Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya
Abstract Background Non-communicable disease (NCD) care in Sub-Saharan Africa is challenging due to barriers including poverty and insufficient health system resources. Local culture and context can impact the success of interventions and should be integrated early in intervention design. Human-cent...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-020-05199-1 |
| _version_ | 1818490789673566208 |
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| author | Claudia L. Leung Mackenzie Naert Benjamin Andama Rae Dong David Edelman Carol Horowitz Peninah Kiptoo Simon Manyara Winnie Matelong Esther Matini Violet Naanyu Sarah Nyariki Sonak Pastakia Thomas Valente Valentin Fuster Gerald S. Bloomfield Jemima Kamano Rajesh Vedanthan |
| author_facet | Claudia L. Leung Mackenzie Naert Benjamin Andama Rae Dong David Edelman Carol Horowitz Peninah Kiptoo Simon Manyara Winnie Matelong Esther Matini Violet Naanyu Sarah Nyariki Sonak Pastakia Thomas Valente Valentin Fuster Gerald S. Bloomfield Jemima Kamano Rajesh Vedanthan |
| author_sort | Claudia L. Leung |
| collection | DOAJ |
| description | Abstract Background Non-communicable disease (NCD) care in Sub-Saharan Africa is challenging due to barriers including poverty and insufficient health system resources. Local culture and context can impact the success of interventions and should be integrated early in intervention design. Human-centered design (HCD) is a methodology that can be used to engage stakeholders in intervention design and evaluation to tailor-make interventions to meet their specific needs. Methods We created a Design Team of health professionals, patients, microfinance officers, community health workers, and village leaders. Over 6 weeks, the Design Team utilized a four-step approach of synthesis, idea generation, prototyping, and creation to develop an integrated microfinance-group medical visit model for NCD. We tested the intervention with a 6-month pilot and conducted a feasibility evaluation using focus group discussions with pilot participants and community members. Results Using human-centered design methodology, we designed a model for NCD delivery that consisted of microfinance coupled with monthly group medical visits led by a community health educator and a rural clinician. Benefits of the intervention included medication availability, financial resources, peer support, and reduced caregiver burden. Critical concerns elicited through iterative feedback informed subsequent modifications that resulted in an intervention model tailored to the local context. Conclusions Contextualized interventions are important in settings with multiple barriers to care. We demonstrate the use of HCD to guide the development and evaluation of an innovative care delivery model for NCDs in rural Kenya. HCD can be used as a framework to engage local stakeholders to optimize intervention design and implementation. This approach can facilitate the development of contextually relevant interventions in other low-resource settings. Trial registration Clinicaltrials.gov, NCT02501746 , registration date: July 17, 2015. |
| first_indexed | 2024-12-10T17:21:52Z |
| format | Article |
| id | doaj.art-c59e2838c5fe4904b9a9bcf11f43a359 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-10T17:21:52Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-c59e2838c5fe4904b9a9bcf11f43a3592022-12-22T01:39:58ZengBMCBMC Health Services Research1472-69632020-05-0120111310.1186/s12913-020-05199-1Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western KenyaClaudia L. Leung0Mackenzie Naert1Benjamin Andama2Rae Dong3David Edelman4Carol Horowitz5Peninah Kiptoo6Simon Manyara7Winnie Matelong8Esther Matini9Violet Naanyu10Sarah Nyariki11Sonak Pastakia12Thomas Valente13Valentin Fuster14Gerald S. Bloomfield15Jemima Kamano16Rajesh Vedanthan17Duke University Medical CenterIcahn School of Medicine at Mount SinaiAcademic Model Providing Access to Healthcare (AMPATH)Icahn School of Medicine at Mount SinaiDivision of General Internal Medicine, Duke University School of MedicineIcahn School of Medicine at Mount SinaiAcademic Model Providing Access to Healthcare (AMPATH)Academic Model Providing Access to Healthcare (AMPATH)Academic Model Providing Access to Healthcare (AMPATH)Academic Model Providing Access to Healthcare (AMPATH)Department of Behavioral Sciences, School of Medicine, College of Health Science, Moi University College of Health SciencesAcademic Model Providing Access to Healthcare (AMPATH)Purdue University, Purdue University College of Pharmacy, Purdue-Kenya PartnershipDepartment of Preventive Medicine, Keck School of Medicine, University of Southern CaliforniaIcahn School of Medicine at Mount SinaiIcahn School of Medicine at Mount SinaiDepartment of Behavioral Sciences, School of Medicine, College of Health Science, Moi University College of Health SciencesNew York University Grossman School of MedicineAbstract Background Non-communicable disease (NCD) care in Sub-Saharan Africa is challenging due to barriers including poverty and insufficient health system resources. Local culture and context can impact the success of interventions and should be integrated early in intervention design. Human-centered design (HCD) is a methodology that can be used to engage stakeholders in intervention design and evaluation to tailor-make interventions to meet their specific needs. Methods We created a Design Team of health professionals, patients, microfinance officers, community health workers, and village leaders. Over 6 weeks, the Design Team utilized a four-step approach of synthesis, idea generation, prototyping, and creation to develop an integrated microfinance-group medical visit model for NCD. We tested the intervention with a 6-month pilot and conducted a feasibility evaluation using focus group discussions with pilot participants and community members. Results Using human-centered design methodology, we designed a model for NCD delivery that consisted of microfinance coupled with monthly group medical visits led by a community health educator and a rural clinician. Benefits of the intervention included medication availability, financial resources, peer support, and reduced caregiver burden. Critical concerns elicited through iterative feedback informed subsequent modifications that resulted in an intervention model tailored to the local context. Conclusions Contextualized interventions are important in settings with multiple barriers to care. We demonstrate the use of HCD to guide the development and evaluation of an innovative care delivery model for NCDs in rural Kenya. HCD can be used as a framework to engage local stakeholders to optimize intervention design and implementation. This approach can facilitate the development of contextually relevant interventions in other low-resource settings. Trial registration Clinicaltrials.gov, NCT02501746 , registration date: July 17, 2015.http://link.springer.com/article/10.1186/s12913-020-05199-1Non-communicable diseasesKenyaHuman-centered designDelivery of healthcareProblem-solvingMicrofinance |
| spellingShingle | Claudia L. Leung Mackenzie Naert Benjamin Andama Rae Dong David Edelman Carol Horowitz Peninah Kiptoo Simon Manyara Winnie Matelong Esther Matini Violet Naanyu Sarah Nyariki Sonak Pastakia Thomas Valente Valentin Fuster Gerald S. Bloomfield Jemima Kamano Rajesh Vedanthan Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya BMC Health Services Research Non-communicable diseases Kenya Human-centered design Delivery of healthcare Problem-solving Microfinance |
| title | Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya |
| title_full | Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya |
| title_fullStr | Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya |
| title_full_unstemmed | Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya |
| title_short | Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya |
| title_sort | human centered design as a guide to intervention planning for non communicable diseases the bigpic study from western kenya |
| topic | Non-communicable diseases Kenya Human-centered design Delivery of healthcare Problem-solving Microfinance |
| url | http://link.springer.com/article/10.1186/s12913-020-05199-1 |
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