Human-Centered Design Lessons for Implementation Science: Improving the Implementation of a Patient-Centered Care Intervention Article Swipe
Laura K. Beres
,
Sandra Simbeza
,
Charles B. Holmes
,
Chanda Mwamba
,
Njekwa Mukamba
,
Anjali Sharma
,
Virginia Munamunungu
,
Monica Mwachande
,
Kombatende Sikombe
,
Carolyn Bolton‐Moore
,
Aaloke Mody
,
Aybüke Koyuncu
,
Katerina Christopoulous
,
Lazarus Jere
,
Jake M. Pry
,
Peter Ehrenkranz
,
Ashwin Budden
,
Elvin Geng
,
Izukanji Sikazwe
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1097/qai.0000000000002216
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1097/qai.0000000000002216
Background: Evidence-based HIV interventions often fail to reach anticipated impact due to insufficient utilization in real-world health systems. Human-centered design (HCD) represents a novel approach in tailoring innovations to fit end-users, narrowing the gap between efficacious interventions and impact at scale. Methods: We combined a narrative literature review of HCD in HIV programs with our experience using HCD to redesign an intervention promoting patient-centered care (PCC) practices among health care workers (HCW) in Zambia. We summarize the use and results of HCD in the global HIV response and share case study insights to advance conceptualization of HCD applications. Results: The literature review identified 13 articles (representing 7 studies) on the use of HCD in HIV. All studies featured HCD hallmarks including empathy development, user-driven inquiry, ideation, and iterative refinement. HCD was applied to mHealth design, a management intervention and pre-exposure prophylaxis delivery. Our HCD application addressed a behavioral service delivery target: changing HCW patient-centered beliefs, attitudes, and practices. Through in-depth developer–user interaction, our HCD approach revealed specific HCW support for and resistance to PCC, suggesting intervention revisions to improve feasibility and acceptability and PCC considerations that could inform implementation in transferable settings. Conclusions: As both a research and implementation tool, HCD has potential to improve effective implementation of the HIV response, particularly for product development; new intervention introduction; and complex system interventions. Further research on HCD application strengths and limitations is needed. Those promoting PCC may improve implementation success by seeking out resonance and anticipating the challenges our HCD process identified.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1097/qai.0000000000002216
- OA Status
- hybrid
- Cited By
- 110
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2990521532
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2990521532Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/qai.0000000000002216Digital Object Identifier
- Title
-
Human-Centered Design Lessons for Implementation Science: Improving the Implementation of a Patient-Centered Care InterventionWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-11-25Full publication date if available
- Authors
-
Laura K. Beres, Sandra Simbeza, Charles B. Holmes, Chanda Mwamba, Njekwa Mukamba, Anjali Sharma, Virginia Munamunungu, Monica Mwachande, Kombatende Sikombe, Carolyn Bolton‐Moore, Aaloke Mody, Aybüke Koyuncu, Katerina Christopoulous, Lazarus Jere, Jake M. Pry, Peter Ehrenkranz, Ashwin Budden, Elvin Geng, Izukanji SikazweList of authors in order
- Landing page
-
https://doi.org/10.1097/qai.0000000000002216Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1097/qai.0000000000002216Direct OA link when available
- Concepts
-
Psychological intervention, mHealth, Conceptualization, Intervention (counseling), Behavior change, Health care, Medicine, User-centered design, Psychology, Computer science, Nursing, Social psychology, Economic growth, Human–computer interaction, Economics, Artificial intelligenceTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
110Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 20, 2024: 29, 2023: 23, 2022: 20, 2021: 11Per-year citation counts (last 5 years)
- References (count)
-
39Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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