A scoping review of co-creation practice in the development of non-pharmacological interventions for people with Chronic Obstructive Pulmonary Disease: a health CASCADE study

Background: Incorporating co-creation processes may improve the quality of outcome interventions. However, there is a lack of synthesis of co-creation practices in the development of Non-Pharmacological Interventions (NPIs) for people with Chronic Obstructive Pulmonary Disease (COPD), that could inform future co-creation practice and research for rigorously improving the quality of care. Objective: This scoping review aimed to examine the co-creation practice used when developing NPIs for people with COPD. Methods: This review followed Arksey and O'Malley scoping review framework and was reported according to the PRISMA-ScR framework. The search included PubMed, Scopus, CINAHL, and Web of Science Core Collection. Studies reporting on the process and/or analysis of applying co-creation practice in developing NPIs for people with COPD were included. Results: 13 articles complied with the inclusion criteria. Limited creative methods were reported in the studies. Facilitators described in the co-creation practices included administrative preparations, diversity of stakeholders, cultural considerations, employment of creative methods, creation of an appreciative environment, and digital assistance. Challenges around the physical limitations of patients, the absence of key stakeholder opinions, a prolonged process, recruitment, and digital illiteracy of co-creators were listed. Most of the studies did not report including implementation considerations as a discussion point in their co-creation workshops. Conclusion: Evidence-based co-creation in COPD care is critical for guiding future practice and improving the quality of care delivered by NPIs. This review provides evidence for improving systematic and reproducible co-creation. Future research should focus on systematically planning, conducting, evaluating, and reporting co-creation practices in COPD care

Establishing a health CASCADE-curated open-access database to consolidate knowledge about co-creation: novel artificial intelligence-assisted methodology based on systematic reviews

BACKGROUND: Co-creation is an approach that aims to democratize research and bridge the gap between research and practice, but the potential fragmentation of knowledge about co-creation has hindered progress. A comprehensive database of published literature from multidisciplinary sources can address this fragmentation through the integration of diverse perspectives, identification and dissemination of best practices, and increase clarity about co-creation. However, two considerable challenges exist. First, there is uncertainty about co-creation terminology, making it difficult to identify relevant literature. Second, the exponential growth of scientific publications has led to an overwhelming amount of literature that surpasses the human capacity for a comprehensive review. These challenges hinder progress in co-creation research and underscore the need for a novel methodology to consolidate and investigate the literature. OBJECTIVE: This study aimed to synthesize knowledge about co-creation across various fields through the development and application of an artificial intelligence (AI)-assisted selection process. The ultimate goal of this database was to provide stakeholders interested in co-creation with relevant literature. METHODS: We created a novel methodology for establishing a curated database. To accommodate the variation in terminology, we used a broad definition of co-creation that encompassed the essence of existing definitions. To filter out irrelevant information, an AI-assisted selection process was used. In addition, we conducted bibliometric analyses and quality control procedures to assess content and accuracy. Overall, this approach allowed us to develop a robust and reliable database that serves as a valuable resource for stakeholders interested in co-creation. RESULTS: The final version of the database included 13,501 papers, which are indexed in Zenodo and accessible in an open-access downloadable format. The quality assessment revealed that 20.3% (140/688) of the database likely contained irrelevant material, whereas the methodology captured 91% (58/64) of the relevant literature. Participatory and variations of the term co-creation were the most frequent terms in the title and abstracts of included literature. The predominant source journals included health sciences, sustainability, environmental sciences, medical research, and health services research. CONCLUSIONS: This study produced a high-quality, open-access database about co-creation. The study demonstrates that it is possible to perform a systematic review selection process on a fragmented concept using human-AI collaboration. Our unified concept of co-creation includes the co-approaches (co-creation, co-design, and co-production), forms of participatory research, and user involvement. Our analysis of authorship, citations, and source landscape highlights the potential lack of collaboration among co-creation researchers and underscores the need for future investigation into the different research methodologies. The database provides a resource for relevant literature and can support rapid literature reviews about co-creation. It also offers clarity about the current co-creation landscape and helps to address barriers that researchers may face when seeking evidence about co-creation

Incorporating transition design in the education of an established design subject to empower design students with systems thinking

Designers’ roles are at a turning point of transforming design from an expert-driven design process within an assumed social and economic order to design practices that advocate design-led societal transition toward more sustainable futures. Design education should be adapted accordingly. Introducing the transition design concept into established design education promotes the sustainable society transition by involving more systems thinking from designers in various sectors. This study reports on a pilot practice and reflection on introducing the transition design concept to design students

Stakeholder Mapping on the Development of Digital Health Interventions for Self-Management Among Patients with Chronic Obstructive Pulmonary Disease in China

Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease consisting of chronic bronchitis and emphysema. Digital Health Interventions (DHIs) can improve COPD patients' self-management. However, the market penetration of DHIs is lower than expected. Using stakeholder mapping, healthcare providers identified opportunities for design and development of sustainable DHIs. Two different stakeholder maps were identified. These maps demonstrated the importance of utilizing structured mapping techniques to understand roles of different stakeholders, and addressing regulatory and practice needs to ultimately support patient self-management

Sustainable development for mobile health applications using the human-centered design process

Well-documented scientific evidence indicates that mobile health (mHealth) apps can improve the quality of life, relieve symptoms, and restore health for patients. In addition to improving patients’ health outcomes, mHealth apps reduce health care use and the cost burdens associated with disease management. Currently, patients and health care providers have a wide variety of choices among commercially available mHealth apps. However, due to the high resource costs and low user adoption of mHealth apps, the cost-benefit relationship remains controversial. When compared to traditional expert-driven approaches, applying human-centered design (HCD) may result in more useable, acceptable, and effective mHealth apps. In this paper, we summarize current HCD practices in mHealth development studies and make recommendations to improve the sustainability of mHealth. These recommendations include consideration of factors regarding culture norms, iterative evaluations on HCD practice, use of novelty in mHealth app, and consideration of privacy and reliability across the entire HCD process. Additionally, we suggest a sociotechnical lens toward HCD practices to promote the sustainability of mHealth apps. Future research should consider standardizing the HCD practice to help mHealth researchers and developers avoid barriers associated with inadequate HCD practices

Mechanism Investigation on a Novel Oil Recovery Skimmer Coupling Free Surface Vortex and Cyclone Separation

In consideration of offshore oil spill accidents, a mechanical method is a kind of widely used treatment methods to recover spilled oil at sea. It also has the advantages of low cost, convenient use, and environmental friendliness. In order to improve the recovery efficiency and oil content of liquid recovered, a novel mechanical spilled oil recovery philosophy coupling surface vortex and hydrocyclone separation was proposed, and a small-scale prototype was manufactured. Medium crude from Bohai oil field was applied as spilled oil to test the recovery property of the prototype skimmer. The experiment results show that the novel skimmer is able to recover spilled oil effectively on the sea surface and speed up the process of recovery. Pressure of overflow pipe is sensitive to pump frequency, flow rate of inlet, and split ratio. In addition, oil content at the overflow port is influenced by spilled oil amount on the surface and split ratio. Besides, linear relationship is found between the recovery efficiency and the split ratio. The experimental study can provide a technical reference for the treatment of a small amount of spilled oil on the water surface and also has great significance for the design of spilled oil recovery equipment

Mechanism Investigation on a Novel Oil Recovery Skimmer Coupling Free Surface Vortex and Cyclone Separation

In consideration of offshore oil spill accidents, a mechanical method is a kind of widely used treatment methods to recover spilled oil at sea. It also has the advantages of low cost, convenient use, and environmental friendliness. In order to improve the recovery efficiency and oil content of liquid recovered, a novel mechanical spilled oil recovery philosophy coupling surface vortex and hydrocyclone separation was proposed, and a small-scale prototype was manufactured. Medium crude from Bohai oil field was applied as spilled oil to test the recovery property of the prototype skimmer. The experiment results show that the novel skimmer is able to recover spilled oil effectively on the sea surface and speed up the process of recovery. Pressure of overflow pipe is sensitive to pump frequency, flow rate of inlet, and split ratio. In addition, oil content at the overflow port is influenced by spilled oil amount on the surface and split ratio. Besides, linear relationship is found between the recovery efficiency and the split ratio. The experimental study can provide a technical reference for the treatment of a small amount of spilled oil on the water surface and also has great significance for the design of spilled oil recovery equipment

Systematic review of contemporary theories used for co-creation, co-design and co-production in public health

Abstract Background: There is a need to systematically identify and summarise the contemporary theories and theoretical frameworks used for co-creation, co-design and co-production in public health research. Methods: The reporting of this systematic review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Given substantial interest in and application of co-creation, co-design and co-production, we searched PubMed, CINAHL, Scopus and APA PsycINFO, from 2012 to March–April 2022. A quality assessment and data extraction for theory content was performed. Results: Of the 3,763 unique references identified through the comprehensive search strategy, 10 articles were included in the review: four articles named co-creation, two articles named co-creation and co-design, two articles named co-production and co-design, and two articles named co-design. Empowerment Theory was employed by two articles, whereas other theories (n=5) or frameworks (n=3) were employed by one article each. For the quality assessment, eight articles received a strong rating and two articles received a moderate rating. Conclusion: There is little indication of theory applications for the approaches of co-creation, co-design and co-production in public health since 2012, given ten articles were included in this review. Yet the theories described in these ten articles can be useful for developing such co-approaches in future public health research.PRE-PRINT ACCEPTED FOR PUBLICATION BY JOURNAL OF PUBLIC HEALTH [OXFORD UNIVERSITY PRESS] ON 28-03-2023. DOI: 10.1093/pubmed/fdad04