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THE PERSPECTIVES OF CLINICIANS ON ENRICHING PATIENT EXPERIENCES IN A CLINICAL CONTEXT: A QUALITATIVE STUDY

Published online by Cambridge University Press:  27 July 2021

Edward Abela ,
Philip Farrugia ,
Maria Victoria Gauci ,
Emanuel Balzan ,
Pierre Vella  and
Glenn Cassar
Edward Abela*
Affiliation:
University of Malta
Philip Farrugia
Affiliation:
University of Malta
Maria Victoria Gauci
Affiliation:
University of Malta
Emanuel Balzan
Affiliation:
University of Malta
Pierre Vella
Affiliation:
University of Malta
Glenn Cassar
Affiliation:
University of Malta
*
Abela, Edward, University of Malta Department of Industrial & Manufacturing Engineering Malta, edward.abela@um.edu.mt

Abstract

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Understanding the viewpoint of clinicians in a healthcare setting is a vital task to comprehend the success of patients undergoing physical rehabilitation. Addressing user experience is an essential activity which designers undertake when formulating product specifications at the early stages of product design. The involvement of clinicians during the product use-phase influences the progress and achievements attained by the patients throughout their rehabilitation journey. Several clinicians (n=16) were asked to participate in a qualitative study to evaluate the performance of different personae in activities of daily living. The experiences of patients who use rehabilitation products as part of their therapy session at the clinic were evaluated. Based on this evaluation, a set of clinician requirements were formulated to reflect the overall experience when using rehabilitation products. Understanding these requirements brought about several implications to be considered during the design cycle. Through these considerations and by adopting a user-centred design approach, designers are in a better position to design innovative products targeted at providing a high-quality user experience which increases customer satisfaction.

Keywords

User centred designRequirementsExperience designRehabilitation
Type
Article
Information
Proceedings of the Design Society , Volume 1: ICED21 , August 2021 , pp. 3061 - 3070
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
The Author(s), 2021. Published by Cambridge University Press

References

Allsop, M. J., Holt, R. J., Levesley, M. C. and Bhakta, B. (2010), “The engagement of children with disabilities in health-related technology design processes: Identifying methodology”, Disability and Rehabilitation: Assistive Technology, Vol 5, No. 1, pp. 1–13, https://doi.org/10.3109/17483100903323267Google ScholarPubMed
Bate, P. and Robert, G. (2006), “Experience Based Design: From Redesigning the System around the Patient to Codesigning Services with the Patient”, Quality and Safety in Health Care, Vol. 15 No. 5, pp. 307–310, https://doi.org/10.1136/qshc.2005.016527CrossRefGoogle Scholar
Bertoni, M., Bertoni, A. and Murat Hakki, E. (2019), “Value Driven Design Revisited: Emerging Modelling Concepts and Applications”, Proceedings of The Design Society: International Conference on Engineering Design, Vol. 1, No. 1, pp. 2407–2416, https://doi.org/10.1017/ dsi.2019.247Google Scholar
Bitkina, O. V., Kim, H. K. and Park, J. (2020), “Usability and user experience of medical devices: An overview of the current state, analysis methodologies, and future challenges”, International Journal of Industrial Ergonomics, Vol. 76, https://doi.org/10.1016/j.ergon.2020.102932CrossRefGoogle Scholar
Brade, J., Lorenz, M., Busch, M., Hammer, N., Tscheligi, M. and Klimant, P. (2017). “Being there again - Presence in real and virtual environments and its relation to usability and user experience using a mobile navigation task”, International Journal of Human-Computer Studies, Vol. 101, pp. 76–87, https://doi.org/10.1016/j.ijhcs.2017.01.004CrossRefGoogle Scholar
Braga, A., Toledo, J., & González, M. (2020), “Systematized methods for the development of Product-Service Systems: a systematic literature review”, Product Management & Development, Vol. 18, No., pp. 3–18, https://doi.org/10.4322/pmd.2019.017CrossRefGoogle Scholar
Braun, T., Rieckmann, A., Weber, F. and Gruneber, C. (2018), “Current use of measurement instruments by physiotherapists working in Germany: a cross-sectional online survey”, BMC Health Services Research, Vol. 18, No. 810, https://doi.org/10.1186/s12913-018-3563-2CrossRefGoogle ScholarPubMed
Braun, V. and Clarke, V., (2006). “Using thematic analysis in psychology”, Qualitative Research in Psychology, Vol. 3, pp. 77–101, https://doi.org/10.1191/1478088706qp063oa.CrossRefGoogle Scholar
Ram, Bridgelal, Grocott, M., and Weir, P. R., M, H. C.. (2008), “Issues and challenges of involving users in medical device development”, Health Expectations: An International Journal of Public Participation in Health Care and Health Policy, Vol. 11, No. 1, pp. 63–71. https://doi.org/10.1111/j.1369-7625.2007.00464.xGoogle Scholar
Chitturi, Ravindra (2009). “Emotions by design: A consumer perspective”, International Journal of Design, Vol. 3, No. 2, pp. 7–17Google Scholar
Cortés-Pérez, I., Nieto-Escamez, F. A. and Obrero-Gaitán, E. (2020). “Immersive Virtual Reality in Stroke Patients as a New Approach for Reducing Postural Disabilities and Falls Risk: A Case Series”, Brain sciences, Vol. 10, No. 5, pp. 296, https://doi.org/10.3390/brainsci10050296CrossRefGoogle ScholarPubMed
Edwards, A., and Elwyn, G., (2009), “Shared Decision-Making in Health Care: Achieving Evidence-Based Patient Choice”, Oxford University Press, New York, NY, USA.Google Scholar
Ericson, A., Larsson, A., Larsson, T. and Larsson, M. (2007). “Need Driven Product Development In Teambased Projects”, International Conference on Engineering Design, Luleå University of Technology, SwedenGoogle Scholar
Fertleman, C., Aubugeau-Williams, P., Sher, C., Lim, A. N., Lumley, S., Delacroix, S. and Pan, X. (2018), “A Discussion of Virtual Reality as a New Tool for Training Healthcare Professionals”, Frontiers in Health, Vol. 6, https://doi.org/10.3389/fpubh.2018.00044Google ScholarPubMed
Gunatillaka, K. A. N. (2009), “Cerebral palsy – Understanding the disabilities and planning intervention”, Sri Lanka Journal of Child Health, Vol. 33, pp. 46–51, https://doi.org/10.4038/ sljch.v33i2.652CrossRefGoogle Scholar
Hamzah, A. and Wahid, F. (2016), Participatory Design in the Development of Healthcare Systems: A Literature Review, Proceedings of the 2nd International Conference on Communication and Information Processing, https://doi.org/10.1145/3018009.3018010CrossRefGoogle Scholar
Heritage, J., and Maynard, D. W. (2006), “Communication in Medical Care: Interaction between Primary Care Physicians and Patients”, Cambridge University Press, Cambridge, UK10.1017/CBO9780511607172CrossRefGoogle Scholar
Organization, International for Standardization, (2019), “Ergonomics of human-system interaction - Part 210: Human-centred design for interactive systems”, ISO 9241-210:2019, ISO, Geneva.Google Scholar
Isaksson, O., Kossmann, M., Bertoni, M., Eres, H., Monceaux, A. and Bertoni, A., Wiseall, S. and Zhang, X. (2014), “Value-Driven Design - A methodology to Link Expectations to Technical Requirements in the Extended Enterprise”, International Council on Systems Engineering International Symposium, Vol. 23, No. 1, pp. 803–819, https://doi.org/10.1002/j.2334-5837.2013.tb03055.xGoogle Scholar
Krueger, A. E., Pollmann, K., Fronemann, N. and Foucault, B., (2020), “Guided User Research Methods for Experience Design – A New Approach to Focus Groups and Cultural Probes”, Multimodal Technologies and Interaction, Vol. 4, No. 3, pp. 43–65, https://doi.org/10.3390/mti4030043.CrossRefGoogle Scholar
Maclean, N and Pound, P. (2000). “A critical review of the concept of patient motivation in the literature on physical rehabilitation”, Social Science and Medicine, Vol. 50, No. 4, pp. 495–506, https://doi.org/10.1016/s0277-9536(99)00334-2Google ScholarPubMed
Morera-Balaguer, J., Botella-Rico, J. M., Martínez-Gonzáles, C., Medina-Mirapeix, F. and Rodriguez-Nogueira, Ó. (2018), “Physical Therapists’ Perceptions and Experiences about Barriers and Facilitators of Therapeutic Patient-Centred Relationships during Outpatient Rehabilitation: A Qualitative Study.” Brazilian Journal of Physical Therapy, Vol. 22, No. 6, pp. 484–492, https://doi.org/10.1016/j.bjpt.2018.04.003CrossRefGoogle ScholarPubMed
O'Keeffe, M., Cullinane, P., Hurley, J., Leahy, I., Bunzli, S., O'Sullivan, P. B., O'Sullivan, K. (2016), “What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis”, Physical Therapy, Vol. 96, No. 5, pp. 609–622, https://doi.org/10.2522/ptj.20150240CrossRefGoogle ScholarPubMed
Panarotto, M., Wall, J., Bertoni, M., Larsson, T. and Jonsson, P. (2017), “Value-driven simulation: Thinking together through simulation in early engineering design”, 21st International Conference on Engineering Design (ICED), Vancouver, The Design SocietyGoogle Scholar
Peiris, C. L., Taylor, N. F. and Shields, N. (2012), “Patients Value Patient-Therapist Interactions More than the Amount or Content of Therapy during Inpatient Rehabilitation: A Qualitative Study.” Journal of Physiotherapy, Vol. 58, No. 4, pp. 261–268, https://doi.org/10.1016/s1836-9553(12)70128-5CrossRefGoogle ScholarPubMed
Perera, G. and Ranasinghe, W. (2018), “Design Approach to Rehabilitation: Developing Therapy Assistive Products for Children with Hemiplegic Cerebral Palsy”, International Journal of Architectural Research, Vol. 12 No. 2, pp. 307–318, https://doi.org/10.26687/archnet-ijar.v12i2.1528Google Scholar
Pinto, R. Z., Ferreira, M., Oliveira, V., Franco, M., Adams, R., Maher, C. and Ferreira, P. (2012). “Patient-centred communication is associated with positive therapeutic alliance: A systematic review ”, Journal of physiotherapy, Vol. 58. pp.77–87, https://doi.org/10.1016/S1836-9553(12)70087-5CrossRefGoogle ScholarPubMed
Scherer, M. and Cushman, L. (2001), “Measuring subjective quality of life following spinal cord injury: A validation study of the assistive technology device predisposition assessment”, American Journal of Physical Medicine Rehabilitation, Vol. 23, pp. 387–393Google ScholarPubMed
Tsai, C. F., Yeh, S. C., Huang, Y., Wu, Z., Cui, J. and Zheng, L. (2018), “The Effect of Augmented Reality and Virtual Reality on Inducing Anxiety for Exposure Therapy: A Comparison Using Heart Rate Variability.” Journal of Healthcare Engineering, Vol. 2018., https://doi.org/10.1155/2018/6357351CrossRefGoogle ScholarPubMed
Tychsen, L. and Thio, L. (2020). “Concern of Photosensitive Seizures Evoked by 3D Video Displays or Virtual Reality Headsets in Children: Current Perspective”, Vol. 12, pp. 45–48, https://doi.org/10.2147/EB.S233195Google ScholarPubMed
Visch, V., Wit, M., Dinh, L., Brule, D., Melles, M. and Sonneveld, M. (2011). “Industrial Design meets mental healthcare: Designing products involving game-elements for mental healthcare therapy - Three case studies”, 2011 IEEE 1st International Conference on Serious Games and Applications for Health, https://doi.org/10.1109/SeGAH.2011.6165457Google Scholar
Wilkinson, C. (2016), “User Centred Design Method for the Design of Assistive Switch Devices to Improve User Experience, Accessibility and Independence”, International Journal of Usability Studies, Vol. 11, pp. 66–82.Google Scholar
Zanini, C., Sarzi-Puttini, P., Atzeni, F., Di Franco, M., and Rubinelli, S. (2014), “Doctors’ Insights into the Patient Perspective: A Qualitative Study in the Field of Chronic Pain”, BioMed Research International, Vol. 2014, pp. 1–6, https://doi.org/10.1155/2014/514230CrossRefGoogle ScholarPubMed
Zurowski, M., McDonald, M. W., Fox, S. and Marsh, L. (2013), “Psychiatric Comorbidities in Dystonia: Psychiatric Comorbidities in Dystonia: Emerging Concepts Concepts” Movement Disorders, Vol. 28, No. 7, pp. 914–920, https://doi.org/10.1002/mds.25501CrossRefGoogle ScholarPubMed