Cargando…

The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices

BACKGROUND: Human-centered design (HCD) approaches to health care strive to support the development of innovative, effective, and person-centered solutions for health care. Although their use is increasing, there is no integral overview describing the details of HCD methods in health innovations. OB...

Descripción completa

Detalles Bibliográficos
Autores principales: Göttgens, Irene, Oertelt-Prigione, Sabine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691403/
https://www.ncbi.nlm.nih.gov/pubmed/34874893
http://dx.doi.org/10.2196/28102
_version_ 1784618778691108864
author Göttgens, Irene
Oertelt-Prigione, Sabine
author_facet Göttgens, Irene
Oertelt-Prigione, Sabine
author_sort Göttgens, Irene
collection PubMed
description BACKGROUND: Human-centered design (HCD) approaches to health care strive to support the development of innovative, effective, and person-centered solutions for health care. Although their use is increasing, there is no integral overview describing the details of HCD methods in health innovations. OBJECTIVE: This review aims to explore the current practices of HCD approaches for the development of health innovations, with the aim of providing an overview of the applied methods for participatory and HCD processes and highlighting their shortcomings for further research. METHODS: A narrative review of health research was conducted based on systematic electronic searches in the PubMed, CINAHL, Embase, Cochrane Library, Web of Science, PsycINFO, and Sociological Abstracts (2000-2020) databases using keywords related to human-centered design, design thinking (DT), and user-centered design (UCD). Abstracts and full-text articles were screened by 2 reviewers independently based on predefined inclusion criteria. Data extraction focused on the methodology used throughout the research process, the choice of methods in different phases of the innovation cycle, and the level of engagement of end users. RESULTS: This review summarizes the application of HCD practices across various areas of health innovation. All approaches prioritized the user’s needs and the participatory and iterative nature of the design process. The design processes comprised several design cycles during which multiple qualitative and quantitative methods were used in combination with specific design methods. HCD- and DT-based research primarily targeted understanding the research context and defining the problem, whereas UCD-based work focused mainly on the direct generation of solutions. Although UCD approaches involved end users primarily as testers and informants, HCD and DT approaches involved end users most often as design partners. CONCLUSIONS: We have provided an overview of the currently applied methodologies and HCD guidelines to assist health care professionals and design researchers in their methodological choices. HCD-based techniques are challenging to evaluate using traditional biomedical research methods. Previously proposed reporting guidelines are a step forward but would require a level of detail that is incompatible with the current publishing landscape. Hence, further development is needed in this area. Special focus should be placed on the congruence between the chosen methods, design strategy, and achievable outcomes. Furthermore, power dimensions, agency, and intersectionality need to be considered in co-design sessions with multiple stakeholders, especially when including vulnerable groups.
format Online
Article
Text
id pubmed-8691403
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-86914032022-01-10 The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices Göttgens, Irene Oertelt-Prigione, Sabine JMIR Mhealth Uhealth Review BACKGROUND: Human-centered design (HCD) approaches to health care strive to support the development of innovative, effective, and person-centered solutions for health care. Although their use is increasing, there is no integral overview describing the details of HCD methods in health innovations. OBJECTIVE: This review aims to explore the current practices of HCD approaches for the development of health innovations, with the aim of providing an overview of the applied methods for participatory and HCD processes and highlighting their shortcomings for further research. METHODS: A narrative review of health research was conducted based on systematic electronic searches in the PubMed, CINAHL, Embase, Cochrane Library, Web of Science, PsycINFO, and Sociological Abstracts (2000-2020) databases using keywords related to human-centered design, design thinking (DT), and user-centered design (UCD). Abstracts and full-text articles were screened by 2 reviewers independently based on predefined inclusion criteria. Data extraction focused on the methodology used throughout the research process, the choice of methods in different phases of the innovation cycle, and the level of engagement of end users. RESULTS: This review summarizes the application of HCD practices across various areas of health innovation. All approaches prioritized the user’s needs and the participatory and iterative nature of the design process. The design processes comprised several design cycles during which multiple qualitative and quantitative methods were used in combination with specific design methods. HCD- and DT-based research primarily targeted understanding the research context and defining the problem, whereas UCD-based work focused mainly on the direct generation of solutions. Although UCD approaches involved end users primarily as testers and informants, HCD and DT approaches involved end users most often as design partners. CONCLUSIONS: We have provided an overview of the currently applied methodologies and HCD guidelines to assist health care professionals and design researchers in their methodological choices. HCD-based techniques are challenging to evaluate using traditional biomedical research methods. Previously proposed reporting guidelines are a step forward but would require a level of detail that is incompatible with the current publishing landscape. Hence, further development is needed in this area. Special focus should be placed on the congruence between the chosen methods, design strategy, and achievable outcomes. Furthermore, power dimensions, agency, and intersectionality need to be considered in co-design sessions with multiple stakeholders, especially when including vulnerable groups. JMIR Publications 2021-12-06 /pmc/articles/PMC8691403/ /pubmed/34874893 http://dx.doi.org/10.2196/28102 Text en ©Irene Göttgens, Sabine Oertelt-Prigione. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org), 06.12.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited. The complete bibliographic information, a link to the original publication on https://mhealth.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Göttgens, Irene
Oertelt-Prigione, Sabine
The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices
title The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices
title_full The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices
title_fullStr The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices
title_full_unstemmed The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices
title_short The Application of Human-Centered Design Approaches in Health Research and Innovation: A Narrative Review of Current Practices
title_sort application of human-centered design approaches in health research and innovation: a narrative review of current practices
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691403/
https://www.ncbi.nlm.nih.gov/pubmed/34874893
http://dx.doi.org/10.2196/28102
work_keys_str_mv AT gottgensirene theapplicationofhumancentereddesignapproachesinhealthresearchandinnovationanarrativereviewofcurrentpractices
AT oerteltprigionesabine theapplicationofhumancentereddesignapproachesinhealthresearchandinnovationanarrativereviewofcurrentpractices
AT gottgensirene applicationofhumancentereddesignapproachesinhealthresearchandinnovationanarrativereviewofcurrentpractices
AT oerteltprigionesabine applicationofhumancentereddesignapproachesinhealthresearchandinnovationanarrativereviewofcurrentpractices