Digital crowdsourcing in healthcare environment co-design

Improving user experiences of healthcare environments via their participation has become a central theme in healthcare studies and strategic agendas. The co-design approach is often utilized to take into account opinions from different stakeholders including hospital staff. However, there are a number of competing stimuli and demands on staff at any point in time potentially making it difficult for them to participate in the co-design processes. Digital crowdsourcing may engage staff in participating in the design and appraisal of hospital environments when they have a spare moment by collecting small amounts of relevant data. In order to explore this, we have implemented a digital crowdsourcing co-design prototype. As users’ perceived acceptance of technologies is among the determining factors for a successful digital approach, in this paper, we report on participants’ acceptance of the prototype, aiming to reflect if and to what extend they accept this prototype to aid further development

Digital Crowdsourcing in Healthcare Environment Co-design

Improving user experiences of healthcare environments via their participation has become a central theme in healthcare studies and strategic agendas. The co-design approach is often utilized to take into account opinions from different stakeholders including hospital staff. However, there are a number of competing stimuli and demands on staff at any point in time potentially making it difficult for them to participate in the co-design processes. Digital crowdsourcing may engage staff in participating in the design and appraisal of hospital environments when they have a spare moment by collecting small amounts of relevant data. In order to explore this, we have implemented a digital crowdsourcing co-design prototype. As users’ perceived acceptance of technologies is among the determining factors for a successful digital approach, in this paper, we report on participants’ acceptance of the prototype, aiming to reflect if and to what extend they accept this prototype to aid further development

TAILORING CO-CREATION FOR RESPONSIBLE INNOVATION: A DESIGN ETHNOGRAPHIC APPROACH

It is hard to predict the impact of technology on society before it is developed enough. For example, the issue can be attributed to the need for more cross-sectoral collaboration in the design process. However, a solution for anticipating such outcomes has been proposed through the quadruple helix innovation model, which states that the involvement of government, academia, industry, and the public is essential in innovation systems. The question of how this collaboration can successfully be staged to foresee possible impacts is an empirical endeavour. This paper presents an iterative case study of how ethnographic material can be used to ongoingly tailor speculative co-creation to facilitate responsible innovation (RI) principles. The result is reflected through two lenses; the tools developed in the project to facilitate co-creation activities and the stakeholder reflections evoked through these tools

Adultos com deficiência intelectual e meios digitais: desenvolvimento participativo de uma campanha audiovisual

O presente estudo trata o desenvolvimento participativo de uma campanha audiovisual de promoção de sensibilização para a importância do uso dos meios digitais, por parte dos adultos com deficiência intelectual. Este projeto foi desenvolvido em articulação com uma associação que dá apoio a pessoas com deficiência intelectual – Centro Cavalo Azul - Associação de Famílias Solidárias com a Deficiência – com vista a viabilizar o acesso direto a um grupo de participantes com deficiência intelectual que colaboraram no processo de produção da campanha audiovisual, desde o planeamento à sua conceção. A questão que orientou a investigação foi “como desenvolver uma campanha audiovisual de forma participativa com adultos com deficiência intelectual?”, que procurou identificar as estratégias para a conceção e realização da campanha de sensibilização de forma participativa; conhecer os usos das tecnologias pelos adultos com deficiência e como estes podem beneficiar a sua qualidade de vida; e ainda observar os efeitos da abordagem colaborativa na promoção e difusão do uso dos meios digitais pelos adultos com deficiência. Através dos inquéritos por questionário e pela observação durante as sessões de trabalho, foi possível caracterizar o perfil dos envolvidos no vídeo de sensibilização, traçando assim uma imagem real do seu quotidiano. Os contributos dos participantes com deficiência intelectual centraram-se na tomada de decisão através de votações e nas gravações enquanto técnicos de imagem, som e elenco. Para validação da campanha audiovisual de sensibilização foi aplicado um inquérito por questionário a uma amostra de 93 pessoas, que revelou o vídeo realizado foi adequado e produziu um efeito sensibilizador para a importância da utilização de meios digitais por parte de adultos com deficiência.The present study focus on the participatory development of an audiovisual campaign to promote awareness of the importance of the use of digital media by adults with intellectual disabilities. This project was developed in collaboration with an association that provides support to people with intellectual disabilities - Centro Cavalo Azul – Associação de Famílias Solidárias com a Deficiência - with a view to facilitating direct access to a group of participants with intellectual disabilities who collaborated in the process of production of the audiovisual campaign, from planning to design. An issue that guides a research for "how to develop an audiovisual campaign in a participatory design with adults with intellectual disability?", Which sought to identify as a strategy for designing and conducting the awareness campaign in a participatory mode; know the uses of technologies by adults with disabilities and how these can benefit their life quality; and the effects of the collaborative approach in promoting and disseminating the use of digital media by adults with disabilities. Through the questionnaire surveys and the observation during the work sessions, it was possible to characterize the profile of those involved in the awareness video, thus tracing a real image of their daily lives. The contributions of participants with intellectual disabilities focused on the process of decision making through voting session sharing opinion about recorded image, sound and also performing. To validate the audiovisual awareness campaign, a questionnaire was carried out on a sample of 93 people, who revealed that the video was adequate and had a sensitizing effect on the importance of the use of digital media by adults with disabilitiesMestrado em Comunicação Multimédi

Participatory design for behaviour change: an integrative approach to improving healthcare practice focused on staff participation

This thesis explores the application of participatory design and behaviour change in the process of planning and developing quality and safety improvement interventions within the hospital environment. This focus is examined through the empirical investigation of a real-life improvement process, looking at the diagnosis and management of Urinary Tract Infection (UTI) in older adults within the busy environment of an Emergency Department.A review of the literature helped identify that, whilst a behavioural approach to healthcare has been employed with some measured success at a public health level, its application at the healthcare service level has been less explored and studied. Furthermore, there has been an acknowledged necessity to better integrate stakeholder engagement in behaviour change interventions, but such integration is underplayed and underexplored by current frameworks.A comprehensive participatory action research project – encompassing workshops, focus groups, interviews, meetings and digital communication led and facilitated by the researcher – was conducted with the engagement of over fifty staff, including nurses, doctors, managers, pharmacists and microbiologists working in various departments of a large NHS University Hospital in the East Midlands region of the UK. The improvement project followed the stepwise process of the Behaviour Change Wheel framework, while also observing the premises and principles of stakeholder participation, put forth by participatory design practice. The research resulted in an original integrative approach, which developed from the work involving researcher and stakeholders in a process of cyclical reflection-in-action. This iterative process facilitated the recognition of specific ways whereby staff wanted to and could be involved throughout the intervention; it also led to the adaptation of selected tools and the incorporation of new tools tailored to the expertise, preferences and priorities sought by the group of stakeholders.Collectively, the study findings identified the need for a new behaviour change support framework for participatory use. Likewise, they also indicate that the degree of stakeholder engagement normally expected from a participatory design process is often not feasible – and sometimes, not wanted – within the hospital context. Healthcare professionals have time limitations that need to be respected and the rationale for participation should follow real, rather than ideal possibilities of engagement. The findings led to the identification of specific recommendations that should be considered when looking at the advantages and disadvantages, facilitators and barriers, motivations, and hierarchical issues of involving healthcare staff in participatory quality improvement projects.Finally, this thesis proposes an original approach – the Participatory Design for Behaviour Change framework – which integrates behavioural theory, models and tools, with participatory principles and methods. The framework underwent various iterations, and a final validation with a group of qualified healthcare professionals who had not taken part in the original intervention process. Opportunities for further research are presented to evaluate the applicability and effectiveness of the proposed framework within similar healthcare contexts, especially in comparison with existing alternative approaches.</div