independence Dr Louise Moody Reader in User-Centred Health Design - PowerPoint PPT Presentation

CEPAD centre of excellence in product and automotive design User-centred design supports independence Dr Louise Moody Reader in User-Centred Health Design & Director, Centre of Excellence in Product & Automotive Design, Coventry University UK. User-Centred Design Expert, D4D & HDTI Monday 4 th March

Department of Industrial Design Undergraduate courses Postgraduate courses MDes/ BA (Hons) MA Automotive Design Automotive and Transport Design MA Vehicle Interiors Product Design MSc Design Transport Interior Design MSc Industrial Product Design Michael Goatman In 2005 Coventry University was recognised as an international Centre of Excellence in Product and Automotive Design (CEPAD) wwwm.coventry.ac.uk/csad/industrialdesign

Health Design & Technology Institute • Cross-faculty institute promoting the self management of health, well being and independent living in a community setting • Improving products and services in the community healthcare and wellbeing sector • Focusing on people with long term conditions, disabled people and the ageing population • Helping people maintain an active economic and social life www.hdti.org.uk

HDTI Activity • Design expertise and engagement with end Commercial consultancy users, evaluating the effectiveness of interventions • Conferences, meetings, seminars, workshops Professional development for practitioners, academics, small businesses and training and service users • In collaboration with Faculties and external Applied research projects regional, national and international partners • Health and social care, design, management, Undergraduate and postgraduate courses engineering

Devices 4 Dignity “To deliver innovative technology solutions to support patients with long term conditions, which preserve their dignity and independence” • D4D is a national resource working with patients, industry, academia and clinicians to find out what people really need, then bringing together national teams of experts to design and NHS develop solutions and deliver • Based in the NHS to identify areas of high need and prioritise – Care professionals/ Academia/ Patients/Carers/Charities/Industry Users • Encourage innovation by funding proof of principle projects, thus de-risking the concept for follow-on R&D funding Academia Industry • Deliver technology back into the NHS service • Provide an opportunity for active stakeholder engagement and collaboration www.devicesfordignity.org.uk

National Network • It has established a national network – to create the right project team for co- development • A core team in Sheffield Teaching Hospitals coordinating input from partners: – 7 NHS Trusts – 3 Universities – 2 formal charity partners – National Innovation Bodies

D4D Focus Urinary Continence Management • 2nd most common reason for need for institutional care Renal Technologies • 0.05% of population but 2% of NHS budget Assistive and Rehabilitative Technologies • 11 million people in the UK with disabilities

Some Definitions… Ergonomics / Human Factors – “is concerned with the application of what we know about people, their abilities, characteristics, and limitations to the design of equipment they use, environments in which they function, and jobs they perform” (www.hfes.org) User-Centred Design - A design philosophy and approach that places users at the centre of the design process from the stages of planning and designing the system requirements to implementing and testing the product. Co-design - Designers and people not trained in design, working together during the design / development process

The User-Centred Design Process When the user becomes the co-designer Research Identify Create Test Produce Prototype / involve Design the user goals the user Collect data: Ideas, Continue to Evaluate designs Identify interviews, Primary user Concepts, evaluate the questionnaires usability and mocks ups product with how it can be focus groups, user measured observations, feedback Have the user video test the object in Users should the environment Secondary test that the product Effectiveness, user throughout the Evaluate users, will be used and efficiency, design environment, document safety, utility, process behaviour & learnability, experience memorability Give the user Tertiary user minimum Be sure that instructions on instructions Understand how to use the Design criteria can be what qualities product intuitively are important understood to the user Evaluate user satisfaction Wilcox, Hur & Miller

UCD Projects • Surgical training systems (virtual reality) • Processes for increased safe behaviours and crisis management • Design of patient information for a UK screening programme • Online support for carers • Online support for young adults surviving cancer • Decision support tools for healthcare professionals • Incident reporting tool for adverse incidents within the NHS • Incontinence

Levels of Co-Design Design decision- Late involvement making is largely made by designers User Tester Informant Design partner Users’ full participation Early involvement is utilised throughout the design process

Level of co- Methods Benefits Risks design • Observation of • Builds empathy • Passive & limited input User: tests a • Easy to implement • Cost of late changes final concept testing • Video • Quick • Frustrated users to see how it • Preference surveys • No issues of retention works • Workshops • Few skills required from • Cost of late changes Tester: testing • Lab testing • If time is short, changes may of prototypes the user • Observation • Rapid results once initial not be made • Can improve usability • Designers may not like the design work complete feedback • Observation with • User impact from the • Requires more time and Informant: plays a part in existing technology start money • Feedback on • Schedules and location • Designers determine the design process at sketches, concepts, can be flexible involvement • Greater impact on • Flexible & frequent various stages paper prototypes • Interviews, focus determined by usability and involvement can be hard to the designer groups, surveys acceptability arrange • All of the above and • Richness of skills, • Slower and more costly in Design partner: tools specific to the experience etc development time • Empowers the user • Challenges of power, decision throughout the group • Most significant impact whole design making, communication & process on acceptability and collaboration • Logistics usability

Involving Users from the Outset The biggest impact of involving users is early in the development process, Impact due to the ability to make on changes at minimal cost design Early development Prototype Production Time

Usability Testing

Legbag Design “I have to shake off like a bloke.” “I’m sure its my “I’ve stopped wearing own bloody trousers, it does bulge fault.” under trousers.” “Without it, life would “I couldn’t imagine be impossible” being in a relationship with a leg bag and showing it to someone”. • Reduce the likelihood of accidental opening • Reduce the likelihood of leaving the tap open • Eliminate dripping of urine once the tap is closed • Ensure ease of opening and closing (low force, one handed) • Provide clear indication that the tap is fully closed • Maximise comfort against the skill

Legbag Design

Legbag Design • Early testing has enabled users to assess the tap function and appearance and make comparison with existing products • A Urology expert group meeting - 30 healthcare professionals and expert users • A community focus group with continence nurse • Interviews with patients and a carer / spouse • Tap 3 has most potential • Dissemination

Catheter Design • Mediplus presented a new catheter design (indwelling urethral) that they believed would be more resistance to encrustation and blockage • Aim: to identify usability issues associated with insertion and removal to inform the final prototype taken forward to manufacture and future clinical evaluation • Iterative design: 3 phases of usability evaluation and development

Testing • 16 urology staff handled the prototypes in a simulated environment (a male Limbs & Things Catheterisation Trainer) during walkthroughs and interviews • Focus on – The compromise in material stiffness for patient comfort and retention in the bladder – A large lumen to prevent blockage (20% larger) – Transparency of deployment mechanism – Design of the locking mechanism to reduce infection likelihood and improve comfort – Ease of adjusting position once inserted – Reliance on training / instruction