4408 Using a human-centered design process to address challenges of engaging pregnant & parenting women with opioid use disorder

Abstract

OBJECTIVES/GOALS: Using a human-centered approach, IDEO, a nationally-renown human-centered design team, and Research Jam, Indiana CTSI’s patient engagement core, integrated and tailored complimentary programs to address the challenges of engaging mothers with opioid misuse around the time of birth. METHODS/STUDY POPULATION: Gathered data through focus groups, site visits, and one-on-one interviews with key stakeholders: mothers in opioid use recovery, peer recovery coaches, and other people living with or directly affected by opioid use disorder (OUD). RESULTS/ANTICIPATED RESULTS: Themes emerged around stigma (e.g., constant judgment, majority of interactions focused on addiction, addiction comes from bad choices), the healthcare system (e.g., healthcare system bias and stigma, misalignment of services and timing of need, no support for support network), and relating to recovery (very variable but generally ambiguous and uncertain process and outcomes, importance of peer recovery coaches, importance of community resources). Identified themes were used to create insights that informed the underlying concepts of an engagement strategy including support and resources for recovery coaches, and education materials for mothers with OUD. One of human-centered design’s strengths is iteration, and the materials created for this have yet to be tested and refined thoroughly to be meaningful and lasting interventions. DISCUSSION/SIGNIFICANCE OF IMPACT: Considerable insights into the lived experience of those experiencing OUD and those who support these individuals yielded tangible ways to test improved engagement and recruitment of women with OUD at the time of birth.

Using human centered design to identify opportunities for reducing inequities in perinatal care

“…In other words, our application of HCD is an explicitly action-oriented endeavor, rather than a design thinking process alone, which aligns with previous work in this space. In perinatal care, HCD has been used to develop specific healthcare interventions or programs for defined populations within a care delivery system, such as adolescents, people living with substance-use disorder, and low risk people who may need less in-person care than the traditional model dictates [32][33][34]. In our study, we sought to better understand the entire pregnancy journey of Medicaid-insured individuals within our community, inside and outside of the care provided within clinical care sites, to build on this literature.…”

Assessing the application of human-centered design to translational research

“…HCD is gaining adherents in biomedical and translational research [16,21,32,33], yet until recently, there has been little documented evidence to validate its use. This study provides empirical data to support the contention that researchers trained in HCD do, in fact, use these methods and find them useful for accomplishing a broad range of tasks.…”

“…It uses a systematic flow of well-structured activities designed to elevate voices that might not be otherwise heard, increase creativity, improve workflow processes, facilitate stakeholder buy-in, and generate more and better solutions to complex problems [11][12][13][14][15][16]. HCD is increasingly used in healthcare research to uncover unmet health needs [17][18][19][20][21], increase patient trust [22], design better interventions [23][24][25][26][27][28][29][30][31], and improve hospital space, workflows, processes, and policies [32][33][34][35]. However, the use of HCD to improve collaboration and innovation on scientific research teams is a more recent application, which, like much of the work on HCD in health, has not been rigorously evaluated [36].…”

Mobilizing cross-disciplinary teams to advance translational research using design thinking methods

“…The tools and approaches of a designer have been used in research to explore the future of synthetic biology, 6 to address complexities in coastal sustainability, 7 and to understand challenges in engaging mothers experiencing opioid misuse. 8 There are hundreds of tools that comprise a designer's toolkit, and selecting the right ones depend on myriad factors, including the audience and what the group aims to accomplish. 4,5,[9][10][11] At MICHR, we were inspired by Gamestorming, which provides numerous 'games' or activities with different purposes.…”