“Less is more”: A design thinking approach to the development of the agenda-setting conversation cards for people with type 2 diabetes

Feasibility and Acceptability of an Agenda-Setting Kit in the Care of People With Type 2 Diabetes: The QBSAFE ASK Feasibility Study

“…These tools have ranged from handouts outlining guideline recommendations ( 4 ) to interactive, Web-based resources ( 10 ). One study described the development of agenda-setting cards similar to the QBSAFE ASK to facilitate conversations between people with diabetes and clinicians ( 12 ). Most tools have demonstrated high levels of acceptability by both people with diabetes and clinicians ( 10–12 ).…”

“…Most tools have demonstrated high levels of acceptability by both people with diabetes and clinicians ( 10–12 ). Tools involving conversation cards have focused on themes similar to those in the QBSAFE ASK, such as treatment burden and quality of life ( 12 ). People with diabetes found conversation cards useful in describing their experience, although one study described a subset of individuals who thought the cards would benefit others but not themselves ( 12 ).…”

The Development of a Communication Tool to Aid Parent-Centered Communication between Parents and Healthcare Professionals: A Quality Improvement Project

“…Chloe's card adopted a design thinking approach to the development of the communication tool, the principle of which involves consideration of key challenges (emphasising and defining), with suggested solutions (ideation), proceeded by a process of testing, evaluation, and iteration [84]. Lomborg et al [85] describe the use of a design thinking approach to develop seven conversation cards as part of an intervention for individuals with type 2 diabetes. Nurses who completed annual diabetes status visits reported the use of the cards placed a greater emphasis on shared agenda setting, moving the focus away from a checklist to meet data collection requirements.…”

“…The preferred design was complete with bold graphic design favoured by stakeholders and is similar to the way in which Chloe's card was developed. Tools where a design thinking approach was used may be more engaging, and were suggested to change the focus of HCP contacts with patients from a data-focused task to one that is more personalised to the healthcare users, promoting patient-centered care [85]. However, although shared care and communication tools may improve health outcomes, reported studies were unable to address the challenges of defining and identifying appropriate outcome measures to determine efficacy of the tool's effect [37,85], limiting our understanding of how these tools may work to improve patient outcomes.…”

“…Tools where a design thinking approach was used may be more engaging, and were suggested to change the focus of HCP contacts with patients from a data-focused task to one that is more personalised to the healthcare users, promoting patient-centered care [85]. However, although shared care and communication tools may improve health outcomes, reported studies were unable to address the challenges of defining and identifying appropriate outcome measures to determine efficacy of the tool's effect [37,85], limiting our understanding of how these tools may work to improve patient outcomes. An example is the widespread use and adoption of "hospital passports" containing pertinent information relating to the health, communication, and support needs of individuals with intellectual/learning disabilities [86].…”