Hostname: page-component-cb9f654ff-lqqdg Total loading time: 0 Render date: 2025-09-02T00:26:32.377Z Has data issue: false hasContentIssue false
  • English
  • Français

Design of a healthcare ecosystem to improve user experience in pediatric urotherapy

Published online by Cambridge University Press:  16 May 2024

Lola Bladt ,
Rose-Farah Blomme ,
Anka J. Nieuwhof-Leppink ,
Alexandra Vermandel ,
Gunter De Win  and
Lukas Van Campenhout
Lola Bladt*
Affiliation:
Faculty of Design Sciences, University of Antwerp, Belgium
Rose-Farah Blomme
Affiliation:
Faculty of Design Sciences, University of Antwerp, Belgium
Anka J. Nieuwhof-Leppink
Affiliation:
Wilhelmina Children's Hospital, University Medical Center Utrecht, Netherlands
Alexandra Vermandel
Affiliation:
University Hospital Antwerp, Belgium Faculty of Medicine and Health Sciences, University of Antwerp, Belgium
Gunter De Win
Affiliation:
University Hospital Antwerp, Belgium Faculty of Medicine and Health Sciences, University of Antwerp, Belgium
Lukas Van Campenhout
Affiliation:
Faculty of Design Sciences, University of Antwerp, Belgium
*
lola.bladt@uantwerpen.be

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This paper addresses challenges in pediatric urotherapy, focusing on low patient compliance and motivation. Informed by creative sessions with children aged 9-13y, a novel urotherapy ecosystem concept is designed. It includes a smart drinking bottle, context-aware reminder watch, home uroflowmeter, smartphone app, and clinician portal. Interconnected products, embodied interaction, stigma-free design, and a digital training buddy aim to enhance engagement, motivation, and patient experience. This concept showcases the potential of integrating diverse design methodologies in healthcare design.

Keywords

healthcare designuser experienceuser-centred designinteraction design

Information

Type
Design for Healthcare
Information
Proceedings of the Design Society , Volume 4: DESIGN 2024 , May 2024 , pp. 1567 - 1576
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), 2024.

References

Austin, P.F., Bauer, S.B., Bower, W., Chase, J., Franco, I., Hoebeke, P., Rittig, S., et al. (2016), “The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society”, Neurourology and Urodynamics, Vol. 35 No. 4, https://dx.doi.org/10.1002/nau.22751.CrossRefGoogle ScholarPubMed
Bower, W.F. (2008), “Self-Reported Effect of Childhood Incontinence on Quality of Life”, Journal of Wound, Ostomy & Continence Nursing, Vol. 35 No. 6, https://dx.doi.org/10.1097/01.WON.0000341476.71685.78.CrossRefGoogle ScholarPubMed
Van Campenhout, L., Frens, J.W., Vaes, K. and Hummels, C.C.M. (2020), “The aesthetics of coupling: An impossible marriage”, International Journal of Design, Vol. 14 No. 2, pp. 1–16.Google Scholar
Van Campenhout, L., Vancoppenolle, W. and Dewit, I. (2023), “From Meaning to Expression: A Dual Approach to Coupling”, Designs, Vol. 7 No. 3, p. 69, https://dx.doi.org/10.3390/designs7030069.CrossRefGoogle Scholar
Cash, P., Isaksson, O., Maier, A. and Summers, J. (2022), “Sampling in design research: Eight key considerations”, Design Studies, Vol. 78, p. 101077, https://dx.doi.org/10.1016/j.destud.2021.101077.CrossRefGoogle Scholar
Chang, S.-J., van Laecke, E., Bauer, S.B., von Gontard, A., Bagli, D., Bower, W.F., Renson, C., et al. (2017), “Treatment of daytime urinary incontinence: A standardization document from the International Children's Continence Society”, Neurourology and Urodynamics, Vol. 36 No. 1, https://dx.doi.org/10.1002/nau.22911.CrossRefGoogle ScholarPubMed
Desmet, P.M.A. and Schifferstein, H.N.J. (2011), “From Floating Wheelchairs to Mobile Car Parks: a Collection of 35 Experience-Driven Design Projects.”, Den Haag, NL: Eleven Publishers.Google Scholar
Dourish, P. (2001), Where the Action Is: The Foundations of Embodied Interaction, The MIT Press, Cambridge, MA, USA, https://dx.doi.org/10.7551/mitpress/7221.001.0001.CrossRefGoogle Scholar
van Gool, J.D., de Jong, T.P.V.M., Winkler-Seinstra, P., Tamminen-Möbius, T., Lax, H., Hirche, H., Nijman, R.J.M., et al. (2014), “Multi-center randomized controlled trial of cognitive treatment, placebo, oxybutynin, bladder training, and pelvic floor training in children with functional urinary incontinence”, Neurourology and Urodynamics, Vol. 33 No. 5, https://dx.doi.org/10.1002/nau.22446.CrossRefGoogle ScholarPubMed
Hagstroem, S., Rittig, S., Kamperis, K. and Djurhuus, J.C. (2010), “Timer Watch Assisted Urotherapy in Children: A Randomized Controlled Trial”, Journal of Urology, Vol. 184 No. 4, https://dx.doi.org/10.1016/j.juro.2010.06.024.CrossRefGoogle ScholarPubMed
Hamilton, D.K. and Watkins, H.D. (2009), “Evidence-Based Design for multiple building types.”, Hoboken, New Jersey: John Wiley & Sons, Inc.Google Scholar
Hassenzahl, M. (2013), “Experiences before things”, CHI ’13 Extended Abstracts on Human Factors in Computing Systems on - CHI EA ’13, ACM Press, New York, New York, USA, https://dx.doi.org/10.1145/2468356.2468724.Google Scholar
Klijn, A.J., Uiterwaal, C.S.P.M., Vijverberg, M.A.W., Winkler, P.L.H., Dik, P. and de Jong, T.P.V.M. (2006), “Home Uroflowmetry Biofeedback in Behavioral Training for Dysfunctional Voiding in School-Age Children: A Randomized Controlled Study”, Journal of Urology, Vol. 175 No. 6, pp. 2263–2268, https://dx.doi.org/10.1016/S0022-5347(06)00331-4.CrossRefGoogle ScholarPubMed
Ku, J.H., Jeong, I.G., Lim, D.J., Byun, S.-S., Paick, J.-S. and Oh, S.-J. (2004a), “Voiding diary for the evaluation of urinary incontinence and lower urinary tract symptoms: Prospective assessment of patient compliance and burden”, Neurourology and Urodynamics, Vol. 23 No. 4, https://dx.doi.org/10.1002/nau.20027.CrossRefGoogle ScholarPubMed
Ku, J.H., Jeong, I.G., Lim, D.J., Byun, S.-S., Paick, J.-S. and Oh, S.-J. (2004b), “Voiding diary for the evaluation of urinary incontinence and lower urinary tract symptoms: Prospective assessment of patient compliance and burden”, Neurourology and Urodynamics, Vol. 23 No. 4, pp. 331–335, https://dx.doi.org/10.1002/nau.20027.CrossRefGoogle ScholarPubMed
Kwinten, W.M.J., van Leuteren, P.G., van Duren – van Iersel, M., Dik, P. and Jira, P.E. (2020), “SENS-U: continuous home monitoring of natural nocturnal bladder filling in children with nocturnal enuresis – a feasibility study”, Journal of Pediatric Urology, Vol. 16 No. 2, pp. 196.e1-196.e6, https://dx.doi.org/10.1016/j.jpurol.2020.01.012.CrossRefGoogle ScholarPubMed
Leube, M., Ackermann, L. and Keimelmayr, H. (2016), “It's alive: An empirical study on animism and animacy in product design”, International Conference on Design & Emotion, Amsterdam.Google Scholar
van Leuteren, P.G., Nieuwhof-Leppink, A.J. and Dik, P. (2019), “SENS-U: clinical evaluation of a full-bladder notification – a pilot study”, Journal of Pediatric Urology, Vol. 15 No. 4, pp. 381.e1-381.e5, https://dx.doi.org/10.1016/j.jpurol.2019.04.006.CrossRefGoogle ScholarPubMed
Maternik, M., Krzeminska, K. and Zurowska, A. (2015), “The management of childhood urinary incontinence”, Pediatric Nephrology, Vol. 30 No. 1, https://dx.doi.org/10.1007/s00467-014-2791-x.CrossRefGoogle ScholarPubMed
Mattsson, G.G., Brännström, M., Eldh, M. and Mattsson, S. (2010), “Voiding school for children with idiopathic urinary incontinence and/or bladder dysfunction”, Journal of Pediatric Urology, Vol. 6 No. 5, https://dx.doi.org/10.1016/j.jpurol.2009.11.004.CrossRefGoogle Scholar
Myint, M., Adam, A., Herath, S. and Smith, G. (2016), “Mobile phone applications in management of enuresis: The good, the bad, and the unreliable!”, Journal of Pediatric Urology, Vol. 12 No. 2, pp. 112.e1-112.e6, https://dx.doi.org/10.1016/j.jpurol.2015.09.011.CrossRefGoogle ScholarPubMed
Nieuwhof-Leppink, A.J., de Jong, T.P.V.M., van de Putte, E.M. and Schappin, R. (2019), “Does a serious game increase intrinsic motivation in children receiving urotherapy?”, Journal of Pediatric Urology, Vol. 15 No. 1, pp. 36.e1-36.e7, https://dx.doi.org/10.1016/j.jpurol.2018.09.003.CrossRefGoogle ScholarPubMed
Nieuwhof-Leppink, A.J., Schroeder, R.P.J., van de Putte, E.M., de Jong, T.P.V.M. and Schappin, R. (2019), “Daytime urinary incontinence in children and adolescents”, The Lancet Child & Adolescent Health, Vol. 3 No. 7, https://dx.doi.org/10.1016/S2352-4642(19)30113-0.CrossRefGoogle ScholarPubMed
Nock, M.K. and Photos, V. (2006), “Parent Motivation to Participate in Treatment: Assessment and Prediction of Subsequent Participation”, Journal of Child and Family Studies, Vol. 15 No. 3, https://dx.doi.org/10.1007/s10826-006-9022-4.CrossRefGoogle Scholar
Rivers, C.L. (2010), “School Nurse Interventions in Managing Functional Urinary Incontinence in School-Age Children”, The Journal of School Nursing, Vol. 26 No. 2, https://dx.doi.org/10.1177/1059840509356776.CrossRefGoogle ScholarPubMed
Schäfer, S.K., Niemczyk, J., von Gontard, A., Pospeschill, M., Becker, N. and Equit, M. (2018), “Standard urotherapy as first-line intervention for daytime incontinence: a meta-analysis”, European Child & Adolescent Psychiatry, Vol. 27 No. 8, https://dx.doi.org/10.1007/s00787-017-1051-6.CrossRefGoogle ScholarPubMed
Shah, H.M. and Chung, K.C. (2009), “Archie Cochrane and His Vision for Evidence-Based Medicine”, Plastic and Reconstructive Surgery, Vol. 124 No. 3, https://dx.doi.org/10.1097/PRS.0b013e3181b03928.CrossRefGoogle ScholarPubMed
Thibodeau, B.A., Metcalfe, P., Koop, P. and Moore, K. (2013), “Urinary incontinence and quality of life in children”, Journal of Pediatric Urology, Vol. 9 No. 1, https://dx.doi.org/10.1016/j.jpurol.2011.12.005.CrossRefGoogle ScholarPubMed
Vaes, K. (2014), Product Stigmaticity: Understanding, Measuring and Managing Product-Related Stigma, Technical University Delft, 28 April.Google Scholar
Vijverberg, M.A.W., Stortelder, E., de Kort, L.M.O., Kok, E.T. and de Jong, T.P.V.M. (2011), “Long-term Follow-up of Incontinence and Urge Complaints After Intensive Urotherapy in Childhood (75 Patients Followed Up for 16.2-21.8 Years)”, Urology, Vol. 78 No. 6, https://dx.doi.org/10.1016/j.urology.2011.08.055.CrossRefGoogle ScholarPubMed
Wright, P. and McCarthy, J. (2010), “Experience-centered design - designers, users and communities in dialogue.”, Morgan & Claypool.CrossRefGoogle Scholar
Yamanishi, T., Yasuda, K., Murayama, N., Sakakibara, R., Uchiyama, T. and Ito, H. (2000), “Biofeedback training for detrusor overactivity in children.”, Journal of Urology, Vol. 164, pp. 1686–1690.CrossRefGoogle ScholarPubMed