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The study site, a major teaching hospital in Dublin, Ireland, addressed significant challenges within its dermatology service through a comprehensive improvement initiative using a person-centred Lean Six Sigma methodology. Initially, the hospital's dermatology department faced excessive outpatient waiting times, with 3736 patients awaiting appointments, and 1615 waiting over 12 months. The person-centred Lean Six Sigma approach, which combines Lean techniques to reduce non-value add and Six Sigma methods to eliminate variation through a person-centred lens, was applied to overhaul the referral, triage, and scheduling processes. Key interventions included standardising triage categories, centralising the triage process, and redistributing referrals equitably among consultants. A new centralised triage system was established, leading to a more efficient allocation of appointments and better management of urgent cases. Post-implementation data showed a 40% reduction in the overall waiting list and a 60% reduction in the number of patients waiting over 12 months. The initiative significantly decreased the wait times across all urgency categories, with the most notable improvements in soon and urgent referrals. These changes were also the impetus for a follow-up design-led innovation phase, where the team worked with partners across the educational and healthcare system to enable disruptive change. The success of this project provides a scalable model for improvements in similar healthcare settings. [ABSTRACT FROM AUTHOR]

The use of new assistive technologies in general, and Socially Assistive Robots (SARs) in particular, is becoming increasingly common for supporting people's health and well-being. However, it still faces many issues regarding long-term adherence, acceptability and utility. Most of these issues are due to design processes that insufficiently take into account the needs, preferences and values of intended users. Other issues are related to the currently very limited amount of long-term evaluations, performed in real-world settings, for SARs. This study presents the results of two regional projects that consider as a starting hypothesis that the assessment in controlled environments and/or with short exposures may not be enough in the design of an SAR deployed in a retirement home and the necessity of designing for and with users. Thus, the proposed methodology has focused on use-cases definitions that follow a human-centred and participatory design approach. The main goals have been facilitating system acceptance and attachment by involving stakeholders in the robots design and evaluation, overcoming usage barriers and considering user's needs integration. The implementation of the first use-case deployed and the two-phase pilot test performed in a retirement home are presented. In particular, a detailed description of the interface redesign process based on improving a basic prototype with users' feedback and recommendations is presented, together with the main results of a formal evaluation that has highlighted the impact of changes and improvements addressed in the first redesign loop of the system. [ABSTRACT FROM AUTHOR]

The World Bank has reported that over one billion individuals have a disability, implying that almost fifteen percent of the global inhabitants are susceptible to undergoing levels of discrimination, especially in employment. This issue may prevail on a manufacturing shop floor, whereby a wave of standardisation dominates such as in the design of shop floor workstations. Despite advances made in the literature, people with disabilities are still siloed from manufacturing. Consequently, the aim of this research work was to analyse literature's current state of the art on the design of workstations for operators with disabilities within the context of Industry 5.0, where sustainability, human-centricity, and resilience are upheld. The study employed a systematic review of 69 publications from Scopus and Google Scholar published between 2013 and 2023, adhering to the updated PRISMA guidelines to identify the major research gaps. The review contributes an understanding of the current academic and industrial limitations such as the absence of social applicability of Industry 4.0 technology, the rift between academic knowhow and industrial implementation, and the lack of alignment with the sustainable development goals (SDGs). Additionally, the review uncovered an absence in work bridging four disciplines together: workstation design, Industry 5.0, sustainability, and disability. An unprecedented understanding of the interdependency between all four disciplines within the remit of smart, sustainable, and inclusive manufacturing workstations is contributed. This review proposes directions amidst the four most relevant SDGs—SDGs 8, 9, 10, and 12 to the topic. [ABSTRACT FROM AUTHOR]

Human-centred design as a research field is characterised by multidisciplinarity and a variety of many similar methods. Previous research attempted to classify existing methods into groups and categories, e.g., according to the degree of user involvement. The research question here is the following: How can human-centredness be measured and evaluated based on resulting product concepts? The goal of the paper is to present and apply a new metric—the Human-Centredness Metric (HCM)—for the early estimation of the quality of any human-centred activity based on the four goals of human-centred design. HCM was employed to evaluate 16 concepts, utilising a 4-point Likert scale, covering four different everyday products that were created by four students, which used three different human-centred design methods for this. The first concept was created without the application of any additional human-centred design method. The results illuminated trends regarding the impact of additional human-centred design methods on the HCM score. However, statistical significance remained elusive, potentially due to a series of limitations such as concept complexity, the small number of concepts, and the early developmental stage. The study's limitations underscore the need for refined items and expanded samples to better gauge the impact of human-centred methods on product development. [ABSTRACT FROM AUTHOR]

Commercial deployment of maritime autonomous surface ships (MASSs) is close to becoming a reality. Although MASSs are fully autonomous, the industry will still allow remote operations centre (ROC) operators to intervene if a MASS is facing an emergency the MASS cannot handle by itself. A human-centred design for the associated emergency response systems will require attention to the ROC operator workplace, but also, arguably, to the behaviour-shaping constraints on the engineers building these systems. There is thus a need for an engineer-centred design of engineering organisations, influenced by the current discourse on human factors. To contribute to the discourse, think-aloud protocol interviewing was conducted with well-informed maritime operators to elicit fundamental demands on cognition and collaboration by maritime autonomy emergency response systems. Based on the results, inferences were made regarding both design factors and methodological choices for future, early phase engineering of emergency response systems. Firstly, engineering firms have to improve their informal gathering and sharing of information through gatekeepers and/or organisational liaisons. To avoid a too cautious approach to accountability, this will have to include a closer integration of development and operations. Secondly, associated studies taking the typical approach of exposing relevant operators to new design concepts in scripted scenarios should include significant flexibility and less focus on realism. [ABSTRACT FROM AUTHOR]

In a post-COVID world, rethinking the campus experience is critical for defining new pedagogical strategies. As higher education moves toward more student-centred action learning models, university leaders should engage in democratic design methods that empower students and professors. Design thinking (DT) is a user-centred design approach that can aid in the creation of future learning environments. While DT has been used in innovative space design, we know little about how students, professors, and other community members can act as codesign partners. To understand their role in codesign and how their experiences are incorporated into new building design decisions, we need a conceptual model. To develop this model, we examined a case study of the evolutionary co-design process of a new building for a leading information management school in Europe. Using the concept of three phases of design thinking defined by Brown (2009): Inspire, Ideate, and Implement, we collaborated with a group of 50 design thinking students and more than 500 members of the community representing different stakeholders, to create new spaces and rethink the learning experience. Our discussion will centre on the creation of a participatory design thinking model that positions students as design partners alongside university decision makers. The findings conclude that, by applying design thinking methods, it was possible to unveil new dimensions of the success of future campuses that go beyond the building design. Creating meaningful learning spaces that inspire creativity and critical thinking requires an alignment between human centred design, organizational change management and new pedagogical strategies. [ABSTRACT FROM AUTHOR]

Diet behaviour is influenced by the interplay of the physical and social environment as well as macro-level and individual factors. In this study, we focus on diet behaviour at an individual level and describe the design of a behaviour change artefact to support diet behaviour change in persons with type 2 diabetes. This artefact was designed using a human-centred design methodology and the Behaviour Change Wheel framework. The designed artefact sought to support diet behaviour change through the addition of healthy foods and the reduction or removal of unhealthy foods over a 12-week period. These targeted behaviours were supported by the enabling behaviours of water consumption and mindfulness practice. The artefact created was a behaviour change planner in calendar format, that incorporated behaviour change techniques and which focused on changing diet behaviour gradually over the 12-week period. The behaviour change planner forms part of a behaviour change intervention which also includes a preparatory workbook exercise and one-to-one action planning sessions and can be customised for each participant. [ABSTRACT FROM AUTHOR]

Patients with psychotic disorders frequently report oral health problems, while mental health nurses (MHNs) seem not to be fully aware of these problems and the risk factors. Therefore, this study aimed to develop supportive tools for MHNs regarding oral health to increase sensitisation among MHNs and provide MHNs with the knowledge to recognise (potential) oral health problems in patients with a psychotic disorder. We used a human-centred design in which the user, MHNs and experts by experience were placed at the centre of the research process. Problems and needs in MHNs working with patients with a psychotic disorder were addressed. To identify key issues of problems as well as needs in terms of resources, we started with focus groups ( n = 9). We analysed the data thematically based on the context of patients and MHNs in practice regarding oral health, preferred oral health tools focused on MHNs, and the intended outcomes of tools. A multi-criteria decision matrix was developed and analysed ( n = 9) to identify the most optimal and viable solution based on established criteria and issues that are prevalent in the work of MHNs. The most promising result was the development of a brochure with an awareness screener. The brochure with the awareness screener was developed as a low-fidelity prototype for MHNs regarding oral health in patients with a psychotic disorder based on the latest scientific evidence. After testing it, the feasibility was tested through semi-structured interviews ( n = 19). MHNs and experts by experience were satisfied with the tool and provided recommendations for adjustments to the content. Significant augmentations to the brochure included a clinical lesson and a toothbrush with toothpaste for patients. We can conclude that a brochure with an awareness screener is feasible for MHNs. Future steps aiming to further refine and optimise care processes for oral health tools in MHNs should take refining eligibility criteria for psychiatric populations and the language level of the target group of a tool into account.

Connected health devices are generally designed for unsupervised use, by non-healthcare professionals, facilitating independent control of the individuals own healthcare. Older adults are major users of such devices and are a population significantly increasing in size. This group presents challenges due to the wide spectrum of capabilities and attitudes towards technology. The fit between capabilities of the user and demands of the device can be optimised in a process called Human Centred Design. Here we review examples of some connected health devices chosen by random selection, assess older adult known capabilities and attitudes and finally make analytical recommendations for design approaches and design specifications. [ABSTRACT FROM AUTHOR]

Treatment of Type 2 Diabetes (T2D) typically involves pharmacological methods and adjunct behavioural modifications, focused on changing diet and physical activity (PA) behaviours. Changing diet and physical activity behaviours is complex and any behavioural intervention in T2D, to be successful, must use an appropriate suite of behaviour change techniques (BCTs). In this study, we sought to understand the perceived barriers and facilitators to diet and PA behaviour change in persons with T2D, with a view to creating artefacts to facilitate the required behaviour changes. The Design Probe was chosen as the most appropriate design research instrument to capture the required data, as it enabled participants to reflect and self-document, over an extended period of time, on their daily lived experiences and, following this reflection, to identify their barriers and facilitators to diet and PA behaviour change. Design Probes were sent to 21 participants and 13 were fully completed. A reflective thematic analysis was carried out on the data, which identified themes of food environment, mental health, work schedule, planning, social support, cravings, economic circumstances and energy associated with diet behaviour. Similar themes were identified for PA as well as themes of physical health, weather, motivation and the physical environment. [ABSTRACT FROM AUTHOR]

Improving the well-being and quality of life of the elderly population is closely related to assisting them to effectively manage age-related conditions such as chronic illnesses and anxiety, and to maintain their independence and self-sufficiency as much as possible. This paper presents the design, architecture and implementation structure of an adaptive system for monitoring the health and well-being of the elderly. The system was designed following best practices of the Human-Centred Design approach involving representative end-users from the early stages. [ABSTRACT FROM AUTHOR]

Personalisation is a crucial element in providing person-centred care for people with dementia. This paper presents the development and evaluation of a design toolkit to facilitate the work of designers and healthcare professionals in personalising dementia care. This toolkit, named "Know-me", was grounded in the findings of Ergonomics in Aging, Co-design, and Data-enabled Design, derived from literature review and from the field during a four-year doctorate project. "Know-me" was designed to be easily accessible, flexible, and engaging, providing concrete and hands-on guidance for designers and healthcare professionals to use in designing for personalised dementia care. A proof-of-concept evaluation of the "Know-me" toolkit was conducted via student projects on design for dementia care. During this process, we found that "Know-me" could be adapted flexibly so that the care team could use some of the tools by themselves. A feature-by-feature comparison of the "Know-me" toolkit with similar state-of-the-art toolkits was conducted, and based upon this, the strengths and weaknesses of the "Know-me" toolkit are discussed. This preliminary study indicates that the "Know-me" toolkit is a helpful addition to the current pool of toolkits on designing for dementia care.

This paper examines a curatorial approach to digital art that acknowledges the symbiotic relationship between the digital and other more traditional art practices. It considers some of the issues that arise when digital content is delivered within a public gallery and how specialist knowledge, audience expectations and funding impact on current practices. From the perspective of the Digital Curator at MOSTYN, a contemporary gallery and visual arts centre in Llandudno, North Wales, it outlines the practical challenges and approaches taken to define what audiences want from a public art gallery. Human-centred design processes and activity systems analysis were adopted by MOSTYN with a community of practice—the gallery visitors—to explore the challenges of integrating digital technologies effectively within their curatorial programme and keep up with the pace of change needed today. MOSTYN's aim is to consider digital holistically within their exhibition programme and within the cannon of 21st century contemporary art practice. Digital curation is at the heart of their model of engagement that offers new and existing audience insights into the significance of digital art within contemporary art practice. [ABSTRACT FROM AUTHOR]