Improving Primary Care with Human-Centered Design and Partnership-Based Leadership

Andresen, May-Lynn; Potter, Teddie

doi:10.24926/ijps.v4i2.166

Cited by 3 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Listening. Such feedback also involves the willingness of project stakeholders (but leaders and managers especially) to listen to and give credence to unexpected and unwelcome information and reports from non-leaders (Andresen & Potter, 2017;Jordan et al, 2017). While this echoes models for global-scale, community-based/participatory change as well (Barnaud et al, 2014;USAID, 2017), it also describes another instance of the accommodation of outputs as inputs that make a difference for collaborative and management processes overall (Folke et al, 2002;USAID, 2017).…”

Section: Participatory Looping During the Research Phase (Accommodation)mentioning

confidence: 99%

Getting in the Loops: Using Adaptive Design Methods for Fall Armyworm Spodoptera frugiperda (JE Smith) (Lepidoptera: Noctuidae) Mitigation in Kenya, Nepal, and Bangladesh

Bello-Bravo,

Pittendrigh

2023

SAGE Open

View full text Add to dashboard Cite

Efforts worldwide have sought to lessen the agricultural and societal impact of the fall armyworm (FAW), Spodoptera frugiperda (JE Smith) (Lepidoptera: Noctuidae) mitigation in Kenya, Nepal, and Bangladesh by safeguarding affected regions’ food crops and livelihoods while preventing the spread of FAW to nearby areas. However, efforts to communicate and gain support for FAW control methods among local populations can have limited impacts. This study qualitatively explores “design looping” as part of three Information and Communication Technology for Development (ICT4D) campaigns in Bangladesh, Nepal, and Kenya for increasing community support for FAW mitigation. Such an approach not only potentially extends the reach and scalability of FAW control methods but also contributes to meeting Sustainable Development Goals for food security and community well-being. Findings of productive advantages for “design looping” in this study include (1) increased participatory access by project stakeholders and beneficiaries, (2) flexibility, as cost-effective and potentially continuous opportunities to refine ICT4D messaging to meet project goals, and (3) bi-directional learning between project producers and message recipients for improved message deployment. Limitations and directions for future research are also discussed.

show abstract

Section: Participatory Looping During the Research Phase (Accommodation)mentioning

confidence: 99%

Getting in the Loops: Using Adaptive Design Methods for Fall Armyworm Spodoptera frugiperda (JE Smith) (Lepidoptera: Noctuidae) Mitigation in Kenya, Nepal, and Bangladesh

Bello-Bravo,

Pittendrigh

2023

SAGE Open

View full text Add to dashboard Cite

show abstract

“…The influence of HCD approaches is growing in health systems research ( Diechmann and van der Heijde, 2016 ; Andresen and Potter, 2017 ; Kim et al , 2017 ). As a ‘practice framework’, HCD integrates a three-part cyclical process of helping stakeholders derive inspiration (understanding the experiences, needs and challenges of users of community resources), produce ideation (creating ideas and solutions) and conduct the implementation of community health strategies ( Hendricks et al , 2018 ).…”

Section: Human-centred Designmentioning

confidence: 99%

Implementation research and human-centred design: how theory driven human-centred design can sustain trust in complex health systems, support measurement and drive sustained community health volunteer engagement

Adam

Minyenya-Njuguna

Kamiru

et al. 2020

Health Policy and Planning

View full text Add to dashboard Cite

Human-centred design (HCD) can support complex health system interventions by navigating thorny implementation problems that often derail population health efforts. HCD is a pragmatic, ‘practice framework’, not an intervention protocol. It can build empathy by bringing patient voice, user perspective and innovation to construct and repair pieces of the intervention or health system. However, its emphasis on product development and process change with fixed end points has left it as an approach lacking explanatory power and reproducible measurement. Yet when informed by theory, the tremendous innovation potential of HCD can be harnessed to drive sustainability, mediate implementation problems, frame measurement constructs and ultimately improve population-level health outcomes. In attempting to mine, the potential of HCD we move beyond the pragmatic ‘how it works’, to the theoretical question, ‘why it works’. In doing so, we explore a more fundamental human question, ‘How can participation and engagement be sustained for impact in close to the community health systems?’ In this exploration, we illustrate the power of HCD by linking it to our theory of trust building. The research method we utilize is that of a longitudinal process evaluation. We leverage the heterogeneity of five community health units from the diverse setting (rural, peri-urban slum) to better understand what works for whom and in what context by tracking 21 groups of community health volunteers (CHVs) over 12 months. We report results with a focus on the outlier case failure to illustrate the contrast with common features of sustained CHV engagement, where recurrent reciprocal cycles of trust building are demonstrated in the successful implementation of action plans in plan-do-study-act cycles for improvement. All was accomplished by CHVs with no external funding. We conclude by discussing how HCD could be unleashed if linked to theoretical frameworks, increasing ability to address implementation challenges in complex health systems.

show abstract

“…Despite the volume of work in Co-design across the health and social care interface both in the UK and internationally [16], an understanding of the process that may pinpoint essential prerequisites to achieving effective participation between patients and clinicians, has yet to emerge. The aim of this paper is to suggest that effective participation in Co-design work can be achieved, if the process of engagement in-patient led initiatives for health professionals and patients is clear from the outset and is facilitated by a human centred approach that supports experiencebased solutions.…”

Section: Introductionmentioning

confidence: 99%

Co-Designing Health Care Solutions with Patient Representatives and Clinicians in a Large Acute Hospital Setting: Process and Engagement

2023

Int J Nurs Health Care Res

View full text Add to dashboard Cite

The benefits of involving patients and wider members of the public as partners in care are being increasingly recognised internationally. Co-design is one of the methods reported to promote patient-based health service improvements and offers a participatory approach to engage patients and citizens in solving health care challenges. However, current limitations are levelled at this corpus of work, indicating a lack of sustainability and substantive evidence of any known associated processes that can yield sustainable longer-term patient benefit. This service improvement project was underpinned by a Human Centred Design (HCD) methodology incorporating the Design Council's process Discover, Define, Develop and Deliver [1]. This assisted in providing a participatory framework of co-produced work over a twelve-month period with three clinical pathway teams, Stroke, Children and Young People (CYP) and Learning and Developmental Disabilities (LD.) Meeting specific project objectives, patient-based projects were developed using a toolkit and Collaborative Action Plans that steered involvement throughout. Evaluative results elicited three themes, generating a product idea together, acknowledging the contribution of all, barriers and challenges. Within this, the clinicians and patient representatives reported the value of having a safe space to carry out experienced based work with their respective patient representatives. Additionally, they reported the chosen HCD framework guided the process of engagement determining co-produced health care solutions to patient derived challenges. Conclusions are drawn that suggest further work and research is required to testbed the 'how to' processes associated with successful co-design in health and social care. This could provide an empirical basis for the value and process associated with sustainable human centred design required at both a micro and macro level of healthcare.

show abstract

Improving Primary Care with Human-Centered Design and Partnership-Based Leadership

Abstract: Objective: The purpose of this quality improvement project was to empower and activate first-line staff (FLS) to improve the six-month depression remission rate in a primary care clinic.Background: Lack of workforce engagement has been identified as an emerging national problem in

Cited by 3 publications

References 11 publications

Getting in the Loops: Using Adaptive Design Methods for Fall Armyworm Spodoptera frugiperda (JE Smith) (Lepidoptera: Noctuidae) Mitigation in Kenya, Nepal, and Bangladesh

Getting in the Loops: Using Adaptive Design Methods for Fall Armyworm Spodoptera frugiperda (JE Smith) (Lepidoptera: Noctuidae) Mitigation in Kenya, Nepal, and Bangladesh

Implementation research and human-centred design: how theory driven human-centred design can sustain trust in complex health systems, support measurement and drive sustained community health volunteer engagement

Co-Designing Health Care Solutions with Patient Representatives and Clinicians in a Large Acute Hospital Setting: Process and Engagement

Contact Info

Product

Resources

About