How was it for you? Experiences of participatory design in the UK health service

Improving co-design methods implies that we need to understand those methods, paying attention to not only the effect of method choices on design outcomes, but also how methods affect the people involved in co-design. In this article, we explore participants' experiences from a year-long participatory health service design project to develop ‘Better Outpatient Services for Older People’. The project followed a defined method called experience-based design (EBD), which represented the state of the art in participatory service design within the UK National Health Service. A sample of participants in the project took part in semi-structured interviews reflecting on their involvement in and their feelings about the project. Our findings suggest that the EBD method that we employed was successful in establishing positive working relationships among the different groups of stakeholders (staff, patients, carers, advocates and design researchers), although conflicts remained throughout the project. Participants' experiences highlighted issues of wider relevance in such participatory design: cost versus benefit, sense of project momentum, locus of control, and assumptions about how change takes place in a complex environment. We propose tactics for dealing with these issues that inform the future development of techniques in user-centred healthcare design

Suicide Education to Support Caregivers in their Abilities to Care for Suicidal Individuals

Purpose: Suicide is a preventable act of lethality yet still remains a public health concern. Suicide can affect individuals from a variety of backgrounds and does not discriminate against age, gender, ethnicity, income, or occupation. Efforts to prevent suicide often focus on supporting the suicidal individual however there is a lack of available resources that focus on supporting those closest such as caregivers. Caregivers can play a pivotal role in their loved one’s trajectory towards recovery. The purpose of this project was to provide caregivers with a suicide toolkit that encompasses basic education, approaches to supporting a loved one who is suicidal, and community resources on prevention. Methods: This quality improvement project included information on evidenced based approaches, and local resources on suicide prevention. A total of twenty caregivers were included in this project that were divided into two separate groups: group A and group B. Ten caregivers were assigned to group A and asked to provide input as to what they felt a toolkit should encompass based on identified needs, this feedback was then used in part to develop a suicide toolkit. Group B consisted of a second set of ten caregivers who were asked to complete a pre and post questionnaire following the review of the suicide toolkit that was developed by the DNP student to see whether or not scores improved. Results: Eight out of ten caregivers from group A provided input for toolkit development. Four common themes emerged from this feedback that were included in the development of the toolkit. Ten caregivers in group B completed the pre and post questionnaire following the review of the toolkit and the means between these groups were compared and showed a slight improvement but not to the proposed 25% goal set forth. Conclusion: Post questionnaire scores showed improvement in comparison to pre questionnaire scores however several questions reflected no improvement in scores. This data may suggest that providing a toolkit alone does not elicit specific improvements in knowledge, confidence, competence, and perceived caring abilities, rather it can be a component of treatment. Several limitations are discussed including a small sample size used and little to no additional participant identifiers. Future recommendations include increasing the sample size and changing the phrasing of the questionnaire to better reflect caregiver experiences

Different views : including others in participatory health service innovation

We describe our experiences employing experience-based design (EBD) to improve an outpatients health service in the UK and discuss the impacts of incorporating the voices of those not directly using or working within the service. We suggest that such new perspectives, experiences and expertise may enable the development of service innovations outside patients’ and staffs’ conceptual space of problems/solutions, but can affect the ownership and agency within the change project. To conclude, we propose a balance between accomplishing change and creating the self-belief to achieve it

A web-based information system for a regional public mental healthcare service network in Brazil

Acknowledgements We would like to thank all the participating representatives of public mental health services for their invaluable contribution to this system development and implementation and the XIII Regional Health Department of Sao Paulo state for their support. Funding: This study was funded by the ‘Conselho Nacional de Desenvolvimento Científico e Tecnológico’ (CNPq) and ‘Coordenação de Aperfeiçoamento de Pessoal de Nível Superior’ (CAPES)—Science Without Borders Programme.Peer reviewedPublisher PD

Links Between Social Support, Thwarted Belongingness, and Suicide Ideation among Lesbian, Gay, and Bisexual College Students

Emerging adults with a lesbian, gay, or bisexual (LGB) identity are at greater risk for engaging in suicide-related behaviors. This disparity highlights a need to elucidate specific risk and protective factors associated with suicide-related behaviors among LGB youth, which could be utilized as targets for suicide prevention efforts in this population. Informed by the interpersonal-psychological theory of suicide, the present study hypothesized that social support would be indirectly associated with decreased suicide ideation via lower thwarted belongingness. A sample of 50 emerging adults (62.0% male, 70.0% Hispanic) who identified as gay, lesbian, bisexual, questioning, or “other” orientation, with a mean age of 20.84 years (SD = 3.30 years), completed self-report assessments. Results indicated that support from both family and the LGB community were associated with lower thwarted belongingness over and above the effects of age, sex, and depressive symptoms. Indirect effects models also indicated that both family and LGB community support were associated with suicide ideation via thwarted belongingness. The results of the present study suggest that family and LGB community support may represent specific targets for reducing thwarted belongingness that could be leveraged in suicide prevention efforts for LGB emerging adults

A randomised controlled trial of cognitive behaviour therapy for psychosis in a routine clinical service

Objective: To evaluate CBTp delivered by non-expert therapists, using CBT relevant measures. Methods: Participants (N=74) were randomised into immediate therapy or waiting list control groups. The therapy group was offered six months of therapy and followed up three months later. The waiting list group received therapy after waiting nine months (becoming the delayed therapy group). Results: Depression improved in the combined therapy group at both the end of therapy and follow-up. Other significant effects were found in only one of the two therapy groups (positive symptoms; cognitive flexibility; uncontrollability of thoughts) or one of the two timepoints (end of therapy: PANSS general symptoms, anxiety, suicidal ideation, social functioning, resistance to voices; follow-up: power beliefs about voices, negative symptoms). There was no difference in costs between the groups. Conclusions: The only robust improvement was in depression. Nevertheless, there were further encouraging but modest improvements in both emotional and cognitive variables, in addition to psychotic symptoms

Building creative confidence in idea management processes to improve idea generation in new product development teams

This is a scoping paper that aims to establish effective practices and key players in the domain of Idea Management. The paper defines Idea Management as the generation, evaluation and selection of ideas. The purpose of the paper is to map the current landscape of methodologies and tools in order to identify gaps and support the development of a framework to enhance creative confidence in idea management. The study has two key research questions: (i) what factors are influencing current idea generation practices and (ii) what tools and approaches exist for idea generation. This will help identify how creative confidence can influence the idea generation processes. Creative confidence is the capability to come up with breakthrough ideas, associated with the bravery to perform. If stimulated in the right way with a valuable framework, its impact on employees’ performance is significant in improving team members’ innovation performance and quality of ideas