‘Fast forward’: Accelerating Innovation in Health and Wellbeing

Innovation within the UK National Health Service has the potential to improve and extend millions of lives, drive quality and productivity and support the UK economy. However, the pace and scale of systematic adoption and diffusion remains a challenge, and healthcare research infrastructure is designed to manage the risks associated with clinical trials rather than research leading to digital and service innovation. Design approaches to innovation in health and wellbeing offer an opportunity to accelerate innovation, embrace interdisciplinarity and embed users in development. In particular, participatory design advocates involving users in the design process to achieve enhanced results in terms of efficiency and usability. The paper will discuss the challenges of applying novel creative approaches to accelerate participative innovation in health and wellbeing, and offer some strategies for designers and design researchers who are working in this context. Conclusions are drawn about the need to understand how to better link upstream design research to implementation in order to further accelerate the rate at which transformative technology is embedded in health and care practice

Exploring Online Health Information Seeking in Scotland

Online Health Information Seeking (OHIS) has become an area of increasing interest over the last decade. The Internet has enabled the democratisation of health information as knowledge which was previously exclusive to health professionals has now become open access for all. The activity of OHIS has also revealed a digital divide in terms of those who access the Internet for health information. The prevalence of OHIS and the impact it has on patient outcomes and the relationship between health professional and patient is the focus of an on-going body of research outlined in this paper

Soft Robot Design to Support Communication for Children with Autism Spectrum Disorder

Our study investigates the advantages of using soft robots to help children with Autism Spectrum Disorder advance their social skills focusing on speech development. The field of developing robots for therapeutic use is still relatively new. The studies thus far have had positive responses and progressive data with majority of the users. Further investigation of their application in varying clinic settings will be important in aiding those with intellectual and developmental disabilities. Autism Spectrum Disorder is a chronic disease however many patients have proven that varying practices and therapeutic activities can help advance their motor and communication skills no matter their level of disability. We designed a soft robot utilizing mechanical motion and sound appealing to our target users. The prototypes we created test varying interactive components encompassing visual responses, sound features and kinetic movement. Our varying iterations of prototypes explore the best visual feedback for engaging the user and enticing them to continue speaking. We believe our developed soft robot when interacting with the ASD children will help improve their speech and communication development and relax them in stressful environments

Introducing Care 4.0: An Integrated Care Paradigm Built on Industry 4.0 Capabilities

Western developed health and care policy is shifting from a patriarchal medical model to a co-managed and integrated approach. Meanwhile, the fourth industrial revolution (Industry 4.0) is transforming manufacturing in line with the digital consumer revolution. Digital health and care initiatives are beginning to use some of the same capabilities to optimize healthcare provision. However, this is usually limited to self-management as part of an organization-centric delivery model. True co-management and integration with other organizations and people is difficult because it requires formal care organizations to share control and extend trust. Through a co-design lens, this paper discusses a more person-centered application of Industry 4.0 capabilities for care. It introduces ‘Care 4.0’, a new paradigm that could change the way people develop digital health and care services, focusing on trusted, integrated networks of organizations, people and technologies.These networks and tools would help people co-manage and use their own assets, in the context of their own care circle and community. It would enable personalized services that are more responsive to care needs and aspirations, offering preventative approaches that ultimately create a more flexible and sustainable set of integrated health and social care services that support meaningful engagement and interactions

Enabling Genuine Participation in Co-design with Young People with Learning Disabilities

This paper shares key learnings and emerging principles on ways of enabling genuine participation from young people with learning disabilities in co-design. Reviewing previous research focusing on co-design with young people and people with learning disabilities, we highlight key gaps including – a lack of approaches engaging young people with learning disabilities throughout a co-design process; and limited examples of genuine participation focusing on lived experience and engagement in creative and conceptual decision-making. We present our work with young people with learning disabilities to design a game-based learning tool, with a focus on the co-design process. The work illustrates a situated, tailored Participatory Design approach for engaging participants across all stages of co-design. Findings highlight the importance of contextual preparation by embedding in situ to support multi-vocal, multi-method engagement; and asset-based narratives to empower young people and support expression of voice, enabling creativity and conceptual decision-making. Synthesising key learnings and reflections, we present emerging principles underpinned by a rights-based ethos, with an emphasis on creating the right conditions and developing capacities to enable genuine participation

Designed Engagement

Designed Engagement uses design methods and skills to transform the way we talk to people in the community. We go to where people are: designing positive and thought provoking public engagement to stimulate creative dialogue and explore new ways of addressing societal challenges. Involving the public in dialogue around changes to policy and the design of services is a key target for policy makers, however traditional approaches offer little scope for creativity and meaningful engagement. Design brings a wealth of expertise to create engaging experiences, facilitate dialogue, and translate insights into tangible outputs for decision makers. We discuss public engagement literature and previous examples of design within this context. We introduce ‘Designed Engagement’ to denote design-led approaches to public engagement, illustrated through two examples of pop-up Designed Engagement. We discuss advantages, limitations and implications for design, concluding with the need for further research to evaluate and demonstrate the contribution and value of design in public engagement

Design for empathy within participatory design approaches

The role of the designer is changing from the ‘top-down’ creative to the humble designer (Slavin, 2016), fostering collaboration with a range of stakeholders and partnering with other disciplines as the ‘integrative discipline’ (Teal and French, 2016). As such, a new consideration of empathy is required to creatively engage people in co-creation using participatory design approaches. This paper discusses empathy within a participatory design approach, sharing methods and reflections of designing ‘with’ and ‘for’ empathy. The paper considers the role of the designer in engendering empathy in collaborative creativity, and illustrates approaches from applied projects in the health and care context. Experience Labs are a participatory design approach providing a space for collaboration where a diverse range of participants (academics, business, civic, end users) can collaborate in a creative process to explore and iterate concepts for health and care. The Lab methods, tools and artefacts are designed to move participants through a series of designed spaces to provide them with the experience, skills and language required to critically reflect and evaluate emerging ideas. Collaborations are carefully curated to bring together the ‘right’ mix of expertise in relation to the project. The challenge is to ensure that relationships move quickly from ‘them and us’ to a collective ‘we’, as we explore ideas and build trust. The methods and approaches used to foster empathy will be shared, alongside previous literature on empathic design within user-centred approaches, highlighting the need to consider the ways in which we design ‘for’ empathy in participatory design

Experience Labs: Co-Creating Health and Care Innovations Using Design Tools and Artefacts

For healthcare innovations to be successful, the voices of those receiving or delivering such innovations need to be heard much earlier in the design process. This is not easy as there are likely to be multiple stakeholders involved, and their different backgrounds make it difficult to challenge or evaluate potential innovation in the early stage of development. This paper positions the Experience Lab as a means of co-creating sustainable, innovative solutions to healthcare challenges. The Experience Lab offers participants, both receiving and delivering healthcare, the opportunity to engage in the design process, share insights, experience new concepts and imagine new ways of responding to challenges. The material artefacts and bespoke tools provide the conditions through which to create new meanings and shared experiences. This paper presents the Experience Lab approach, artefacts and tools, providing examples of these in context. The paper concludes with the need for further research to understand the role of artefacts and tools in supporting detail design and implementation beyond the Lab, and the potential of the Lab approach for other contexts

Exploring Online Health Information Seeking in Scotland

Abstract. Online Health Information Seeking (OHIS) has become an area of increasing interest over the last decade. The Internet has enabled the democratisation of health information as knowledge which was previously exclusive to health professionals has now become open access for all. The activity of OHIS has also revealed a digital divide in terms of those who access the Internet for health information. The prevalence of OHIS and the impact it has on patient outcomes and the relationship between health professional and patient is the focus of an on-going body of research outlined in this paper

Design-led Approach to Co-production of Values for Collective Decision-Making

Experience Labs are design-led spaces for co-creating preferable futures by bringing academic, business and civic stakeholders to work together with citizens using a participatory design approach. Differing value systems of stakeholders, however, can pose challenges when working collaboratively. Experience Labs support exchange and co-production of values among diverse stakeholders by making them articulate and visible through design, to resolve conflict and to support meaningful decision-making towards progressing ideas whilst integrating a multiplicity of perspectives. In this paper, we discuss the creation of an ‘ethical imagination space’ to explore preferable futures with diverse stakeholders; the core values of the Experience Labs which support the creation of this space; and the key qualities that support the exchange and co production of shared values to enable collective decision-making. We propose that the ‘next thinking’ for design involves consideration of the ways in which we engage with values in cross-sectoral collaborations to enable collective decision-making