1887
Volume 24, Issue 2
  • ISSN 0142-5471
  • E-ISSN: 1569-979X
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Abstract

Abstract

People living with obesity suffer from multiple health issues, including diabetes and mental health problems. Misinformation about the complex nature of this condition greatly affects the way one manages obesity. This results in unrealistic expectations by both healthcare providers and patients. Effective obesity management must be individually tailored for each patient. The objective of this project was to improve four communication tools by co-designing them with patients. A co-design approach was used to improve the efficacy and applicability of the tools through a working collaboration between patients, care providers, and researchers. While most articles describe processes to create shared-decision making (SDM) tools which compare alternative diagnosis and treatment options, few papers describe models to create SDM tools which go beyond showing benefits and risks. In this paper, we describe our process and approach to the re-design of four of the 5As obesity tools. We hope this study provides a valuable model for other teams.

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2019-04-18
2019-10-21
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References

  1. Barthes, R.
    (1977) Image-music-text. New York, NY: Hill and Wang.
    [Google Scholar]
  2. Beyer, H. & Holtzblatt, K.
    (1997) Contextual design: Defining customer-centered systems. San Diego, CA: Elsevier.
    [Google Scholar]
  3. Boehmer, K. R., Hargraves, I. G., Allen, S. V., Matthews, M. R., Maher, C., & Montori, V. M.
    (2016) Meaningful conversations in living with and treating chronic conditions: Development of the ICAN discussion aid. BMC health services research, 16(1), 514. 10.1186/s12913‑016‑1742‑6
    https://doi.org/10.1186/s12913-016-1742-6 [Google Scholar]
  4. Breslin, M., Mullan, J., & Montori, V.
    (2008) The design of a decision aid about diabetes medications for use during the consultation with patients with type 2 diabetes. Patient education and counseling, 73(3), 465–472. 10.1016/j.pec.2008.07.024
    https://doi.org/10.1016/j.pec.2008.07.024 [Google Scholar]
  5. Burke, T. J. & Segrin, C.
    (2017) Weight-related social control in couples: Associations with motives, constraints, and health behaviors. Communication Research, 44(3), 348–366. 10.1177/0093650215590606
    https://doi.org/10.1177/0093650215590606 [Google Scholar]
  6. Card, S. K., Mackinlay, J. D., & Shneiderman, B.
    (1999) Information visualization: Using vision to think. San Francisco, CA: Morgan Kaufmann.
    [Google Scholar]
  7. Coulter, A., Kryworuchko, J. M. P., Ng, C. J., Stilwell, D., Weijden, T., Volk, R., & Llewellyn-Thomas, H.
    (2012) Using a systematic development process. Update of the International Patient Decision Aids Standards (IPDAS) collaboration’s background document. Retrieved fromipdas.ohri.ca/IPDAS-Chapter-A.pdf
    [Google Scholar]
  8. Coulter, A., Roberts, S., & Dixon, A.
    (2013a). Delivering better services for people with long-term conditions. Building the house of care. London: The King’s Fund, 1–28.
    [Google Scholar]
  9. Coulter, A., Stilwell, D., Kryworuchko, J., Mullen, P. D., Ng, C. J., & Weijden, T.
    (2013b) A systematic development process for patient decision aids. BMC medical informatics and decision making, 13(2), S2. 10.1186/1472‑6947‑13‑S2‑S2
    https://doi.org/10.1186/1472-6947-13-S2-S2 [Google Scholar]
  10. Coulter, A., Entwistle, V. A., Eccles, A., Ryan, S., Shepperd, S., & Perera, R.
    (2015) Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database of Systematic Reviews. Retrieved fromaura.abdn.ac.uk/bitstream/handle/2164/5609/CD010523.pdf?sequence=1
    [Google Scholar]
  11. Elwyn, G., Kreuwel, I., Durand, M. A., Sivell, S., Joseph-Williams, N., Evans, R., & Edwards, A.
    (2011) How to develop web-based decision support interventions for patients: A process map. Patient education and counseling, 82(2), 260–265. 10.1016/j.pec.2010.04.034
    https://doi.org/10.1016/j.pec.2010.04.034 [Google Scholar]
  12. Elwyn, G., Quinlan, C., Mulley, A., Agoritsas, T., Vandvik, P. O., & Guyatt, G.
    (2015) Trustworthy guidelines – excellent; customized care tools – even better. BMC medicine, 13(1), 199. 10.1186/s12916‑015‑0436‑y
    https://doi.org/10.1186/s12916-015-0436-y [Google Scholar]
  13. Erwin, K., Norell, S., Martin, M. A., Paik, S. M., Press, V. G., Thompson, T. M., & Krishnan, J. A.
    (2018) Applying design methods to care delivery science. Information Design Journal, 23(3), 248–267. 10.1075/idj.23.3.01erw
    https://doi.org/10.1075/idj.23.3.01erw [Google Scholar]
  14. Frascara, J. & G. Noël
    (2010) Evaluation and design of a blood components transfusion request form. Information Design Journal, 18(3), 241–249. 10.1075/idj.18.3.06fra
    https://doi.org/10.1075/idj.18.3.06fra [Google Scholar]
  15. (2017) Iterative designing as a road to collective intelligence. InDesign as collective intelligence. Champaign, IL: Common Ground.
    [Google Scholar]
  16. Frascara, J.
    (2017) Design, and design education: How can they get together?Art, Design & Communication in Higher Education, 16(1), 125–131. 10.1386/adch.16.1.125_1
    https://doi.org/10.1386/adch.16.1.125_1 [Google Scholar]
  17. Hargraves, I., LeBlanc, A., Shah, N. D., & Montori, V. M.
    (2016) Shared decision making: The need for patient-clinician conversation, not just information. Health affairs, 35(4), 627–629. 10.1377/hlthaff.2015.1354
    https://doi.org/10.1377/hlthaff.2015.1354 [Google Scholar]
  18. Hargraves, I.
    (2018) Care and capacities of human-centered design. Design Issues, 34(3), 76–88. 10.1162/desi_a_00498
    https://doi.org/10.1162/desi_a_00498 [Google Scholar]
  19. Kushner, R. F.
    (2012) Clinical assessment and management of adult obesity. Circulation, 126(24), 2870–2877. 10.1161/CIRCULATIONAHA.111.075424
    https://doi.org/10.1161/CIRCULATIONAHA.111.075424 [Google Scholar]
  20. Loeb, D. F., Binswanger, I. A., Candrian, C., & Bayliss, E. A.
    (2015) Primary care physician insights into a typology of the complex patient in primary care. The Annals of Family Medicine, 13(5), 451–455. doi:  10.1370/afm.1840
    https://doi.org/10.1370/afm.1840 [Google Scholar]
  21. Loeffler, E., Power, G., Bovaird, T., & Hine-Hughes, F.
    (2013) Co-production of health and wellbeing in Scotland. Governance International, Edinburgh.
    [Google Scholar]
  22. Luig, T., Elwyn, G., Anderson, R., & Campbell-Scherer, D.
    (2018a) Facing obesity: Adapting the collaborative deliberation model to deal with a complex long-term problem. Patient education and counseling. Advance online publication. doi:  10.1016/j.pec.2018.09.021
    https://doi.org/10.1016/j.pec.2018.09.021 [Google Scholar]
  23. Luig, T., Anderson, R., Sharma, A. M., & Campbell-Scherer, D.
    (2018b) Personalizing obesity assessment and care planning in primary care: Patient experience and outcomes in everyday life and health. Clinical obesity, 8(6), 411–423. 10.1111/cob.12283
    https://doi.org/10.1111/cob.12283 [Google Scholar]
  24. Mayer, R. E.
    (1989) Models for understanding. Review of Educational Research, 59(1), 43–64. 10.3102/00346543059001043
    https://doi.org/10.3102/00346543059001043 [Google Scholar]
  25. Morin, E.
    (1992) Il metodo: Ordine, disordine, organizzazione. Milano: Feltrinelli.
    [Google Scholar]
  26. Noël, G.
    (2017) Health Design: Mapping current situations, envisioning next steps. The Design Journal, 20(sup1), S2304–S2314. 10.1080/14606925.2017.1352746
    https://doi.org/10.1080/14606925.2017.1352746 [Google Scholar]
  27. (2018) On the design of shared-decision making tools: An interview with Maggie Breslin & Ian Hargraves. Information Design Journal, 23(3), 360–368. 10.1075/idj.23.3.08noe
    https://doi.org/10.1075/idj.23.3.08noe [Google Scholar]
  28. Nowotny, H., Scott, P., & Gibbons, M.
    (2001) Re-thinking science: Knowledge and the public in an age of uncertainty. Cambridge, UK: Polity Press.
    [Google Scholar]
  29. Osunlana, A. M., Asselin, J., Anderson, R., Ogunleye, A. A., Cave, A., Sharma, A. M., & Campbell-Scherer, D. L.
    (2015) 5As Team obesity intervention in primary care: Development and evaluation of shared decision-making weight management tools. Clinical obesity, 5(4), 219–225. 10.1111/cob.12105
    https://doi.org/10.1111/cob.12105 [Google Scholar]
  30. Peek, C. J., Baird, M. A., & Coleman, E.
    (2009) Primary care for patient complexity, not only disease. Families, Systems, & Health, 27(4), 287–302. doi:  10.1037/a0018048
    https://doi.org/10.1037/a0018048 [Google Scholar]
  31. Service, O. & Gallagher, R.
    (2017) Think small. London: Michael O’Mara Books.
    [Google Scholar]
  32. Sharma, A. M.
    (2010) M, M, M & M: A mnemonic for assessing obesity. Obesity Reviews, 11(11), 808–809. doi:  10.1111/j.1467‑789X.2010.00766.x
    https://doi.org/10.1111/j.1467-789X.2010.00766.x [Google Scholar]
  33. Sharma, A. M., & Padwal, R.
    (2010) Obesity is a sign – over-eating is a symptom. Obesity Reviews, 11(5), 362–270. doi: 10.1111/j.1467‑789X.2009.00689
    https://doi.org/10.1111/j.1467-789X.2009.00689 [Google Scholar]
  34. Simon, H.
    (1981) The science of the artificial. Cambridge, MA: MIT press.
    [Google Scholar]
  35. Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., … & Trevena, L.
    (2017) Decision aids for people facing health treatment or screening decisions. Cochrane database of systematic reviews, 4.
    [Google Scholar]
  36. Stiggelbout, A. M., Weijden, T., Wit, M. P. T. D., Frosch, D., Légaré, F., Montori, V. M., … & Elwyn, G.
    (2012) Shared decision making: Really putting patients at the centre of healthcare. British Medical Journal (BMJ), 344, e256. 10.1136/bmj.e256
    https://doi.org/10.1136/bmj.e256 [Google Scholar]
  37. Witteman, H. O., Dansokho, S. C., Colquhoun, H., Coulter, A., Dugas, M., Fagerlin, A., … & Witteman, W.
    (2015) User-centered design and the development of patient decision aids: Protocol for a systematic review. Systematic reviews, 4(11).
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): human-centred design , obesity , shared-decision making , tools and weight management conversations
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