An opportunity for inclusive and human-centred design

Leason, Isobel; Longridge, Nicholas; Mathur, Manu Raj; Nickpour, Farnaz

doi:10.1038/s41415-022-5101-1

Cited by 5 publications

(12 citation statements)

References 52 publications

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“…As healthcare transitions towards a smart and connected system, technology will play a crucial role 42,43 . In oral health, with emerging concepts such as ‘Dentistry 4.0’, 44 design could play a key role in ensuring that new technologies are not only functional but also human‐centred 21 . Equally valuable, yet currently less common, is the application of 3rd‐order design to services, where it can aid shifts towards person‐centred care (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Designing with diverse and often excluded populations is a key principle of inclusive design, 81 which aims to bring them into the mainstream and create innovative solutions that benefit all. The potential value and significance of inclusive design approaches to current challenges and transitions in oral health has previously been argued 21 …”

Section: Discussionmentioning

confidence: 99%

“…This review focuses on design as a professional practice in which designers gain considerable knowledge, skills and training. 27 We define design as a process of both problem framing and solving, 28 which employs a combination of designerly principles, mindsets, practices and techniques, 29 which generates outcomes across four orders of design (first-visuals, second-products, third-services and interactions, fourth-systems), 21,30 and which provides four types of contributions, that is, theoretical; methodological; empirical; as well as interventional (through design outcomes). 31,32…”

Section: Definition Of Designmentioning

confidence: 99%

“…The potential value and significance of inclusive design approaches to current challenges and transitions in oral health has previously been argued. 21 Due to the variety of professional titles used across disciplines, six broad codes were chosen to synthesize the collaborator types (Figure 2D). Design in oral health is becoming increasingly collaborative, often including members from a combination of oral healthcare, design, engineering and scientific disciplines.…”

Section: Oral Health Contexts Of Design; Oral Health Themes Settings ...mentioning

confidence: 99%

“…It is increasingly being recognized by, and integrated into healthcare organizations as a central agent of innovation and strategy, 17,18 tackling complex problems, 19 and shaping healthcare systems and processes with a view to transition towards more desirable sustainable futures. 20 In the context of oral health, it has been argued that design could play a valuable role in: delivering person-centred and preventive models of care 21 ; responding to socio-demographic shifts 21 ; effective adoption of technology 21 ; and the translation of evidence into clinical dental practice. 22,23 However, despite the wider design and health discourse being well-established and growing, there is limited evidence on both the use and understanding of design in oral health.…”

Section: Introductionmentioning

confidence: 99%

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Application and evolution of design in oral health: A systematic mapping study with an interactive evidence map

Leason

Longridge

Nickpour

2023

Comm Dent Oral Epid

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ObjectivesThere is increasing recognition of the value and capabilities of design in healthcare. Beyond the development of medical devices, design is increasingly being applied to intangible, complex and systemic healthcare problems. However, there is limited evidence on the use of design specifically in the field of oral health. This systematic mapping study aims to collate and catalogue evidence of design in oral health.MethodsA systematic search of academic databases and grey literature was performed. Duplicate results were removed, and publications relating to the same project were grouped. Reviewers from design and oral health independently screened a sample of the dataset. Projects of both relevance to oral health, and with input from a designer or clear implementation of a design methodology or approach were included. Projects were coded and plotted on a novel interactive evidence map.Results119 design and oral health projects were included between 1973 and 2022. Interventional (n = 94, 79%), empirical (n = 46, 39%), methodological (n = 35, 29%) and theoretical (n = 7, 6%) design contributions were identified across the projects. The projects were categorized by four orders of design: first—graphics (n = 6, 5%), second—products (n = 41, 34%), third—interactions (n = 70, 59%), and fourth—systems (n = 2, 2%). Design was found in a diverse range of contexts in oral health; most commonly being relevant to general patients (n = 61, 51%), and for use in general dental practice (n = 56, 47%). Further design outcome categories (digital material; printed material; object; room or space; apparel; process; smart device; tangible interface; graphical interface; virtual reality; service; policy; system) and oral health themes (oral health literacy; oral care training; dental clinic design; dental instruments and equipment; personal oral care; dental appliance; clinician health and productivity; clinical information systems; informed consent; oral health promotion and prevention; oral care training; patient interactions and experience) were identified.ConclusionsThe novel interactive evidence map of design in oral health created enables ongoing and open‐ended multivariant documentation and analysis of the evidence, as well as identification of strategic opportunities. Future research and policy implications include; recognition and engagement with the full capabilities of design; integration of design experts; fostering inclusive engagement and collaboration; disentangling patient and public involvement; advancing human‐centred systems approaches; adopting design‐led approaches for policy‐making.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Definition Of Designmentioning

confidence: 99%

Section: Oral Health Contexts Of Design; Oral Health Themes Settings ...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Application and evolution of design in oral health: A systematic mapping study with an interactive evidence map

Leason

Longridge

Nickpour

2023

Comm Dent Oral Epid

Self Cite

View full text Add to dashboard Cite

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Women in Health and their Economic, Equity and Livelihood statuses during Emergency Preparedness and Response (WHEELER) protocol: a mixed methods study in Kenya

Langat,

Mazoya,

Oginga

et al. 2024

BMJ Open

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IntroductionKenya reported its first COVID-19 case on 13 March 2020. Pandemic-driven health system changes followed and unforeseen societal, economic and health effects reported. This protocol aims to describe the methods used to identify the gender equality and health equity gaps and possible disproportional health and socioeconomic impacts experienced by paid and unpaid (community health volunteer) female healthcare providers in Kilifi and Mombasa Counties, Kenya during the COVID-19 pandemic.Methods and analysisParticipatory mixed methods framed by gender analysis and human-centred design will be used. Research implementation will follow four of the five phases of the human-centred design approach. Community research advisory groups and local advisory boards will be established to ensure integration and the sustainability of participatory research design.Ethics and disseminationEthical approval was obtained from the Institutional Scientific and Ethics Review Committee at the Aga Khan University and the University of Manitoba.This study will generate evidence on root cultural, structural, socioeconomic and political factors that perpetuate gender inequities and female disadvantage in the paid and unpaid health sectors. It will also identify evidence-based policy options for future safeguarding of the unpaid and paid female health workforce during emergency preparedness, response and recovery periods.

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Developing SysteMatic: Prevention, precision and equity by design for people living with multiple long-term conditions

Mair,

Nickpour,

Nicholl

et al. 2024

Journal of Multimorbidity and Comorbidity

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Background The number of individuals living with multiple (≥2) long term conditions (MLTCs) is a growing global challenge. People with MLTCs experience reduced life expectancy, complex healthcare needs, higher healthcare utilisation, increased burden of treatment, poorer quality of life and higher mortality. Evolving technologies including artificial intelligence (AI) could address some of these challenges by enabling more preventive and better integrated care, however, they may also exacerbate inequities. Objective We aim to deliver an equity focused, action-ready plan for transforming MLTC prevention and care, co-designed by people with lived experience of MLTCs and delivered through an Innovation Hub: SysteMatic. Design Our Hub is being co-designed by people with lived experience of MLTCs, practitioners, academics and industry partners in Liverpool and Glasgow, UK. This work builds on research into mental-physical health interdependence across the life-course, and on mobilisation of large-scale quantitative data and technology validation in health and care systems serving deprived populations in Glasgow and Liverpool. We work with 3 population segments: 1) Children & Families: facing psychosocial and environmental challenges with lifetime impacts; 2). Working Life: people with poorly integrated mental, physical and social care; and 3) Pre-Frailty: older people with MLTCs. We aim to understand their experiences and in parallel look at routinely collected health data on people with MLTCs to help us identify targets for intervention. We are co-identifying opportunities for systems transformation with our patient partners, healthcare professionals and through discussion with companies and public-sector organisations. We are co-defining 3/5/7-year MLTC innovation/transition targets and sustainable learning approaches. Discussion SysteMatic will deliver an actionable MLTC Innovation Hub strategic plan, with investment from the UK National Health Service, civic health and care partners, universities, and industry, enabling feedback of well-translated, patient and public prioritised problems into the engineering, physical, health and social sciences to underpin future equitable innovation delivery.

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An opportunity for inclusive and human-centred design

Abstract: Highlights the broad capabilities and potential contributions of design.Discusses barriers and drivers to the adoption of inclusive and human-centred design in oral health.

Cited by 5 publications

References 52 publications

Application and evolution of design in oral health: A systematic mapping study with an interactive evidence map

Application and evolution of design in oral health: A systematic mapping study with an interactive evidence map

Women in Health and their Economic, Equity and Livelihood statuses during Emergency Preparedness and Response (WHEELER) protocol: a mixed methods study in Kenya

Developing SysteMatic: Prevention, precision and equity by design for people living with multiple long-term conditions

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