Denecke Kerstin, Rivera-Romero Octavio, Giunti Guido, Van Holten Karin, Gabarron Elia
Department of Engineering and Computer Science, Institute Patient-Centered Digital Health, Bern University of Applied Sciences, Quellgasse 21, Biel, 2502 Switzerland.
Electronic Technology Department, Universidad de Sevilla, Seville, Spain.
J Healthc Inform Res. 2025 May 14;9(3):359-379. doi: 10.1007/s41666-025-00199-4. eCollection 2025 Sep.
Participatory design (PD) is an essential method in the development of digital health solutions since it promises to increase acceptance, usability, and trust in the developed solution. Although careful planning and preparation is crucial for the success of PD workshops, a framework of key components to consider is still missing. The objective of this work is to develop such framework enriched with examples for aspects to be considered when planning and conducting PD workshops for designing and developing digital interventions in healthcare. We applied the nominal group technique with four participants with backgrounds in computer science, health informatics, psychology, and social anthropology to identify key components of PD workshops. The resulting framework was applied by an expert in PD to a case of a digital health solution for fatigue self-management for multiple sclerosis. The feasibility and applicability of the framework and its shortcomings were assessed. As a result, a framework consisting of five main categories and a total of 36 factors were assigned and defined in relation to the categories. The categories are participatory process, involved persons and their roles, workshop definition, setting, privacy and ethics, including regulations. The application of the framework to the test case demonstrated the feasibility and applicability of the suggested framework as well as the shortcomings of the analyzed PD process. This framework provides practical guidance while highlighting the complexity of PD workshops, encouraging their broad adoption, critical reflection, and continuous refinement. It has potential to improve the conduct of PD workshops and, in this way, potential to improve usability, acceptance, and usefulness of digital health solutions. In future work, the user perspective could be used to extend the framework.
The online version contains supplementary material available at 10.1007/s41666-025-00199-4.
参与式设计（PD）是数字健康解决方案开发中的一种重要方法，因为它有望提高对所开发解决方案的接受度、可用性和信任度。尽管精心规划和准备对于PD研讨会的成功至关重要，但仍缺少一个关键组成部分的框架。这项工作的目的是开发这样一个框架，并为在医疗保健领域设计和开发数字干预措施的PD研讨会的规划和实施中需要考虑的方面提供示例。我们对四名具有计算机科学、健康信息学、心理学和社会人类学背景的参与者应用了名义小组技术，以确定PD研讨会的关键组成部分。一位PD专家将所得框架应用于一个针对多发性硬化症疲劳自我管理的数字健康解决方案案例。评估了该框架的可行性、适用性及其缺点。结果，分配并定义了一个由五个主要类别组成的框架，总共36个因素与这些类别相关。这些类别是参与过程、相关人员及其角色、研讨会定义、环境、隐私和伦理，包括法规。该框架在测试案例中的应用证明了所建议框架的可行性和适用性以及所分析的PD过程的缺点。该框架提供了实用指导，同时突出了PD研讨会的复杂性，鼓励广泛采用、批判性反思和持续改进。它有可能改善PD研讨会的开展，从而有可能提高数字健康解决方案的可用性、接受度和实用性。在未来的工作中，可以从用户角度扩展该框架。
在线版本包含可在10.1007/s41666-025-00199-4获取的补充材料。
