A Biodesign Approach to Designing, Packaging, and Scaling a Pediatric Weight Management Program: The Stanford CORD 3.0 Project.
A Biodesign Approach to Designing, Packaging, and Scaling a Pediatric Weight Management Program: The Stanford CORD 3.0 Project.
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设计、包装和扩展儿科体重管理计划的生物设计方法：斯坦福 CORD 3.0 项目。
DOI：
10.1089/chi.2021.0182
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Robinson,ThomasN
中科院分区：
文献类型：
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作者：
Robinson,ThomasN
不同的框架和模式存在翻译和传播公共卫生政策，计划和服务。本文描述了一种基于数字健康创新的集成、设计、评估和共享（IDEAS）框架和斯坦福大学拜尔斯中心生物设计创新过程的方法，旨在设计一种方法，使低收入超重和肥胖儿童的有效行为体重控制更具可扩展性和成本效益，以减少肥胖和相关发病率。该过程考虑了相关利益相关者、当前市场格局和潜在市场。解决方案旨在解决提供者培训和资源，在行为改变方法方面有坚实的基础，足够强烈以产生变化，涉及儿童和照顾者，并以小组形式提供，比目前以家庭为基础的行为计划成本更低，并有一个可行的收入模式。一个迭代的过程产生了一个潜在的解决方案，该解决方案结合了技术和人力资源，并解决了高保真交付、提供者和患者的需求、培训和支持、可能的客户、潜在的收入模式、知识产权和监管问题。
Different frameworks and models exist for translating and disseminating public health policies, programs, and services. This article describes an approach, grounded in the Integrate, DEsign, Assess, and Share (IDEAS) framework for digital health innovation and the Stanford Byers Center biodesign innovation process, to design a way to make effective behavioral weight control more scalable and cost-effective for low-income children with overweight and obesity, to reduce obesity and associated morbidities. The process considered the relevant stakeholders, the current market landscape, and the potential market. Solutions were designed to address provider training and resources, to have a strong foundation in behavior change methods, be sufficiently intense to produce change, involve both children and caregivers and be delivered in groups, to be less costly to deliver than current family-based behavioral programs, and to have a viable revenue model. An iterative process resulted in a potential solution that combines both technology and human affordances and addresses high fidelity delivery, needs of providers and patients, training and support, likely customers, potential revenue models, intellectual property, and regulatory issues.