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FROM EVIDENCE TO IMPLEMENTATION: HOW SYSTEMS DESIGN CAN FORESEE COMPLEX HEALTHCARE INTERVENTIONS

Part of: Socio-technical Issues in Design

Published online by Cambridge University Press:  11 June 2020

A. N. Feldman ,
F. Patou  and
A. M. Maier
A. N. Feldman*
Affiliation:
DTU-Technical University of Denmark, Denmark
F. Patou
Affiliation:
DTU-Technical University of Denmark, Denmark
A. M. Maier
Affiliation:
DTU-Technical University of Denmark, Denmark
*
*[email protected]

Abstract

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How can we design and engineer research that leads to the development and effective implementation of complex healthcare interventions? We advocate for a systems design-based approach when initiating clinical research to anticipate the proposition of complex interventions. Using cognitive care as an example, we investigate how hybrid design-inspired methodologies can promote organisational effectiveness and how strong clinical evidence can support successful conceptualisation and uptake of novel interventions into routine clinical practice.

Keywords

healthcare designcomplex systemsengineering designhearing carecognitive decline
Type
Article
Information
Proceedings of the Design Society: DESIGN Conference , Volume 1 , May 2020 , pp. 1891 - 1900
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), 2020. Published by Cambridge University Press

References

Anzivino, R. et al. (2019), “Prospective evaluation of cognitive functions after rehabilitation with cochlear implant or hearing aids: Preliminary results of a multicentric study on elderly patients”, American Journal of Audiology, Vol. 28 No. 3S, pp. 762–774. https://doi.org/10.1044/2019_AJA-HEAL18-18-0176CrossRefGoogle ScholarPubMed
Balas, E.A. and Boren, S.A. (2000), “Managing clinical knowledge for health care improvement”, Yearbook of Medical Informatics. Georg Thieme Verlag KG, Vol. 09 No. 01, pp. 65–70. https://doi.org/10.1055/s-0038-1637943Google Scholar
Campbell, N.C. et al. (2007), “Designing and evaluating complex interventions to improve health care”, British Medical Journal, Vol. 334 No. 7591, pp. 455–459. https://doi.org/10.1136/bmj.39108.379965.beCrossRefGoogle ScholarPubMed
Cardin, V. (2016) “Effects of aging and adult-onset hearing loss on cortical auditory regions”, Frontiers in Neuroscience. Frontiers Media S.A. https://doi.org/10.3389/fnins.2016.00199CrossRefGoogle Scholar
Ciccone, N.W., Patou, F. and Maier, A.M. (2019), “Designing for better healthcare: A systemic approach utilising behavioural theory, technology and an understanding of healthcare delivery systems”, in Proceedings of the Design Society: International Conference on Engineering Design, pp. 937–946. https://doi.org/10.1017/dsi.2019.98CrossRefGoogle Scholar
Clarkson, P.J. (2018), What has engineering design to say about healthcare improvement? https://doi.org/10.1017/dsj.2018.13CrossRefGoogle Scholar
Craig, P. et al. (2008), “Developing and evaluating complex interventions : new guidance”, BMJ (Clinical research ed.), Vol. 337, p. a1655. https://doi.org/10.1136/bmj.a1655CrossRefGoogle Scholar
Curran, G.M. et al. (2012) “Effectiveness-implementation hybrid designs: Combining elements of clinical effectiveness and implementation research to enhance public health impact”, Medical Care, Vol. 50 No. 3, pp. 217–226. https://doi.org/10.1097/MLR.0b013e3182408812CrossRefGoogle Scholar
Dawes, P. et al. (2015), “Hearing loss and cognition: The role of hearing aids, social isolation and depression”, PLOS ONE. Edited by B. Johnson, Vol. 10 No. 3, p. e0119616. https://doi.org/10.1371/journal.pone.0119616CrossRefGoogle ScholarPubMed
Douglas, N.F., Campbell, W.N. and Hinckley, J.J. (2015), “Implementation science: Buzzword or game changer?”, Journal of Speech, Language, and Hearing Research, Vol. 58, pp. 6. https://doi.org/10.1044/2015_JSLHR-L-15-0302CrossRefGoogle ScholarPubMed
Giguère, A. et al. (2012) “Printed educational materials: effects on professional practice and healthcare outcomes”, Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd, Vol. 10, https://doi.org/10.1002/14651858.CD004398.pub3Google Scholar
Green, L.W. et al. (2009), “Diffusion theory and knowledge dissemination, utilization, and integration in public health”, Annual Review of Public Health, Vol. 30 No. 1, pp. 151–174. https://doi.org/10.1146/annurev.publhealth.031308.100049CrossRefGoogle ScholarPubMed
Grol, R. et al. (2013), Improving patient care. The implementation of change in clinical practice, 2nd edn., BMJ Books, Chichester, West Sussex. https://doi.org/10.1002/9781118525975CrossRefGoogle Scholar
Halladay, M. and Bero, L. (2000), “Getting research into practice: implementing evidence-based practice in health care”, Public Money and Management, Vol. 20 No. 4, pp. 43–50. https://doi.org/10.1146/annurev.pu.12.050191.000353CrossRefGoogle Scholar
Hawe, P., Shiell, A. and Riley, T. (2009), “Theorising interventions as events in systems”, in American Journal of Community Psychology, pp. 267–276. https://doi.org/10.1007/s10464-009-9229-9CrossRefGoogle ScholarPubMed
Hooper, E. et al. (2019), “Feasibility of an intervention to support hearing and vision in dementia: The SENSE-Cog field trial.”, Journal of the American Geriatrics Society, Vol. 67 No. 7, pp. 1472–1477. https://doi.org/10.1111/jgs.15936CrossRefGoogle ScholarPubMed
Hurd, M.D. et al. (2013), “Monetary Costs of Dementia in the United States”, New England Journal of Medicine, Vol. 368 No. 14, pp. 1326–1334. https://doi.org/10.1056/NEJMsa1204629Google ScholarPubMed
Klein, J.H. and Young, T. (2015), “Health care: a case of hypercomplexity?”, Health Systems. Informa UK Limited, Vol. 4 No. 2, pp. 104–110. https://doi.org/10.1057/hs.2014.21Google Scholar
Kryworuchko, J. et al. (2009), “Twelve years of clinical practice guideline development, dissemination and evaluation in Canada (1994 to 2005)”, Implementation Science, Vol. 4, p. 1. https://doi.org/10.1186/1748-5908-4-49CrossRefGoogle Scholar
Lamé, G. (2018), “Position paper: On design research engaging with healthcare systems”, in Proceedings of International Design Conference, DESIGN. Faculty of Mechanical Engineering and Naval Architecture, pp. 2681–2692. https://doi.org/10.21278/idc.2018.0164Google Scholar
Leach, M.J. et al. (2019), “The effectiveness of integrative healthcare for chronic disease: A systematic review”, International journal of clinical practice, Vol. 73 No. 4, p. e13321. https://doi.org/10.1111/ijcp.13321CrossRefGoogle ScholarPubMed
Lin, F.R. et al. (2013), “Hearing loss and cognitive decline in older adults”, JAMA Internal Medicine. NIH Public Access, Vol. 173 No. 4, pp. 293–299. https://doi.org/10.1001/jamainternmed.2013.1868CrossRefGoogle ScholarPubMed
Lin, F.R. and Albert, M. (2014), “Hearing loss and dementia - who is listening?”, Aging & Mental Health, Vol. 18 No. 6, pp. 671–673. https://doi.org/10.1080/13607863.2014.915924CrossRefGoogle ScholarPubMed
Lin, F.R., Niparko, J.K. and Ferrucci, L. (2011), “Hearing loss prevalence in the United States”, Archives of Internal Medicine, Vol. 171 No. 20, pp. 1851–1852. https://doi.org/10.1001/archinternmed.2011.506CrossRefGoogle ScholarPubMed
Livingston, G. et al. (2017), “Dementia prevention, intervention, and care”, Lancet (London, England), Vol. 390 No. 10113, pp. 2673–2734. https://doi.org/10.1016/S0140-6736(17)31363-6CrossRefGoogle ScholarPubMed
Lomas, J. (1991), “Words without action? The production, dissemination and impact of consensus recommendations”, Annual Review of Public Health, Vol. 12 No. 1, pp. 41–65. Available at: www.annualreviews.org (Accessed: 31 October 2019).CrossRefGoogle ScholarPubMed
Maharani, A. et al. (2018), “Longitudinal relationship between hearing aid use and cognitive function in older Americans”, Journal of the American Geriatrics Society, Vol. 66 No. 6, pp. 1130–1136. https://dx.doi.org/10.1111/jgs.15363CrossRefGoogle ScholarPubMed
Mahmoudi, E. et al. (2019), “Can hearing aids delay time to diagnosis of dementia, depression, or falls in older adults?”, Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.16109Google Scholar
Michie, S. et al. (2009), “Specifying and reporting complex behaviour change interventions: the need for a scientific method”, Implementation Science, Vol. 4 No. 1, p. 40. https://doi.org/10.1186/1748-5908-4-40CrossRefGoogle ScholarPubMed
Pannunzio, V., Kleinsmann, M. and Snelders, D. (2019) “Three approaches to design engineering in the health domain: A systemic perspective”, Proceedings of the Design Society: International Conference on Engineering Design, Cambridge University Press (CUP), Vol. 1 No. 1, pp. 1005–1014. https://doi.org/10.1017/dsi.2019.106Google Scholar
Paterson, C. et al. (2009), “Evaluating complex health interventions: a critical analysis of the ‘outcomes’ concept”, BMC Complementary and Alternative Medicine, Vol. 9 No. 1, p. 18. https://doi.org/10.1186/1472-6882-9-18CrossRefGoogle ScholarPubMed
Patou, F. and Maier, A.M. (2017), “Engineering value-effective healthcare solutions: A systems design perspective”, in Maier, A. et al. (eds) Proceedings of the Design Society: International Conference on Engineering Design, Vancouver: Design Society, pp. 031–040.Google Scholar
Pfeffer, J. and Sutton, R.I. (2000), The Knowing Doing Gap. Boston: Harvard Business School Press.Google Scholar
Porter, M.E. (2010), “What is value in health care?”, New England Journal of Medicine. Massachusetts Medical Society, Vol. 363 No. 26, pp. 2477–2481. https://doi.org/10.1056/NEJMp1011024CrossRefGoogle ScholarPubMed
Richards, D.A. and Hallberg, I.R. (2015), Complex Interventions in Health: An overview of research methods. 1st edn, Complex Interventions in Health, 1st edn, Routledge, London.CrossRefGoogle Scholar
Rouse, W.B. and Serban, N. (2011), “Understanding change in complex socio-technical systems An exploration of causality, complexity and modeling”, Information Knowledge Systems Management, Vol. 10, pp. 25–49. https://doi.org/10.3233/IKS-2012-0184CrossRefGoogle Scholar
Rouse, W.B. and Serban, N. (2014), Understanding and managing the complexity of healthcare, MIT Press, Boston.Google Scholar
Rubio, D.M.G. et al. (2010), “Defining translational research: Implications for training”, Academic Medicine, Vol. 85 No. 3, pp. 470–475. https://doi.org/10.1097/ACM.0b013e3181ccd618Google ScholarPubMed
Sackett, D.L. and Rosenberg, W.M.C. (1995), “The need for evidence-based medicine”, Journal of the Royal Society of Medicine, pp. 620–624. https://doi.org/10.1002/hec.4730040401Google ScholarPubMed
Thorpe, J.R. et al. (2016), “Pervasive assistive technology for people with dementia: A UCD case”, Healthcare Technology Letters. Institution of Engineering and Technology, Vol. 3 No. 4, pp. 297–302. https://doi.org/10.1049/htl.2016.0057CrossRefGoogle ScholarPubMed
Topol, E. (2013), The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care. 2012, Basic Books, New York.Google Scholar
Uhlmann, R.F. et al. (1989), “Relationship of hearing impairment to dementia and cognitive dysfunction in older adults”, Journal of the American Medical Association, Vol. 261 No. 13, pp. 1916–1919. https://doi.org/10.1001/jama.1989.03420130084028CrossRefGoogle ScholarPubMed
Woolf, S.H. (2008), “The meaning of translational research and why it matters”, JAMA - Journal of the American Medical Association, pp. 211–213. https://doi.org/10.1001/jama.2007.26Google ScholarPubMed
World Health Organization (2019), Dementia. Available at: https://www.who.int/news-room/fact-sheets/detail/dementia (Accessed: 23 July 2019).Google Scholar