Participatory design of ehealth solutions for women from vulnerable populations with perinatal depression

Participatory design of ehealth solutions for women from vulnerable populations with perinatal depression
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DOI:
10.1093/jamia/ocv109
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发表时间:
2016-01-01
影响因子:
6.4
通讯作者:
Bennett, Ian M.
Bennett, Ian M.
中科院分区:
管理学2区
文献类型:
--
作者:
Gordon, Mara;Henderson, Rebecca;Bennett, Ian M.

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目的文化和卫生服务障碍影响弱势群体妇女接受孕期保健的质量。使用参与式的设计方法,在怀孕的压力:改善结果与互动技术组开发的一套电子健康应用程序,以提高围产期心理healthcare.Materials and Methods的质量规范,我们建立了一个纵向参与式的设计组,由低收入妇女的产前抑郁症的历史,他们的产前服务提供者,心理健康专家,应用程序开发人员和研究人员。该小组在24个月内举行了20次会议。使用快速原型设计应用程序。会议记录使用现场笔记。结果和讨论该小组实现了高水平的连续性和参与度。三个应用程序的开发组:应用程序,以支持高风险的妇女出院后,抑郁症的筛查工具,并支持治疗choice.Conclusion纵向参与式设计组的患者决策援助是一个有前途的,高度可行的方法来开发技术服务不足的人群。
Objective Cultural and health service obstacles affect the quality of pregnancy care that women from vulnerable populations receive. Using a participatory design approach, the Stress in Pregnancy: Improving Results with Interactive Technology group developed specifications for a suite of eHealth applications to improve the quality of perinatal mental health care.Materials and Methods We established a longitudinal participatory design group consisting of low-income women with a history of antenatal depression, their prenatal providers, mental health specialists, an app developer, and researchers. The group met 20 times over 24 months. Applications were designed using rapid prototyping. Meetings were documented using field notes.Results and Discussion The group achieved high levels of continuity and engagement. Three apps were developed by the group: an app to support high-risk women after discharge from hospital, a screening tool for depression, and a patient decision aid for supporting treatment choice.Conclusion Longitudinal participatory design groups are a promising, highly feasible approach to developing technology for underserved populations.