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‘Joyful journeys’
Published in Ann Petermans, Rebecca Cain, Design for Wellbeing, 2019
Luke Harmer, Rebecca Cain, Artur Mausbach
The provocation video shows how the act of driving can be treasured, as well as creating empowerment for both the driver and the driven. When designing future mobility, in particular SWB in mobility, a cognisant effort is required to design for all of Hassenzahl’s (2013) six factors linked to wellbeing. Future vehicle autonomy, whilst making possible transport for those who are currently excluded, also risks creating new types of social exclusion. For example, a future of driverless pods may make a local bus service and the lift-giving car driver redundant – removing an important social aspect of a rural community. A joyful journey is facilitated by the vehicle and its design, not as might be the case for the autonomous vehicle, dictated by it. However, autonomy also creates a potential to increase social inclusion as well as creating opportunities for others to assist those who are less able to undertake these journeys. Autonomy creates opportunities to control our journeys more, and to choreograph the elements that make up the experience. Current travel creates limits to distractions, which may result in uncommunicated but wanted time away from usual day to day pressures. Whilst driving we may be limited (legally) to audio distraction, the potential for other distractions with autonomy however, becomes an almost limitless continuation of our other activities, risking further social ‘siloing’ or exclusion.
Triage and its application to NHS Direct and walk-in centres
Published in Harrison Jamie, Rob Innes, Tim van Zwanenberg, Sir Denis Pereira Gray, The New GP Changing roles and the modern NHS, 2018
Telephone triage using computer decision support systems (CDSS) was developed in the USA, and is currently being adopted all over the world as a tool for managing demand. The systems in use vary in their structure (the way they are intended to work) and performance (how successful they are). At the heart of the design of all of the systems is the ability to separate safely those patients who require the intervention of a health professional from those who do not.
Specific issues of communication curriculum design at different levels of medical education
Published in Suzanne Kurtz, Jonathan Silverman, Juliet Draper, Jan van Dalen, Frederic W Platt, Teaching and Learning Communication Skills in Medicine, 2017
Suzanne Kurtz, Jonathan Silverman, Juliet Draper, Jan van Dalen, Frederic W Platt
In Chapter 9, we offered strategies and principles to help address the issues common to the design of all communication curricula in medicine. In this chapter we explore the specific problems of designing communication curricula in each of the following separate arenas: early undergraduate years, clerkship, residency and continuing medical education.
Series: Practical guidance to qualitative research. Part 5: Co-creative qualitative approaches for emerging themes in primary care research: Experience-based co-design, user-centred design and community-based participatory research
Published in European Journal of General Practice, 2022
The goal of user-centred design, stemming from social and technological design sciences, is to develop eHealth technologies with very high usability. It is a method to assess, design and develop technological and organisational systems, which involves end-users in design and decision-making processes [32]. Its key features are rapid cycles of problem identification and solution creation, in-depth understanding of end-user characteristics, the influence of end-users on how a design takes shape, iterative evaluation during the entire development process, and accounting for the implementation conditions from the beginning [33]. Ideally, the user-centred design considers all potential stakeholders, for example, patients, family carers, professionals and staff, ICT designers, representatives of the health care system and researchers responsible for the content of the technology. However, the end-users are mostly patients, family carers, professionals and staff.
The “humane in the loop”: Inclusive research design and policy approaches to foster capacity building assistive technologies in the COVID-19 era
Published in Assistive Technology, 2022
John Bricout, Julienne Greer, Noelle Fields, Ling Xu, Priscila Tamplain, Kris Doelling, Bonita Sharma
Education, in the form of courses and materials that inform and raise awareness, provides a tool for greater inclusiveness (Whitney et al., 2011). Design for all, also called universal design, compliments accessibility efforts (Whitney et al., 2011), as does an “ethical by design” approach, bolstered by workshops actively engaging consumers and their caregivers in discussions to enhance design and implementation (Mulvenna et al., 2017). Our approach combines a universal design perspective, together with an emphasis on ethical design, while factoring in the COVID-19 socio-technical context of austerity, greater technology use, and human-robot/AI collaboration. This leads us to suggest expanded learning opportunities for users, families, and providers that include the development of online communities of practice.
Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives
Published in Disability and Rehabilitation, 2021
Lucas H. V. van der Woude, Han J. P. Houdijk, Thomas W. J. Janssen, Bregje Seves, Reslin Schelhaas, Corien Plaggenmarsch, Noor L. J. Mouton, Rienk Dekker, Helco van Keeken, Sonja de Groot, Riemer J. K. Vegter
Fear of falling, tipping, or simply not being able to negotiate the ramp by a lack of skill and/or mere power, that may greatly impact participation when we take the position of the individual wheelchair user as a starting point. Literature has dealt with that sufficiently, yet the reality is different and society and health care alike are changing, but potentially not always for the better. Despite the role of organizations for “user-centered design,” “universal design,” and “design for all”, built environment provides many challenges for wheelchair users (http://www.universaldesign.com/; http://designforall.org/). The issue of “wheelchairs and slopes or ramps” has been subject of scientific study and debate in a diversity of international wheelchair studies [46] (a quick scan on Pubmed using “wheelchair slope” as a search term, generates over 60 publications, addressing physiology, biomechanics, skill etc. of slope issues in wheelchair users). Clearly, we must keep in mind the complexity of the physical environment for wheelchair users in general and for those with limited abilities or skills (e.g., those with a (high) spinal lesion). In this context we would like to add the following other notions to the debate of mere power production during daily life: skill, self-efficacy, both critical in any rehabilitation case and obviously wheelchair quality and the role of power assist.