed five phases: Empathy, Define, Ideate, Prototype, and Test. Stakeholder interviews were conducted to generate a problem statement. Brainstorming in the ideation phase conceptualized a self-management application and a framework of the application's features was developed. A prototype was developed in close collaboration with end-users and experts. The testing phase included heuristic evaluations and feedback from patients and healthcare providers.
Interviews during the empathy phase highlighted the need for personalized care, timely information, and holistic and tailored support. The defined problem statement aimed at reducing the psychosocial burden and improving coping mechanisms during the first year of AS. Ideation involved multidisciplinary brainstorming sessions, resulting in the concept of a self-management application with features such as information, appointment preparation, self-reporting of medical results, lifestyle guidance, relaxation exercises, and communication tools. A prototype application was developed. Testing showed strengths in navigation and design, with recommendations for improving error handling and help documentation. Feedback led to refinements enhancing usability and clinical integration.
This study developed a patient-centered self-management application to address psychosocial challenges in AS. By fostering engagement, self-efficacy, and communication, the tool aims to improve outcomes in prostate cancer management. Future clinical studies will evaluate its effectiveness.
主动监测（AS）是低至中风险前列腺癌男性患者的首选治疗方法，但其对心理社会的影响带来了挑战。本研究运用设计思维开发了一个数字心理社会支持项目，旨在改善接受主动监测的男性的生活质量和健康结局。
设计过程遵循五个阶段：共情、定义、构思、原型制作和测试。进行利益相关者访谈以生成问题陈述。在构思阶段进行头脑风暴，构思出一个自我管理应用程序，并开发了该应用程序功能的框架。与最终用户和专家密切合作开发了一个原型。测试阶段包括启发式评估以及患者和医疗服务提供者的反馈。
共情阶段的访谈强调了个性化护理、及时信息以及全面且量身定制的支持的必要性。所定义的问题陈述旨在减轻主动监测第一年期间的心理社会负担并改善应对机制。构思过程涉及多学科头脑风暴会议，产生了一个自我管理应用程序的概念该应用程序具有信息、预约准备、医疗结果自我报告、生活方式指导、放松练习和沟通工具等功能。开发了一个原型应用程序。测试显示了在导航和设计方面的优势，并提出了改进错误处理和帮助文档的建议。反馈导致了改进，提高了可用性和临床整合性。
本研究开发了一个以患者为中心的自我管理应用程序，以应对主动监测中的心理社会挑战。通过促进参与、自我效能感和沟通，该工具旨在改善前列腺癌管理的结局。未来的临床研究将评估其有效性。
