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Employing a User-Centered Elder and Youth Co-creation Approach for a Design of a Medication Bag: A Preliminary Study

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Cross-Cultural Design. Experience and Product Design Across Cultures (HCII 2021)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 12771))

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Abstract

Medication errors are a common problem in healthcare, particularly in elderly individuals, who often have multiple prescriptions due to chronic diseases. At present, the design of most commercial drug packaging do not take into account the deteriorating sensory, nervous, and musculoskeletal functions of the elderly, leading to errors in taking medications as a consequence of visual and/or behavioral impairments. Attempt have been made to optimize the designs of healthcare products and services, for example, medication bags using experience-based co-design (EBCD), by involving different stakeholders such as elderly individuals; however, the elderly have mostly played passive roles during those processes. Although the elderly were consulted, they rarely in fact participated in the product design process. This study therefore combined EBCD and design thinking to establish a user-centered elder and youth co-creation (EYCC) model, the process of which included five workshops: engage, empathize, define, ideate, and prototype and test. The participants of this study included 9 individuals between the ages of 61 and 74, who themselves or their family members were suffering from chronic diseases and were taking multiple types of medications, and 8 young designers. All participants cooperated together on the redesign of medication bags. The results of this study show that the workshops in the EYCC model improved the general self-efficacy of a number of the elderly participants and significantly improved the empathy of the young designers; however, improvements in drug compliance of the elderly participants were not found. The positive findings of this study can serve as a reference for future co-creation procedures involving the elderly and youth.

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References

  1. Abeyaratne, C., Bell, J.S., Dean, L., White, P., Maher-Sturgess, S.: Engaging older people as university-based instructors: A model to improve the empathy and attitudes of pharmacists in training. Curr. Pharmacy Teach. Learn. 12(1), 58–64 (2020)

    Article  Google Scholar 

  2. Bandura, A.: Self-efficacy: toward a unifying theory of behavioral change. Psychol. Rev. 84(2), 191 (1977)

    Article  Google Scholar 

  3. Bandura, A., Freeman, W.H., Lightsey, R.: Self-efficacy: The exercise of control (1999)

    Google Scholar 

  4. Bate, P., Robert, G.: Toward more user-centric OD: Lessons from the field of experience-based design and a case study. J. Appl. Behav. Sci. 43(1), 41–66 (2007)

    Article  Google Scholar 

  5. Bate, P., Robert, G.: Experience-based design: From redesigning the system around the patient to co-designing services with the patient. BMJ Qual. Saf. 15(5), 307–310 (2006)

    Article  Google Scholar 

  6. Chang, W.J., Chen, L.B., Hsu, C.H., Lin, C.P., Yang, T.C.: A deep learning-based intelligent medicine recognition system for chronic patients. IEEE Access 7, 44441–44458 (2019)

    Article  Google Scholar 

  7. Chen, G., Gully, S.M., Eden, D.: Validation of a new general self-efficacy scale. Organ. Res. Methods 4(1), 62–83 (2001)

    Article  Google Scholar 

  8. Davidson, J.L., Jensen, C.: Participatory design with older adults: an analysis of creativity in the design of mobile healthcare applications. In: Proceedings of the 9th ACM Conference on Creativity & Cognition, pp. 114–123) (2013)

    Google Scholar 

  9. Davies, E.A., O'mahony, M.S.: Adverse drug reactions in special populations–the elderly. Br. J. Clin. Pharmacol. 80(4), 796–807 (2015)

    Google Scholar 

  10. Demirbilek, O., Demirkan, H.: Universal product design involving elderly users: a participatory design model. Appl. Ergon. 35(4), 361–370 (2004)

    Article  Google Scholar 

  11. Farquhar, M.: Elderly people’s definitions of quality of life. Soc. Sci. Med.41(10), 1439–1446 (1995)

    Article  Google Scholar 

  12. FDA. https://www.fda.gov/drugs/information-consumers-and-patients-drugs/working-reduce-medication-errors 2019/8/23

  13. Ford, C.M.: A theory of individual creative action in multiple social domains. Acad. Manag. Rev. 21(4), 1112–1142 (1996)

    Article  Google Scholar 

  14. Glass, T.A., De Leon, C.M., Marottoli, R.A., Berkman, L.F.: Population based study of social and productive activities as predictors of survival among elderly Americans. Bmj 319(7208), 478–483 (1999)

    Article  Google Scholar 

  15. Harrington, C.N., Wilcox, L., Connelly, K., Rogers, W., Sanford, J.: Designing health and fitness apps with older adults: examining the value of experience-based co-design. In: Proceedings of the 12th EAI International Conference on Pervasive Computing Technologies for Healthcare pp. 15–24
(2018)

    Google Scholar 

  16. Hickey, G., et al.: Guidance on co-producing a research project. Southampton: INVOLVE (2018)

    Google Scholar 

  17. Hogan, T.P., Awad, A.G., Eastwood, R.: A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity. Psychol. Med. 13(1), 177–183 (1983)

    Article  Google Scholar 

  18. Hsiang-Lan, C.: Perceptions on Safety Medication of Caregivers Working in Disability Welfare Institutions. National Defense Medical Center School of Public Health Master’s thesis (2016)

    Google Scholar 

  19. Lee, J.M., Hirschfeld, E., Wedding, J.: A patient-designed do-it-yourself mobile technology system for diabetes: promise and challenges for a new era in medicine. Jama 315(14), 1447–1448 (2016)

    Article  Google Scholar 

  20. Lorig, K.R., et al.: Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Medical Care, 5–14 (1999)

    Google Scholar 

  21. Morisky, D.E., Green, L.W., Levine, D.M.: Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care 67–74 (1986)

    Google Scholar 

  22. Mortazavi, S.S., et al.: Defining polypharmacy in the elderly: a systematic review protocol. BMJ open 6.3 (2016)

    Google Scholar 

  23. Piper, D., Iedema, R., Gray, J., Verma, R., Holmes, L., Manning, N.: Utilizing experience-based co-design to improve the experience of patients accessing emergency departments in New South Wales public hospitals: an evaluation study. Health Serv. Manag. Res.25(4), 162–172 (2012)

    Article  Google Scholar 

  24. Plattner, H.: An Introduction to Design Thinking Process Guide. https://dschool-old.stanford.edu/sandbox/groups/designresources/wiki/36873/attachments/74b3d/Mode GuideBOOTCAMP2010L.pdf (2010)

  25. Spreng, R.N., McKinnon, M.C., Mar, R.A., Levine, B.: The Toronto Empathy Questionnaire: Scale development and initial validation of a factor-analytic solution to multiple empathy measures. J. Pers. Assess. 91(1), 62–71 (2009)

    Article  Google Scholar 

  26. Stickdorn, M., Hormess, M.E., Lawrence, A., Schneider, J.: This is Service Design Doing: Applying Service Design Thinking in the Real World. O'Reilly Media, Inc (2018)

    Google Scholar 

  27. Taiwan Food and Drug Administratio. http://mohw.gov.whatis.com.tw/. Accessed 21 Apr 2016

  28. The King's Fund 2011. http://www.kingsfund.org.uk/projects/ebcd. Accessed 15 Oct 2013

  29. Thompson, K., Kulkarni, J., Sergejew, A.A.: Reliability and validity of a new Medication Adherence Rating Scale (MARS) for the psychoses. Schizophrenia Res. 42(3), 241–247 (2000)

    Article  Google Scholar 

  30. Tsianakas, V., Robert, G., Maben, J., Richardson, A., Dale, C., Wiseman, T.: Implementing patient-centred cancer care: using experience-based co-design to improve patient experience in breast and lung cancer services. Supportive Care Cancer 20(11), 2639–2647 (2012)

    Article  Google Scholar 

  31. Unni, E.J., Shiyanbola, O.O., Farris, K.B.: Change in medication adherence and beliefs in medicines over time in older adults. Global J. Health Sci. 8(5), 39 (2016)

    Article  Google Scholar 

  32. van der Wal, M.H., Hjelmfors, L., Mårtensson, J., Friedrichsen, M., Strömberg, A., Jaarsma, T.: Variables related to communication about prognosis between nurses and patients at heart failure clinics in Sweden and the Netherlands. J. Cardiovasc. Nurs. 33(2), E1–E6 (2018)

    Article  Google Scholar 

  33. Wang, L.: Pharmaceutical packaging design for the elderly patients. Packaging Eng. (8), 62–67 (2018)

    Google Scholar 

  34. World Health Organization.: Medication errors (2016)

    Google Scholar 

  35. Zhang, J.X., Schwarzer, R.: Measuring optimistic self-beliefs: a Chinese adaptation of the general self-efficacy scale. Psychologia: Int. J. Psychol. Orient. (1995)

    Google Scholar 

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Authors and Affiliations

  1. Institute of Creative Design and Management, National Taipei University of Business, Taoyuan, Taiwan

    Ding-Hau Huang, Yu-Meng Xiao & Ya-Yi Zheng

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  1. Ding-Hau Huang
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  2. Yu-Meng Xiao
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  3. Ya-Yi Zheng
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Correspondence to Ding-Hau Huang .

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  1. Tsinghua University, Beijing, China

    Pei-Luen Patrick Rau

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Huang, DH., Xiao, YM., Zheng, YY. (2021). Employing a User-Centered Elder and Youth Co-creation Approach for a Design of a Medication Bag: A Preliminary Study. In: Rau, PL.P. (eds) Cross-Cultural Design. Experience and Product Design Across Cultures. HCII 2021. Lecture Notes in Computer Science(), vol 12771. Springer, Cham. https://doi.org/10.1007/978-3-030-77074-7_25

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  • DOI: https://doi.org/10.1007/978-3-030-77074-7_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-77073-0

  • Online ISBN: 978-3-030-77074-7

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