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The advent of complex socio-technical systems in modern society calls for teaching value-based participatory design in engineering curricula. Yet, no scientific literature supports teachers in this effort. This paper introduces a teaching approach called “value-based participatory design of complex socio-technical systems” and reports on its implementation. It emphasizes the importance of actively involving stakeholders and tapping into their values from the very start of the design process. Following this approach, students learn to (1) design with stakeholders, (2) identify key values and conflicts to create a value-based mission statement, (3) navigate uncertainties, (4) adopt an iterative design process, and (5) recognize that only stakeholders can define what works best. Results of an academic course based on this approach confirm its value and importance for engineering curricula.
Chronic pain and depression are common in older people, and creative activities may lower the perceived impact and distress related to the symptoms.
Aims
This study describes the co-development of a creative arts and crafts protocol for older people with chronic pain and depressive symptoms, and investigates its feasibility and potential effects.
Method
This study had two phases. In phase 1, a multidisciplinary expert panel (n = 10), consisting of professionals, patients and researchers, underwent iterative rounds to co-develop the protocol. In phase 2, a pilot study was conducted among 12 older adults (mean age 71.4 years). Mixed methods were used, including questionnaires at baseline, post-intervention and 3-month follow-up, assessing pain intensity and interference, depressive symptoms and quality of life; observational notes and focus groups. Descriptive and Wilcoxon signed-rank tests were applied to analyse quantitative data, and thematic analysis was used for qualitative data.
Results
Qualitative findings supported the programme’s feasibility. Participants reflected that the process was engaging and empowering and brought them a sense of achievement and recognition. The quantitative findings evidenced the programme’s potential effects in reducing depressive symptoms (Z = −2.60, P < 0.01) and improving mental health-related quality of life (Z = −2.67, P < 0.01) at 3-month follow-up.
Conclusions
Our results support the feasibility of a creative arts and crafts programme and provide preliminary evidence of its impact on reducing depressive symptoms and improving mental health-related quality of life. Given the promising results, a definitive trial is needed to reveal the effectiveness of creative activities in pain management.
To synthesize evidence on approaches used in the co-design of maternal and early childhood primary care interventions with structurally marginalized populations.
Background:
Involving end-users when developing health interventions can enhance outcomes. There is limited knowledge on how to effectively engage structurally marginalized populations (i.e., groups that are affected by structural inequities resulting in a disproportionate burden of social exclusion and poor health) when co-designing maternal child primary care interventions.
Methods:
A rapid scoping review was conducted by searching EMBASE and CINAHL for studies indexed between January 2010 and December 2024. Peer-reviewed studies describing co-designed health interventions or services tailored to structurally marginalized populations during prenatal, postpartum, or early childhood periods were included if they reported on one or multiple steps of a co-design process in community-based primary care practices in high-income countries.
Findings:
Of the 5970 records that were screened, nine studies met the inclusion criteria. The co-designed interventions included three eHealth tools, a health- and social-care hub, a mental health service, a health literacy program, an antenatal care uptake intervention, an inventory of parenting support strategies, and a fetal alcohol spectrum disorder prevention campaign. Women, mothers, fathers, and health- and social-service providers contributed to the co-design process by participating in workshops, focus groups, individual interviews, or surveys. They provided feedback on intervention prototypes, existing resources, and new intervention designs or practice models. Ethical and practical considerations related to the population and context (e.g., marginalization) were not consistently addressed.
Conclusion:
This synthesis on intervention co-design approaches with structurally marginalized populations can provide guidance for primary care organizations that are considering maternal child health intervention co-design with this clientele. Future work should include a critical reflection on the ethical and practical considerations for co-design with structurally marginalized populations in the context of maternal and early child care.
Edited by
Richard Pinder, Imperial College of Science, Technology and Medicine, London,Christopher-James Harvey, Imperial College of Science, Technology and Medicine, London,Ellen Fallows, British Society of Lifestyle Medicine
Mental health disorders are highly prevalent and costly in high-income countries, driven by multiple social, economic, environmental and lifestyle factors. Lifestyle Medicine strategies can prevent and treat mental health disorders by addressing their biopsychosocial determinants and enhancing positive psychology- focusing on preserving developing what works well, rather than the traditional medical model of fixing what has broken. A number of tools and techniques to assess and prescribe lifestyle interventions for mental wellbeing are available. Mental health is intimately connected with other aspects of Lifestyle Medicine, such as physical activity, relationships, and the natural environment. Applying the evidence base from Lifestyle Medicine offers possibilities to avoid over-prescribing and promote non-pharmacological and holistic approaches that empower individuals and communities.
Chapter 7 is focused on videos and animations. These methods are particularly suitable to work with adolescents and are also cost effective. Participatory videography can be a powerful tool to amplify the voices of adolescents to enable significant change in their lives. Specific ethical considerations are included as video may expose adolescent identity.
By involving stakeholders to identify issues, co-design facilitates the creation of solutions aligned with the community’s unique needs and values. However, genuine co-design with consumers across all stages of nutrition intervention research remains uncommon. The aim of this review was to examine notable examples of interventions to improve diets in rural settings that have been co-designed by rural communities. Six studies were identified reporting on community-based and digital interventions to improve diets in rural settings that have been co-designed by rural communities. The level of co-design used varied, with two interventions describing co-design workshops and focus groups over a period of between 6 and 11 months, and others not reporting details on the co-design process. Collectively, most interventions demonstrated positive impacts on dietary markers, including an increase in purchase of fruit and vegetable, an increase in percentage energy from nutrient dense foods and a decrease in intake of high fat meats. While these interventions show promise for improving diets in these under-served communities, it is widely recognised that there is a lack of dietary interventions genuinely co-designed with and for rural communities. Future research should build on these studies to co-design dietary interventions that integrate the benefits of both community-based and digital interventions.
The public health nutrition workforce is well placed to contribute to bold climate action; however, tertiary educators are seeking practical examples of how to adequately prepare our future workforce. This study examines the responses of university students engaged in a co-designed planetary health education workshop as part of their public health nutrition training.
Design:
A mixed-methods approach was used to collect and interpret student responses to four interactive tasks facilitated during an in-person workshop. Data were analysed using statistical tests, frequency counting and content analysis.
Setting:
The intervention was co-designed by students (n 5) and an educator over a 4-week period as part of a larger multi-disciplinary study at an Australian university.
Participants:
The workshop engaged nutrition and dietetics students (n 44) enrolled in public health nutrition coursework.
Results:
Students reported an increase in self-perceived knowledge about planetary health as a concept and how they can promote it within their future professional roles. Students’ descriptions of what planetary health means to them were focused on humans’ role in protecting and preserving the ecosystem, the responsible and sustainable use of natural resources and a need to sustain a healthy life for future generations. Students prioritised the values of ‘collaboration’ and ‘respect’ as being critical to guide personal and professional practice to promote planetary health.
Conclusions:
This study demonstrated that incorporating planetary health curricula designed by, and for, university students could be a feasible and effective way to prepare the future public health nutrition workforce to address planetary health challenges.
This chapter offers insights, stories, reflections, and practical examples of hope amid turbulent times. Given the constant need to reimagine our social-legal systems and teach new legal education strategies, we must codesign solutions with movement leaders and other advocates working to shift narratives and power structures in the legal system. As we seek to reimagine our world within the framework of health, equity, healing, human rights, and transformative justice, we must find new methods to develop students’ imaginations and build strategies to reimagine our social-legal systems in educational institutions. By codesigning solutions with movement leaders and other advocates, we can work to shift narratives and power structures in the legal system and beyond.
The purpose of this chapter is to highlight the centrality of children and young people in the learning process and identify educational approaches that emphasise the importance of ‘learner voice’. Opening avenues for consultation, participation and collaboration with learners in the design of curriculum, pedagogy and assessment can be significant in enhancing their engagement, achievement and wellbeing. That is, attention to the humanistic, agentic and cognitive attributes of learners, understanding their culture and lifeworlds, empowering learners to exercise agency and valuing their knowledge and skills contributes to the co-creation of meaningful learning experiences (Morrison et al., 2019; Price et al., 2020).
Based on 4 codesign cases and 15 designer interviews, this article presents how territorial design serves as a catalyst for shared values in community living. Examining user experience and design goals, it reveals how ethological and political values shape territories and the design process. Participants explore new work methodologies, redefine collective activities and navigate in tensions, power issues and political dimensions. The codesign space transforms political interactions, shifting from controversy to conception, offering a new experience and perspective on territorial discussions.
As design evolves, language serves as a bridge between envisioned futures and the ontological elements of design that shape them. This manuscript presents an alternative glossary that gathers words from diverse disciplines and practices intersected by a decolonial lens that challenges hegemonical narratives. The glossary of the world to come results from a three-day workshop that focused on language as a formal, normative, and subversive tool capable of defining future behaviour and destabilizing the present. The terms are some among the many that exist to form this decolonial world.
Innovation-driven firms must adopt an open design strategy for competitiveness. Co-design games are recommended to foster an open, equal, and collaborative culture. However, most studies focus on the West. East-Asian countries, notably China, face unique challenges due to cultural disparities and inertia. This paper explores design games in the Chinese context through a case study with traditional workshops, revealing participants' perspectives and the potential impact on cultural inertia.
Introducing a Minimum Viable Product in the market and rapidly testing it proves valuable in assessing its value and potential. This involves experiments, gauging growth, and striving to diminish uncertainty in iterative cycles. The application of these approaches in healthcare, however, faces obstacles due to unique challenges including patient safety concerns and regulatory compliances. This paper undertakes a narrative literature review covering experiences of healthcare professionals and presents guiding considerations for medical startups to use in the market validation of their products.
This research proposes a virtual environment (VE) for co-designing in early childhood education and care settings using a social VR platform with 3D-scanned childcare rooms. Co-design workshops were analyzed focusing on perceived presence and experience and workshop outcomes. The results indicate a high level of presence in the VE, with unique advantages like facilitating 3D prototyping. However, challenges such as unbalanced prototyping tools distribution were also noted. The study highlights the potential of VEs with 3D scanned rooms in co-design.
The moderation of user-generated content on online platforms remains a key solution to protecting people online, but also remains a perpetual challenge as the appropriateness of content moderation guidelines depends on the online community that they aim to govern. This challenge affects marginalized groups in particular, as they more frequently experience online abuse but also end up falsely being the target of content-moderation guidelines. While there have been calls for democratic, community-moderation, there has so far been little research into how to implement such approaches. Here, we present the co-creation of content moderation strategies with the users of an online platform to address some of these challenges. Within the context of AutSPACEs—an online citizen science platform that aims to allow autistic people to share their own sensory processing experiences publicly—we used a community-based and participatory approach to co-design a content moderation solution that would fit the preferences, priorities, and needs of its autistic user community. We outline how this approach helped us discover context-specific moderation dilemmas around participant safety and well-being and how we addressed those. These trade-offs have resulted in a moderation design that differs from more general social networks in aspects such as how to contribute, when to moderate, and what to moderate. While these dilemmas, processes, and solutions are specific to the context of AutSPACEs, we highlight how the co-design approach itself could be applied and useful for other communities to uncover challenges and help other online spaces to embed safety and empowerment.
Diets low in vegetables are a main contributor to the health burden experienced by Australians living in rural communities. Given the ubiquity of smartphones and access to the Internet, digital interventions may offer an accessible delivery model for a dietary intervention in rural communities. However, no digital interventions to address low vegetable intake have been co-designed with adults living in rural areas(1). This research aims to describe the co-design of a digital intervention to improve vegetable intake with rural community members and research partners. Active participants in the co-design process were adults ≥18 years living in three rural Australian communities (total n = 57) and research partners (n = 4) representing three local rural governments and one peak non-government health organisation. An iterative co-design process(2) was undertaken to understand the needs (pre-design phase) and ideas (generative phase) of the target population through eight online workshops and a 21-item online community survey between July and December 2021. Prioritisation methods were used to help workshop participants identify the ‘Must-have, Should-have, Could-have, and Won’t-have or will not have right now’ (MoSCoW) features and functions of the digital intervention. Workshops were transcribed and inductively analysed using NVivo. Convergent and divergent themes were identified between the workshops and community survey to identify how to implement the digital intervention in the community. Consensus was reached on a concept for a digital intervention that addressed individual and food environment barriers to vegetable intake, specific to rural communities. Implementation recommendations centred on i) food literacy approaches to improve skills via access to vegetable-rich recipes and healthy eating resources, ii) access to personalisation options and behaviour change support, and iii) improving the community food environment by providing information on and access to local food initiatives. Rural-dwelling adults expressed preferences for personalised intervention features that can enhance food literacy and engagement with community food environments. This co-design process will inform the development of a prototype (evaluation phase) and feasibility testing (post-design phase) of this intervention. The resulting intervention is anticipated to reduce barriers and support enablers, across individual and community levels, to facilitate higher consumption of vegetables among rural Australians. These outcomes have the potential to contribute to improved wellbeing in the short term and reduced chronic disease risk in the long term, decreasing public health inequities.
Cultural food security is crucial for cultural health and, for people from refugee backgrounds, supports the settlement journey. Cultural communities are vital in facilitating access to cultural foods; however, it is not understood how refugee-background communities sustain cultural food security in the Australian context. This study aimed to explore key roles in refugee-background communities to understand why they were important and how they facilitate cultural food security.
Design:
Interviews were conducted by community researchers, and data analysis was undertaken using best-practice framework for collaborative data analysis.
Setting:
Greater Brisbane, Australia.
Participants:
Six interviews were conducted between August and December 2022 with people from a refugee-background community, lived in Greater Brisbane and who fulfilled a key food role in the community that facilitated access to cultural foods.
Results:
Fostering improved cultural food security supported settlement by creating connections across geographical locations and cultures and generated a sense of belonging that supported the settlement journey. Communities utilised communication methods that prioritised the knowledge, wisdom and experience of community members. It also provided community members with influence over their foodways. Community leaders had an ethos that reflected collectivist values, where community needs were important for their own health and well-being.
Conclusions:
Communities are inherently structured and communicate in a way that allows collective agency over foodways. This agency promotes cultural food security and is suggestive of increased food sovereignty. Researchers and public health workers should work with communities and recognise community strengths. Food security interventions should target cultural food security and autonomy.
Design, like any social activity, greatly depends on human relationships for efficiency and sustainability. Collaborative design (co-design) in particular relies on strong interactions between members, as ideas and concepts become shared, going from personal (creation) to interpersonal (co-creation). There is, then, a need to understand how interpersonal factors influence interactions in co-design, and this understanding can be achieved by using the insights gleaned from research on intersubjectivity, the field of social interactions. This literature study was conducted using a systematic literature review to identify and classify the different methods used to measure intersubjectivity and see how this knowledge could explain the influence of interpersonal factors on interactions in co-design. The review identified 66 methods, out of which 4 main categories were determined. Furthermore, 115 articles were analysed and systematized in an online database, leading to a new understanding of the role of interpersonal factors in measuring the interactive levels in co-design. They reveal a positive correlation, where a rising level of interactivity is made possible by the formation and maintenance of co-creation, leading to a state of resonance where the experiences of individuals are closely related. This paper presents a state-of-the-art report on trends in the study of intersubjectivity through interpersonal factors and proposes some directions for designers and researchers interested in taking these factors into consideration for their next co-design situation.
Research Through Design (RTD) needs to reconsider the meaning of “designing” in the research process of “through design.” We propose Research Through Co-design (RTC) as a new application of Control System Theory (CST) that includes a research problem assigned to a co-design process in RTD. It embeds the participatory paradigm through collaborative design practice and makes the research a collaborative process for learning from all the participants. To sustain the RTC theory, we present a cognitive model of RTC. It is a “model for” – rather than a “model of” – describing how the co-design, as a neural network process, works through its nodes’ collaboration to find co-designed solutions and the research answer. Diversity increases as non-experts and non-designers with different backgrounds participate. This is valuable for the RTC learning system. The discussions highlight the possibility of considering (i) the RTC model as useful for describing a robust RTD process through CST; (ii) RTC as a cognitive model for explaining the value of co-design in research processes; and (iii) RTC as a strategy for applying the participative paradigm in formal research. Finally, new insights and implications are highlighted, including using RTC as a predictive tool through artificial intelligence.
Product graphics interchange formats (GIFs) employ this format to show the features of the product and make up for the lack of physical experience online. These GIFs have been widely applied in domains such as e-shopping and social media, aiming to interest and impress viewers. Contrary to this wide application, most designers in this domain lack expertise and produce GIFs of varied quality. Moreover, the knowledge of techniques to enhance viewers’ engagement with product GIFs is also lacking. To bridge the gap, we conducted a series of studies. First, we collected and summarized seven design factors referring to existing literature and semi-structured interviews. Then, the impacts of these design factors were revealed through an online study with 106 product GIFs among 307 participants. The results showed that visual-related factors such as color contrast and moving intensity mainly impact viewers’ interest, while content-related factors such as scenario and style matching impact viewers’ impressions. The simplicity of GIFs also impressed viewers with a quick viewing mode. Finally, we conducted a workshop and verified that these results support large-scale production of product GIFs. Our studies might support the codesign methods of product GIFs and enhance their quality in design practice.