Thematic Framing: Creating Healthcare Innovations1

BackgroundTo avoid the low engagement and limited efficacy of digital behavioral health interventions, robust human-centered design (HCD) processes are needed.ObjectiveThe primary objective of this study was to describe a flexible, step-by-step HCD process to develop digital behavioral health interventions by illustrating iSIPsmarter as an example. iSIPsmarter is a digital intervention for reducing the consumption of sugar-sweetened beverages (SSBs) that comprises 6 internet-based cores metered out over time to deliver the program content, an integrated SMS text message strategy to engage users in reporting SSB behaviors, and an electronic cellular-enabled scale for in-home weighing. The secondary objective is to illustrate the key components and characteristics of iSIPsmarter that resulted from the HCD process.MethodsThe methods were guided by the Model for Internet Interventions and by best practices in HCD and instructional design processes (eg, rapid prototype development and think-aloud protocol). The 3-phased (ie, contextual, prototype testing, end user testing phases) process followed in this study included a series of 13 semistructured one-on-one interviews with 7 advisory team participants from the targeted Appalachian user group. The interviews were content coded by 2 researchers and then deductively coded to the suggested areas of digital behavioral health interventions.ResultsThe participants provided rich perspectives pertaining to iSIPsmarter’s appearance, behavioral prescriptions, burdens, content, delivery, message, participation, and assessment. These inputs included requests for built-in flexibility to account for varying internet and SMS text message accessibility among users; ideas to resolve the issues and problems encountered when using the prototypes, including those related to navigation and comprehension of content; ideas to enhance personalized feedback to support motivation and goal setting for SSB consumption and weight; and feedback to refine the development of realistic and relatable vignettes. The participants were able to interact with multiple prototype drafts, allowing researchers to capture and incorporate feedback related to the iSIPsmarter dashboard, daily SSB and weight diaries, action planning, core content, interactions, and vignettes.ConclusionsUsing scientific models and established processes is critical for building robust and efficacious interventions. By applying an existing model and HCD and instructional design processes, we were able to identify assumptions and address the key areas of the iSIPsmarter intervention that were hypothesized to support users’ engagement and promote behavior change. As evidenced by the rich feedback received from the advisory team members and the resulting iSIPsmarter product, the HCD methodology was instrumental in the development process. Although the final iSIPsmarter content is specific to improving SSB consumption behaviors among adults in rural areas, the intent is that this HCD process will have wide applications in the development of digital behavioral health interventions across multiple geographic and behavioral contexts.

Process assessment is a disciplined project-oriented evaluation of an organizational unit’s processes with respect to a process assessment model. The human centered design (HCD) process assessment model (PAM) is intended for use when performing conformational assessments of the process capability on the development of interactive systems. It was developed in accordance with the requirements of ISO/IEC 33020 combined with content from ISO 15504-5 and DIN SPEC 92412 relating to the process reference HCD processes specified in ISO 9241-220. If processes beyond the scope of ISO 9241-220 are needed, appropriate processes may be added based on the business needs of the organization. The derived HCD processes reference model (PRM) from the HCD processes specified in ISO 9241-220 together with the HCD-PAM must be applied when performing an HCD process assessment. The developed HCD-PAM contains a set of indicators to be considered when interpreting the intent of the HCD-PRM. These indicators may also be used when implementing a process improvement program subsequent to an assessment within an organization. In this paper, the structure and the content of the HCD-PAM applying the HCD-PRM is explained and exemplified by a practical example of assessing the HCD.3.4.2 process.

Many design projects, including human-centered design (HCD) projects, incorporate multiple teams cooperating within what is referred to as a Multiteam System (MTS) environment. These teams mutually rely on resources and processes provided by other teams. As an MTS increases in complexity, knowledge is distributed to more individuals. While effectively distributed knowledge increases creativity and productivity, it is also can hinder team effectiveness. Team members may fail to exchange relevant information or to integrate pertinent information into reasoning for design decisions. Our research addresses information sharing among teams and individuals in HCD by examining interactions between and within the MTS (i.e., instructional team, novice designer or student team, and stakeholder team) in an interdisciplinary design course. Specifically, we used a thematic analysis of design reviews to investigate the influence of information requests toward the quality of the information exchanged, the influence of meeting structure and flow on design team interactions and meeting outcomes, and the influence of information sharing on cooperation within the HCD process. The findings align with previous studies about information sharing in a MTS and also contribute to a broad understanding of how an integrated interpretation of information sharing can influence a cooperative design process, such as HCD. Our analysis also suggests that designers must promote a cooperative decision-making process by eliciting open and unique information relevant to the design goals. Finally, design educators can support the development of novice engineers by improving their understanding of how to elicit information from, and share information, with other teams and stakeholders.

The objective of this research is to clarify the relationship between the practice of human-centered design (HCD) and the obstacles to applying this approach. Our study is based on research into several factors in the HCD process as applied to the development of hardware devices with embedded software, such as office equipment, home electronics, medical devices and information equipment. From the results of our investigation of 13 companies, we identified several obstacles to applying HCD methods to the development process. Also discussed are the nature of these obstacles, and methods to make better use of the HCD process to avoid such obstacles in future. Previous studies of the HCD process have presented new perspectives by performing various analyses of the benefits of using HCD methods. However, previous studies have not discussed proposals to avoid obstacles, or how to apply the HCD process to company workflows. Therefore, we collected 79 “good cases” and 53 “bad cases” through interviews and questionnaires. We then analyzed those cases, and summarized 4 viewpoints on introducing the HCD process to companies, and 12 approaches for solving these problems. Viewpoints: 1) Establish methods appropriate to each company. 2) Indicate the effects. 3) Share goals. 4) Participate in upstream processes.Approaches: 1) Use easy words. 2) Match HCD methods to the development process. 3) Create simple methods. 4) Compare with other companies. 5) Compare with in-house practices. 6) Share results with users. 7) Publish results as a reference. 8) Create industry standards. 9) Recognize a good point that already exists. 10) Share goals with the relevant departments. 11) Participate in requirement definition process. 12) Create valuable features through observation.

In 2021, the United States Department of Energy (DOE) awarded the Pacific Ocean Energy Trust a grant to act as the coordinator of a foundational research network, ultimately named the University Marine Energy Research Community (UMERC). The community aims to facilitate connection between U.S. university researchers, industry, and government research laboratories to close common gaps in foundational research that are prohibiting the pathway to commercialization. To achieve this goal, UMERC held a series of workshops to create a Research Landscape (Landscape), which identified current challenges, gaps, research capabilities as well as uncovering additional questions about where the sector is headed. A human-centered design (HCD) approach was used throughout the three-workshop series. 
 HCD is a problem-solving and design technique that uses human perspective and emotion to develop solutions. The stages of human centered design include inspiration, ideation, implementation and validation, or testing, in an iterative, or cyclical process that results in ongoing refinement. HCD is carried out with the acknowledgement that values vary from context to context and are subject to change as people and technologies interact over time (Zachry and Spyridakis).
 It is through this approach that we are able to identify the current gaps and challenges and through the HCD approach, we will continue to refine the Landscape as current challenges and gaps are retired and new challenges and gaps arise. This will help account for the fast pace of innovation in the marine energy sector, where human-technology interactions are changing as the technology develops, and there are new entrants into the market. With the current state of fluidity in technology design and application, what works at one location may not work at another location. Using HCD methods and sensibilities, workshop participants, including individuals from universities, private sector companies and the national laboratories, we able to bring in their individual perspectives to develop the Landscape.
 Through the HCD process, the workshops revealed a set of values, tools, research interests and gaps and challenges. These were synthesized into what is now the current Landscape that can be found on the UMERC website. The values are themes that should be considered when designing marine energy projects. These include community, innovation and new technologies or applications, education, sustainability, equity, blue economy, and collaboration. The main challenges were condensed into four categories that include creating markets and a trained workforce, management and logistics, understanding and protecting the environment, and marine energy engineering, research and development. The tools are actions that can be carried out to overcome the main challenges. Finally, a list of common research areas was identified under each main challenge area.
 Following our HCD methodology, our cycle of iteration will soon start again. While the current Landscape serves as a benchmark, the next steps include a series of industry-academic brainstorming sessions, with the aim of creating collaborative projects to address challenges, as well as come up with a list of common technology agnostic challenges, in hopes to push future research funding.

The Human-Centered Design (HCD) methodology seeks to analyze a problem from a more open, dynamic, and creative point of view. In the educational context, the HCD allows the creation of experiences that integrate theory and practice. In addition, the HCD method encourages the active participation of students. This work describes, an experience of a work developed using the HCD methodology with a Service-Learning approach in the context of the STEMbach projects offered by the Polytechnic School of Engineering of Ferrol (EPEF) of the University of A Coruña. Specifically, it describes the development of a project of Design, Modeling and 3D Printing with students from the Tirso de Molina School of Ferrol. The objective of the project was the creation of didactic resources to help children of the first cycle of primary education (6-8 years old) with difficulties in the process of reading and writing. A total of 4 students worked as a team, supervised by two teachers of the school. The project was directed by five university teachers.

Behavioral data is ubiquitous in products, services, and systems that people interact with. It is increasingly used by design and HCI researchers and practitioners throughout their human-centered and participatory design processes. The highly dynamic nature of behavioral data makes it deeply intertwined with people, their behavior, and their experiences. Thus, it presents unique opportunities and challenges. This Special Interest Group will provide a space to reflect and discuss effective and responsible ways to engage with behavioral data in human-centered design processes. We will explore questions about the types and scale of data used, the contexts in which data is embedded and applied, the methods we rely on, and the forms of engagement of the multiple stakeholders. In doing so, our goal is to collaboratively develop a research agenda, setting the scope for an annual, international symposium on Data-Centric Design.

BackgroundProviders face increasing demands to screen for various health issues. Family medicine, primary care, and obstetric providers are encouraged to screen women universally for intimate partner violence, which could be challenging without comprehensive screening tools. The screening expectations and demands motivated providers and staff in south-central Appalachia (U.S.) to engage community members in streamlining women’s health screening tools, and integrating intimate partner violence screening questions, through a Human-Centered Design (HCD) process. The objective of this article is to present participants’ experiences with and perceptions of the HCD process for developing screening tools for women’s health.MethodsThis was a qualitative, phenomenological study conducted with community members (n = 4) and providers and staff (n = 7) who participated in the HCD process. Sampling was purposive and opportunistic. An experienced qualitative researcher conducted open-ended, semi-structured interviews with participants. Interviews were transcribed and coded for thematic analysis.ResultsCommunity members reported that in the HCD sessions they wanted clinicians to understand the importance of timing and trust in health screening. They focused on the importance of taking time to build trust before asking about intimate partner violence; not over-focusing on body weight as this can preclude trust and disclosure of other issues; and understanding the role of historical oppression and racial discrimination in contributing to healthcare mistrust. Providers and staff reported that they recognized the importance of these concerns during the HCD process.ConclusionsCommunity members provided critical feedback for designing appropriate tools for screening for women’s health. The findings suggest that co-designing screening tools for use in clinical settings can facilitate communication of core values. How, when, and how often screening questions are asked are as important as what is asked—especially as related to intimate partner violence and weight.

July 01 2010 Relevant and Rigorous: Human-Centered Research and Design Education Bruce M. Hanington Bruce M. Hanington Bruce Hanington is an Associate Professor and Program Chair of Industrial Design in the School of Design at Carnegie Mellon University. His research and teaching encompasses the personal, social, and cultural context of product design and interpretation, the meaning of form, human factors and ethnographic and participatory research methods. He has consulted on design projects with GE Appliance and Johnson and Johnson. His work has been published in Design Issues, The Design Journal, and Interactions, with chapters in Designing Inclusive Futures, and Design and Emotion: The Experience of Everyday Things. Search for other works by this author on: This Site Google Scholar Author and Article Information Bruce M. Hanington Bruce Hanington is an Associate Professor and Program Chair of Industrial Design in the School of Design at Carnegie Mellon University. His research and teaching encompasses the personal, social, and cultural context of product design and interpretation, the meaning of form, human factors and ethnographic and participatory research methods. He has consulted on design projects with GE Appliance and Johnson and Johnson. His work has been published in Design Issues, The Design Journal, and Interactions, with chapters in Designing Inclusive Futures, and Design and Emotion: The Experience of Everyday Things. Online ISSN: 1531-4790 Print ISSN: 0747-9360 © 2010 Massachusetts Institute of Technology2010 Design Issues (2010) 26 (3): 18–26. https://doi.org/10.1162/DESI_a_00026 Cite Icon Cite Permissions Share Icon Share Facebook Twitter LinkedIn MailTo Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Search Site Citation Bruce M. Hanington; Relevant and Rigorous: Human-Centered Research and Design Education. Design Issues 2010; 26 (3): 18–26. doi: https://doi.org/10.1162/DESI_a_00026 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsDesign Issues Search Advanced Search This content is only available as a PDF. © 2010 Massachusetts Institute of Technology2010 Article PDF first page preview Close Modal You do not currently have access to this content.

Users should always play a central role in the development of (software) solutions. The human-centered design (HCD) process in the ISO 9241-210 standard proposes a procedure for systematically involving users. However, due to its abstraction level, the HCD process provides little guidance for how it should be implemented in practice. In this chapter, we propose three concrete practical methods that enable the reader to develop usable security and privacy (USP) solutions using the HCD process. This chapter equips the reader with the procedural knowledge and recommendations to: (1) derive mental models with regard to security and privacy, (2) analyze USP needs and privacy-related requirements, and (3) collect user characteristics on privacy and structure them by user group profiles and into privacy personas. Together, these approaches help to design measures for a user-friendly implementation of security and privacy measures based on a firm understanding of the key stakeholders.

Rich data on diverse patients and their treatments and outcomes within Electronic Health Record (EHR) systems can be used to generate real world evidence. A health recommender system (HRS) framework can be applied to a decision support system application to generate data summaries for similar patients during the clinical encounter to assist physicians and patients in making evidence-based shared treatment decisions. A human-centered design (HCD) process was used to develop a HRS for treatment decision support in orthopaedic medicine, the Informatics Consult for Individualized Treatment (I-C-IT). We also evaluate the usability and utility of the system from the physician's perspective, focusing on elements of utility and shared decision-making in orthopaedic medicine. The HCD process for I-C-IT included 6 steps across three phases of analysis, design, and evaluation. A team of informaticians and comparative effectiveness researchers directly engaged with orthopaedic surgeon subject matter experts in a collaborative I-C-IT prototype design process. Ten orthopaedic surgeons participated in a mixed methods evaluation of the I-C-IT prototype that was produced. The HCD process resulted in a prototype system, I-C-IT, with 14 data visualization elements and a set of design principles crucial for HRS for decision support. The overall standard system usability scale (SUS) score for the I-C-IT Webapp prototype was 88.75 indicating high usability. In addition, utility questions addressing shared decision-making found that 90% of orthopaedic surgeon respondents either strongly agreed or agreed that I-C-IT would help them make data informed decisions with their patients. The HCD process produced an HRS prototype that is capable of supporting orthopaedic surgeons and patients in their information needs during clinical encounters. Future research should focus on refining I-C-IT by incorporating patient feedback in future iterative cycles of system design and evaluation.

BackgroundRich data on diverse patients and their treatments and outcomes within Electronic Health Record (EHR) systems can be used to generate real world evidence. A health recommender system (HRS) framework can be applied to a decision support system application to generate data summaries for similar patients during the clinical encounter to assist physicians and patients in making evidence-based shared treatment decisions.ObjectiveA human-centered design (HCD) process was used to develop a HRS for treatment decision support in orthopaedic medicine, the Informatics Consult for Individualized Treatment (I-C-IT). We also evaluate the usability and utility of the system from the physician’s perspective, focusing on elements of utility and shared decision-making in orthopaedic medicine.MethodsThe HCD process for I-C-IT included 6 steps across three phases of analysis, design, and evaluation. A team of health informatics and comparative effectiveness researchers directly engaged with orthopaedic surgeon subject matter experts in a collaborative I-C-IT prototype design process. Ten orthopaedic surgeons participated in a mixed methods evaluation of the I-C-IT prototype that was produced.ResultsThe HCD process resulted in a prototype system, I-C-IT, with 14 data visualization elements and a set of design principles crucial for HRS for decision support. The overall standard system usability scale (SUS) score for the I-C-IT Webapp prototype was 88.75 indicating high usability. In addition, utility questions addressing shared decision-making found that 90% of orthopaedic surgeon respondents either strongly agreed or agreed that I-C-IT would help them make data informed decisions with their patients.ConclusionThe HCD process produced an HRS prototype that is capable of supporting orthopaedic surgeons and patients in their information needs during clinical encounters. Future research should focus on refining I-C-IT by incorporating patient feedback in future iterative cycles of system design and evaluation.

BackgroundMalaria is a persistent public health challenge among miners and other hard-to-reach populations in Guyana’s hinterland, specifically in Regions 1, 7, 8, and 9. Despite an overall decrease in malaria prevalence throughout Guyana, it remains common among mining populations whose work conditions both contribute toward malaria transmission and make it difficult to seek timely, Ministry of Health (MoH) approved malaria testing and treatment services. In an effort to develop innovative approaches to address this public health challenge, an interdisciplinary team of public health professionals, designers, and mining organizations collaborated using a human-centered design (HCD) process facilitated by the USAID-funded Breakthrough ACTION Guyana project in partnership with the MoH.MethodsThis paper describes two phases: [1] Define and [2] Design & Test. In the Define phase, following a literature review, we conducted 108 qualitative interviews with miners, camp managers, trained malaria testers, health workers, and other key stakeholders to understand experiences and challenges when seeking malaria testing and treatment services. These interviews were synthesized into 11 insights on issues such as risk perception, malaria knowledge, preventive behaviors, traditional and self-treatment, adherence to the correct treatment, testing, and coordination and communication gaps. From these insights, during the Design & Test phase, we developed 33 “How might we…?” questions which led to 792 ideas, of which eight emergent concepts were prototyped and refined in the field with 145 miners, camp managers, and stakeholders.ResultsThe five final prototypes included: “Little Mosquito, Big Problem” social behavior change campaign; rapid counseling cards; branded malaria testing and treatment services; innovations in treatment adherence; and a participants, content, and logistics approach.ConclusionWhen applying HCD to public health issues, there are both opportunities and challenges to reconcile gaps that may exist between the two disciplines. However, HCD provides additional tools and mindsets to generatively work with migrant and mobile mining communities to encourage malaria testing and treatment services.

Driver fatigue and distraction are major road safety issues globally; developing driver state detection and warning technology to help reduce impairment-related incidents is a promising approach. The aim of this case study was to design an effective Human Machine Interface (HMI) for a near-market driver warning system primarily aimed at commercial truck driving. A human-centered design (HCD) process was employed for the development and evaluation. Application of HCD here was a multi-stage iterative process: a comprehensive literature review; developing a context of use description; undertaking truck driver interviews; identifying user needs and associated design requirements; conducting two design workshops; operationalizing the design; running HMI evaluation studies, and finalizing the HMI concepts. As a result of the iterative HCD process, the HMI comprises a multi-modal warning system (visual, auditory and tactile) with two levels for driver fatigue and an escalating system for driver distraction. Following this successful HCD process, further on-road evaluation work is proposed before the final version of the HMI is manufactured.

Open educational resources (OER) play an important role in teaching and learning, especially in lifelong learning. Educational resources should be created in a way that addresses lifelong learners’ needs. Human-centered design (HCD) is a design perspective and an iterative process that involves users in all phases of the process. Thus, an HCD approach can provide relevant advantages when creating OER for lifelong learning. This work presents the Design Toolkit as a case study of digital open educational contents for design education that has been created following an HCD process. The orientation of the Design Toolkit is to provide users OER in a tool format rather than in a traditional manner. The main goal of this research is to contribute to the understanding of how HCD impacts OER creation. The research focuses on teachers, assessing the Design Toolkit content organization and analyzing teacher adoption and usage of the resources. The HCD approach fosters teachers’ satisfaction, promotes OER adoption and provides new design requirements for a future iteration of the HCD process. The results show that designing OER involving users through an HCD approach sets the focus adequately on their needs and limitations. Teachers feel satisfied with the Design Toolkit, fostering the adoption of OER in different educational contexts. Finally, users’ involvement in the whole HCD process points out design and educational requirements for future work.