Use of a human-centered design approach to adapt a nurse-led cardiovascular disease prevention intervention in HIV clinics

被引:20
作者
Aifah, Angela [1 ]
Okeke, Nwora Lance [2 ]
Rentrope, Cynthia R. [3 ]
Schexnayder, Julie [3 ]
Bloomfield, Gerald S. [2 ]
Bosworth, Hayden [2 ,4 ]
Grover, Kiran [2 ]
Hileman, Corrilynn O. [5 ,6 ]
Muiruri, Charles [2 ]
Oakes, Megan [2 ,4 ]
Webel, Allison R. [3 ]
Longenecker, Chris T. [5 ,7 ]
Vedanthan, Rajesh [1 ]
机构
[1] NYU, Grossman Sch Med, New York, NY 10016 USA
[2] Duke Univ, Sch Med, Durham, NC 27706 USA
[3] Case Western Reserve Univ, Frances Payne Bolton Sch Nursing, Cleveland, OH 44106 USA
[4] Durham VA Med Ctr, Durham, NC USA
[5] Case Western Reserve Univ, Sch Med, Cleveland, OH 44106 USA
[6] MetroHlth Med Ctr, Westlake, OH USA
[7] Univ Hosp Harrington, Heart & Vasc Inst, Cleveland, OH USA
基金
美国国家卫生研究院;
关键词
Human-centered design; CVD-HIV integration; Nurse-led intervention; CVD prevention; NONCOMMUNICABLE DISEASES; PLATFORM; HEALTH;
D O I
10.1016/j.pcad.2020.02.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Stakeholder-informed strategies addressing cardiovascular disease (CVD) burden among people living with HIV (PWH) are needed within healthcare settings. This study provides an assessment of howhuman-centered design (HCD) guided the adaptation of a nurse-led intervention to reduce CVD risk among PWH. Using a HCD approach, research staff guided twomultidisciplinary "design teams" in Ohio andNorth Carolina, with each having five HCD meetings. We conducted acceptability and feasibility testing. Six core recommendations were produced by two design teams of key stakeholders and further developed after the acceptability and feasibility testing to produce a final list of 14 actionable areas of adaptation. Acceptability and feasibility testing revealed areas for adaptation, e.g. patient preferences for communication and the benefit of additional staff to support patient follow-up. In conclusion, alongwith acceptability and feasibility testing, HCD led to the production of 14 key recommendations to enhance the effectiveness and scalability of an integrated HIV/CVD intervention. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:92 / 100
页数:9
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