From Evidence to Implementation: How Systems Design Can Foresee Complex Healthcare Interventions

Feldman, Alix; Patou, François; Maier, Anja

doi:10.1017/dsd.2020.135

Cited by 3 publications

(7 citation statements)

References 42 publications

(61 reference statements)

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“…Furthermore, the sensitivity of pupillometry may allow us to assess the engagement and the experience of fatigue among a group with cognitive dysfunction when completing the dual-task behavioural SWIR test. It is expected that this study will provide valuable insights for the future use of pupillometry among those with cognitive dysfunction, and should help refine our understanding of factors that could later inform complex hearing and cognitive healthcare interventions 60…”

Section: Discussionmentioning

confidence: 99%

“…It is expected that this study will provide valuable insights for the future use of pupillometry among those with cognitive dysfunction, and should help refine our understanding of factors that could later inform complex hearing and cognitive healthcare interventions. 60 ETHICS AND DISSEMINATION Access to study records will be limited to the study team, which includes the relevant researchers at the Memory Clinic in Copenhagen. This includes source documents, regulatory documents, data collection instruments and study data.…”

Section: Discussionmentioning

confidence: 99%

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Listen Carefully protocol: an exploratory case–control study of the association between listening effort and cognitive function

et al. 2022

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IntroductionA growing body of evidence suggests that hearing loss is a significant and potentially modifiable risk factor for cognitive impairment. Although the mechanisms underlying the associations between cognitive decline and hearing loss are unclear, listening effort has been posited as one of the mechanisms involved with cognitive decline in older age. To date, there has been a lack of research investigating this association, particularly among adults with mild cognitive impairment (MCI).Methods and analysis15–25 cognitively healthy participants and 15–25 patients with MCI (age 40–85 years) will be recruited to participate in an exploratory study investigating the association between cognitive functioning and listening effort. Both behavioural and objective measures of listening effort will be investigated. The sentence-final word identification and recall (SWIR) test will be administered with single talker non-intelligible speech background noise while monitoring pupil dilation. Evaluation of cognitive function will be carried out in a clinical setting using a battery of neuropsychological tests. This study is considered exploratory and proof of concept, with information taken to help decide the validity of larger-scale trials.Ethics and disseminationWritten approval exemption was obtained by the Scientific Ethics Committee in the central region of Denmark (De Videnskabsetiske Komiteer i Region Hovedstaden), reference 19042404, and the project is registered pre-results at clinicaltrials.gov, reference NCT04593290, Protocol ID 19042404. Study results will be disseminated in peer-reviewed journals and conferences.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Listen Carefully protocol: an exploratory case–control study of the association between listening effort and cognitive function

et al. 2022

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“…A series of at least two control visits at the cognitive care clinic also follow, where their function and level of disease progression can be re-assessed. This pathway is illustrated in figure 1, including the referral, eligibility testing and protocol of our case-control study, also described in section 2.2 and at clinicaltrials.gov (Feldman et al, 2020;Feldman et al, 2022).…”

Section: Research Frame: Dementia Care Pathwaymentioning

confidence: 99%

“…Section three describes how eligibility screening was able to shed light on unmet system needs and expose the number of patients with significant and unaddressed hearing loss. Using a systems-based design lens provides all researchers with the opportunity to test more than the efficacy of an intervention-we are also presented with an opportunity to design new patterns of action within the healthcare system (Feldman, Patou and Maier, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Driving Change in Complex Social Systems: How to Design Healthcare Pathways

2022

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How does change occur in healthcare settings? In this paper, we take a design-based approach to healthcare research. From researcher-patient interactions to information sharing between practitioners, we examine how clinical research can mediate a change of routines and illuminate potential new system structures. Using a hospital-based cognitive care clinic as an example, we demonstrate how the inclusion of new actors, tools and resources was able to shed light on the prevalence of hearing loss among mild cognitive impairment (MCI) patients and lay the framework for new care pathways.

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Is Anybody Listening? A Citation Analysis of Healthcare Design Research Articles Published in Design Journals

et al. 2022

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Citation is a key metric in academia, and it can help to understand how ideas travel between disciplines. In this article, we report on a citation analysis of forty-four articles identified during a systematic literature review of healthcare design research published in six leading design journals. Using the Web of Science's categorisation of journals, we analyse which disciplines cite these forty-four articles. We find that these articles are much more cited in technology and engineering journals than in health sciences. We discuss these findings and the limitations of the study.

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From Evidence to Implementation: How Systems Design Can Foresee Complex Healthcare Interventions

Cited by 3 publications

References 42 publications

Listen Carefully protocol: an exploratory case–control study of the association between listening effort and cognitive function

Listen Carefully protocol: an exploratory case–control study of the association between listening effort and cognitive function

Driving Change in Complex Social Systems: How to Design Healthcare Pathways

Is Anybody Listening? A Citation Analysis of Healthcare Design Research Articles Published in Design Journals

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