Developing digital applications for tailored communication in orthopaedics using a research through design approach

Developing digital applications for tailored communication in orthopaedics using a research through design approach

Groeneveld, B.S. (TU Delft Applied Ergonomics and Design)
Melles, M. (TU Delft Applied Ergonomics and Design)
Vehmeijer, S.B.W. (Reinier de Graaf Gasthuis)
Mathijssen, Nina (Reinier de Graaf Gasthuis)
Dekkers, T. (TU Delft Applied Ergonomics and Design)
Goossens, R.H.M. (TU Delft Applied Ergonomics and Design; TU Delft Industrial Design)

Industrial Design

2019

Objective: Tailored communication and information provision is expected to contribute to patient-centred care (PCC) in total hip arthroplasty (THA). In previous research, three subgroups of THA patients were identified that are similar in their clinical, psychological and communication characteristics. Preliminary subgroup-specific design guidelines were also formulated.
Using these insights as a starting point, a theoretical framework was developed for tailored information provision and communication using digital applications. This study aims to refine the framework as well as subgroup-specific design
guidelines for digital applications.

Methods: This study uses a Research through Design (RtD) approach, generating insights both from the development and evaluation of prototypes in the early design stage. Paper-based prototypes will be made for each subgroup and evaluated with patients and care providers. Semi-structured interviews are held with participants exploring their experiences with the prototype. A quasi-experiment with a non-random control cohort is used to validate the qualitative findings. Post-surgery consultations with and without prototype are videotaped and scored using a structured instrument.

Results: A design diary will be used to summarize design decisions and considerations. Feedback from participants is analysed inductively. Adaptations in subgroup-specific guidelines will be based on comparison of verbal feedback and descriptive statistics from consultations with and without prototype.

Conclusions: Although mixed-method feasibility studies of digital health interventions are common, this protocol also considers the utility of the early design process and the designer’s perspective for realizing PCC and tailored care.

Patient engagement
patient education
prototype evaluation
design knowledge

http://resolver.tudelft.nl/uuid:51849cf7-75fc-4ddb-9beb-3843ce73a7fb

https://doi.org/10.1177/2055207618824919

2055-2076

Digital Health, 5, 1-14

Institutional Repository

journal article

© 2019 B.S. Groeneveld, M. Melles, S.B.W. Vehmeijer, Nina Mathijssen, T. Dekkers, R.H.M. Goossens