Human-Centered Design Lessons for Implementation Science: Improving the Implementation of a Patient-Centered Care Intervention
Human-Centered Design Lessons for Implementation Science: Improving the Implementation of a Patient-Centered Care Intervention
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DOI：
10.1097/qai.0000000000002216
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发表时间：
2019-12-01
影响因子：
3.6
通讯作者：
Sikazwe, Izukanji
中科院分区：
文献类型：
--
作者：
Beres, Laura K.;Simbeza, Sandra;Sikazwe, Izukanji
背景：基于证据的艾滋病毒干预措施往往无法达到预期的影响，由于在现实世界的卫生系统中利用不足。以人为本的设计（HCD）是一种新的方法，在剪裁创新，以适应最终用户，缩小有效的干预措施和影响之间的差距差距在scale.Methods：我们结合了叙述性文献回顾HCD在艾滋病毒方案与我们的经验，使用HCD重新设计的干预措施，促进以病人为中心的护理（PCC）的做法在赞比亚的卫生保健工作者（HCW）。我们总结了HCD在全球艾滋病应对中的使用和结果，并分享案例研究的见解，以推进HCD application.Results的概念化：文献综述确定了13篇文章（代表7项研究）在HIV中使用HCD。所有研究都具有HCD特征，包括同理心发展，用户驱动的探究，构思和迭代改进。HCD应用于移动健康设计，管理干预和暴露前预防交付。我们的HCD应用程序解决了行为服务提供目标：改变HCW患者为中心的信念，态度和做法。通过深入的开发者与用户的互动，我们的HCD方法揭示了具体的HCW支持和阻力PCC，建议干预修订，以提高可行性和可接受性和PCC的考虑，可以告知在transferable setting.Conclusions实施：作为一个研究和实施工具，HCD有潜力提高有效实施的艾滋病毒应对，特别是产品开发，新的干预措施引入;复杂的系统干预。需要进一步研究HCD应用的优势和局限性。那些促进PCC的人可以通过寻求共鸣和预测我们的HCD过程所确定的挑战来提高实施成功率。
Background: Evidence-based HIV interventions often fail to reach anticipated impact due to insufficient utilization in real-world health systems. Human-centered design (HCD) represents a novel approach in tailoring innovations to fit end-users, narrowing the gap between efficacious interventions and impact at scale.Methods: We combined a narrative literature review of HCD in HIV programs with our experience using HCD to redesign an intervention promoting patient-centered care (PCC) practices among health care workers (HCW) in Zambia. We summarize the use and results of HCD in the global HIV response and share case study insights to advance conceptualization of HCD applications.Results: The literature review identified 13 articles (representing 7 studies) on the use of HCD in HIV. All studies featured HCD hallmarks including empathy development, user-driven inquiry, ideation, and iterative refinement. HCD was applied to mHealth design, a management intervention and pre-exposure prophylaxis delivery. Our HCD application addressed a behavioral service delivery target: changing HCW patient-centered beliefs, attitudes, and practices. Through in-depth developer-user interaction, our HCD approach revealed specific HCW support for and resistance to PCC, suggesting intervention revisions to improve feasibility and acceptability and PCC considerations that could inform implementation in transferable settings.Conclusions: As both a research and implementation tool, HCD has potential to improve effective implementation of the HIV response, particularly for product development; new intervention introduction; and complex system interventions. Further research on HCD application strengths and limitations is needed. Those promoting PCC may improve implementation success by seeking out resonance and anticipating the challenges our HCD process identified.