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

DynaMoVis: Visualization of dynamic models for urban modeling

In association with Urban modelers, we have created DynaMoVis, a system for the visualization of dynamic models. The prediction of the evolution of urban and ecological systems is difficult because they are complex nonlinear systems that exhibit self-organization, emergence and path dependence. Without a good understanding of the dynamics, interventions might have unintended side-effects. This study aims to make progress in the understanding of dynamic models in the application areas of urban modelling. Analyzing these simulations is challenging due to the large amount of data generated and the high-dimensional nature of the system. We present a visualization system for exploring the behavior of a simulation from many different points of view. The system contains a number of different modes which allow exploration of: the simulation parameter space, the introduction and effect of noise on the simulation and the basins of attraction in the phase space of the simulation. Through use of this system it has been possible to develop a deeper understanding of the inter-dependencies in the models, their parameter spaces and corresponding phase spaces

Participatory healthcare service design and innovation

This paper describes the use of Experience Based Design (EBD), a participatory methodology for healthcare service design, to improve the outpatient service for older people at Sheffield Teaching Hospitals. The challenges in moving from stories to designing improvements, co-designing for wicked problems, and the effects of participants' limited scopes of action are discussed. It concludes by proposing that such problems are common to participatory service design in large institutions and recommends that future versions of EBD incorporate more tools to promote divergent thinking

Using popular culture to enable health service co-design with young people

This paper reports on participatory service design with young people with type 1 diabetes – a long-term condition that can impact their emotional wellbeing and where poor self-care often leads to negative health consequences. The paper describes a project working with young people with type 1 diabetes to design innovative health services. The project consisted of eight creative workshops, in which we used popular cultural references as a means to create enjoyable activities and encourage the young people to engage with design. These cultural references can be understood as creating design language games that allowed the young people to understand and participate in the activities required at each stage of the design process. However, not all popular culture references worked equally well and this paper explores the reasons for this

Order of Magnitude Markers: An Empirical Study on Large Magnitude Number Detection

In this paper we introduce Order of Magnitude Markers (OOMMs) as a new technique for number representation. The motivation for this work is that many data sets require the depiction and comparison of numbers that have varying orders of magnitude. Existing techniques for representation use bar charts, plots and colour on linear or logarithmic scales. These all suffer from related problems. There is a limit to the dynamic range available for plotting numbers, and so the required dynamic range of the plot can exceed that of the depiction method. When that occurs, resolving, comparing and relating values across the display becomes problematical or even impossible for the user. With this in mind, we present an empirical study in which we compare logarithmic, linear, scale-stack bars and our new markers for 11 different stimuli grouped into 4 different tasks across all 8 marker types

Pervasive healthcare in lived experience : thinking beyond the home : position paper for workshop on pervasive healthcare in the home.

The National Health Service (NHS) in the UK, like many other public heath services worldwide, is facing a number of key challenges. Among them are an ageing population and a rising incidence of chronic health conditions. This situation requires a radical re-examination of how people manage their health and their healthcare in ways that challenge the relationship between people and healthcare services. Combining this observation with the opportunities afforded by pervasive information and communication technologies, we argue that design research should reach beyond simply locating devices and services to offer healthcare ‘in the home’ and should examine this broader agenda. Rather than focussing design discourse on the specifics of one location, we should adopt a holistic view, beginning from people’s lived experience. In this position paper we describe the User-Centred Healthcare Design (UCHD) project, a 5-year collaboration between universities and NHS Trusts in South Yorkshire, UK. We suggest that new models of healthcare that re-define the institutional and social context of care are required if we are to meet the challenge of chronic illness. We describe our progress to date on the UCHD project, our commitment to placing patient experience at the centre of design, and our initial experiences of using an experience-based co-design method to improve outpatient services in a Sheffield hospital

Representing older people: towards meaningful images of the user in design scenarios

Designing for older people requires the consideration of a range of difficult and sometimes highly personal design problems. Issues such as fear, loneliness, dependency, and physical decline may be difficult to observe or discuss in interviews. Pastiche scenarios and pastiche personae are techniques that employ characters to create a space for the discussion of new technological developments and as a means to explore user experience. This paper argues that the use of such characters can help to overcome restrictive notions of older people by disrupting designers' prior assumptions. In this paper, we reflect on our experiences using pastiche techniques in two separate technology design projects that sought to address the needs of older people. In the first case pastiche scenarios were developed by the designers of the system and used as discussion documents with users. In the second case, pastiche personae were used by groups of users themselves to generate scenarios which were scribed for later use by the design team. We explore how the use of fictional characters and settings can generate new ideas and undermine rhetorical devices within scenarios that attempt to fit characters to the technology, rather than vice versa. To assist in future development of pastiche techniques in designing for older people, we provide an array of fictional older characters drawn from literary and popular culture.</p

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