National healthcare systems need to adjust services and operations to accommodate the needs of complex, aging populations living with multimorbidity and polypharmacy. This paper suggests the use of a human-centred design as a method to engage older adults and key professionals in innovation processes aiming to design person-centred healthcare services and improve quality of life in older adults. We outline three innovation phases and highlight how such processes can create engagement and new insights on how life experiences of older adult’s shape preferences, beliefs, and habits. It is important to incorporate these insights into the design of successful strategies for ensuring age-friendly healthcare services. Our viewpoint is contextualised through a small-scale case study focusing on polypharmacy in older adults. From this case study, we extracted three challenges to producing co-designed health research: recruitment, time and resources, and funding. We discuss how to address these challenges. We argue for the involvement of older adults and professional stakeholders at an early stage in the design process to align expectations and to increase the likelihood of successful implementation of healthcare innovations that improve the quality of life for older adults.
In this article, we situate the practices of health and physical activity in household collectives, and conceptualise everyday health ‘behaviour’ and lifestyle as complex, collective practices. Based on an ethnographic study on everyday family life and health practices, we provide a framework for understanding the household as a collective, where the household collective may take precedence over individual preferences, and individual behaviour has collective implications. We describe the household as a node for practices, gathered by the activities that draw together and align actors in collective practices of everyday life. In the everyday efforts of the households to live up to ideals and balance conflicting practices, healthy living is about more than simple, individual choices about whether to follow health recommendations or not. It is also dependent on pragmatic negotiations, the distribution of roles and tasks and conflicts between ideals and what is feasible in the everyday management and maintaining of the household. We suggest that engaging with these collectives could serve as a useful point of departure for health promotion activities, situating health promotion in the here and now of collectives, tinkering with their specific constellations, values and identities in the entangledness of multiple household practices.
Summary This study reports on a health promotion intervention (HPI), where graphic facilitation (GF) was used as an innovative method to enable participation in a co-design process in a multi-ethnic and disadvantaged neighbourhood in Denmark. The aim was to enable middle-aged and older residents to participate in the research process of planning and evaluating the HPI, as well as in the activities it constituted. GF was used to document statements and inputs from residents through visual meeting minutes and resident experiences with coronavirus disease 2019 (COVID-19) lockdown were drawn by a graphic facilitator. We use the ladder of participation as a framework to unfold the participation enabled by GF. During the HPI, data were produced through ethnographic field studies in and outside the neighbourhood and in design workshops with residents. The study finds that GF helped in reaching a target group difficult to engage in research and that the engagement of a graphic facilitator shifted the power-balance between the researchers and the residents, redistributing expertise. Carrying out GF in a HPI is a collaborative endeavour and in addition to research competences, it requires the artistic and relational skills of a graphic facilitator. The co-created process of the visual minutes and COVID-19 experiences created a sense of ownership and encouraged the residents to reflect on their interaction with the researchers. The redistribution of expertise was conditioned by the power dynamics present and GF helped unfold these dynamics. This is especially important in an HPI engaging socio-economically vulnerable populations.
Science centres have a strong commitment to education, but theimplications of that commitment change over time. The discovery pedagogy ofthe first science centres is gradually being replaced with a more dialogic approachthat acknowledges that science has different meanings for different people. Here,we follow the transition of a Danish science centre towards this new approach; atransition driven by the development of a dialogic exhibition on health. To thisend, we study the adaptive transformation of scientific content from its origin inscientific literature to its embodiment in the exhibition, using discourse analysisto track its deconstruction and reconstruction. We observe that although thescience centre’s established discovery pedagogy does challenge the implementationof dialogic perspectives on health, the participatory approach taken in thedevelopment process successfully overcame these challenges. In conclusion, we offerour perspectives on the implications of our findings for science centres.
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