Creation of a Decision Support Tool for Expectant Parents Facing Threatened Periviable Delivery: Application of a User-Centered Design Approach

Background Shared decision-making (SDM) is optimal in the context of periviable delivery, where the decision to pursue life-support measures or palliation is both preference sensitive and value laden. We sought to develop a decision support tool (DST) prototype to facilitate SDM by utilizing a user-centered design research approach. Methods We convened four patient and provider advisory boards with women and their partners who had experienced a surviving or non-surviving periviable delivery, pregnant women who had not experienced a prior preterm birth, and obstetric providers. Each 2-h session involved design research activities to generate ideas and facilitate sharing of values, goals, and attitudes. Participant feedback shaped the design of three prototypes (a tablet application, family story videos, and a virtual reality experience) to be tested in a final session. Results Ninety-five individuals (48 mothers/partners; 47 providers) from two hospitals participated. Most participants agreed that the prototypes should include factual, unbiased outcomes and probabilities. Mothers and support partners also desired comprehensive explanations of delivery and care options, while providers wanted a tool to ease communication, help elicit values, and share patient experiences. Participants ultimately favored the tablet application and suggested that it include family testimonial videos. Conclusion Our results suggest that a DST that combines unbiased information and understandable outcomes with family testimonials would be meaningful for periviable SDM. User-centered design was found to be a useful method for creating a DST prototype that may lead to improved effectiveness, usability, uptake, and dissemination in the future, by leveraging the expertise of a wide range of stakeholders

Co-designing Speakers Corner

“What might a twenty-first century Speakers’ Corner look like and how should the design process ensure that local people can contribute?” The paper considers this question through describing a three year collaboration between MA Creative Practice for Narrative Environments (MACPfNE) at CSM, and the Speakers’ Corner Trust (SCT). SCT is a charity promoting public debate and active citizenship to revitalise civil society in the UK. It pursues its aims by forming local Committees which ‘own’ and steer the establishment of Speakers’ Corners as platforms for public engagement. MACPfNE is an innovative course that encourages multidisciplinary collaboration and the use of narrative as a tool to develop user focused environments. Working closely with SCT, MACPfNE staff and students developed a methodology whereby communities co-create their own physical manifestation of Speakers’ Corner to suit needs and environment. The methodology and its theoretical foundation were developed through a series of live projects, including: a generic mobile Speakers’ Corner prototype, tested at the Global Forum for Freedom of Expression in Oslo; the co-design with local school children, followed by implementation of London’s second Speakers’ Corner in a community park in North London; and a pilot project to co-design Speakers’ Corner in every school playground

Design aspects of a solar array drive for spot, with a high platform stability objective

A solar array drive mechanism (MEGS) for the SPOT platform, which is a prototype of a multimission platform, is described. High-resolution cameras and other optical instruments are carried by the platform, requiring excellent platform stability in order to obtain high-quality pictures. Therefore, a severe requirement for the MEGS is the low level of disturbing torques it may generate considering the 0.6 times 10 to the minus 3 power deg/sec stability required. The mechanical design aspects aiming at reducing the mean friction torque, and therefore its fluctuations, are described as well as the method of compensation of the motor imperfections. It was concluded, however, that this is not sufficient to reach the stability requirement