15º Congresso Brasileiro de Pesquisa e Desenvolvimento em Design

UFAM — Manaus (AM)

Outubro/2024

Proposta de Abordagem Colaborativa Focada em Equipes Transdisciplinares para Design em Saúde: Estudo de Caso do Programa Viva Vida

Proposal for a Collaborative Approach Focused on Transdisciplinary Teams for Health Design: A Case Study of the Viva Vida Program

Como citar

Bitencourt, Evelyn da Silva; Goldchmit, Sara Miriam; "Proposta de Abordagem Colaborativa Focada em Equipes Transdisciplinares para Design em Saúde: Estudo de Caso do Programa Viva Vida", p. 8061-8076. PPG Design Caderno Científico, Manaus, 2024. Anais do XV Congresso Brasileiro de Pesquisa e Desenvolvimento em Design – P&D Design Manaus., DOI https://doi.org/10.29327/5457226.1-568

Resumo

Este estudo propõe uma abordagem colaborativa para o design em saúde, centrada em equipes transdisciplinares, utilizando como estudo de caso o Programa Viva Vida – intervenção clínica para tratamento da depressão de idosos de baixa renda. O programa foi analisado por meio de sete etapas metodológicas: conversas exploratórias com usuários e profissionais de saúde, estudo piloto de duas semanas, desenho de 2 intervenções, protocolos clínicos, recrutamento e randomização, aplicação da intervenção, e avaliação de resultados e devolutiva para municípios. Identificaram-se potencialidades do design na saúde, incluindo a cocriação centrada no usuário, a prototipagem, a comunicação eficaz e a facilitação da colaboração interdisciplinar. Conclui-se que o design pode melhorar a eficácia e aceitação de intervenções em saúde, desde que adaptado às nuances do contexto clínico e social.
Palavras-chave:

Design em saúde, Equipes transdisciplinares, Cocriação centrada no usuário

Abstract

This study proposes a collaborative approach to health design, centered on transdisciplinary teams, using as a case study the Viva Vida Program - a clinical intervention for the treatment of depression in low-income elderly people. The program was analyzed through seven methodological stages: exploratory conversations with users and health professionals, a two-week pilot study, design of 2 interventions, clinical protocols, recruitment and randomization, implementation of the intervention, and evaluation of results and feedback to municipalities. The potential of design in health was identified, including user-centered co-creation, prototyping, effective communication, and facilitating interdisciplinary collaboration. It is concluded that design can improve the effectiveness and acceptance of health interventions, provided it is adapted to the nuances of the clinical and social context.
Keywords:

Health Design, Transdisciplinary Teams, User-centered Co-creation

Referências bibliográficas

  • BARNES, M. et al. Health design: a critical and cross-disciplinary direction in design research. Design Studies, v. 60, p. 112–121, mar. 2019.

  • BATE, P.; ROBERT, G. Experience-based design: from redesigning the system around the patient to co-designing services with the patient. Quality and Safety in Health Care, v. 15, n. 5, p. 307–310, out. 2006.

  • BAUER, S.; OKON, S. Co-designing Technology with Vulnerable People. Design Journal, v. 23, n. 2, p. 171–186, 1 mar. 2020.

  • BENYON, D. Designing Interactive Systems: A Comprehensive Guide to HCI, UX and Interaction Design. [s.l.] Pearson, 2019. 752 p.

  • BITENCOURT, E. et al. Proposta de abordagem colaborativa focada em equipes transdisciplinares para design em saúde: Estudo de Caso do Programa Viva Vida. In: 15º Congresso Brasileiro de Pesquisa e Desenvolvimento em Design, Manaus (AM), 2023.

  • BIRKELAND, M. S.; VEDELER, J. S.; ØGREID, A.; BIRKENES, I.; SHATTELL, M. The Lived Experience of a Design Workshop: A Qualitative Study Aimed at Exploring Co-design with Adolescents with a Diagnosis of Depression. Journal of Mental Health Training Education and Practice, v. 15, n. 5, p. 284–301, 2 nov. 2020.

  • BORDIN, D.; COAN, M.; MICHIELAN, F.; BENINI, A.; BEJINARIU, N.-A. Co-design within a complexity healthcare ecosystem. Design for Health, v. 6, n. 2, p. 161–179, 1 mai. 2022.

  • BRANDLE, T. Collaborative Design Process to Create a More Accessible Healthcare System. Healthcare, v. 10, n. 7, p. 1282, 13 jul. 2022.

  • BRAUN, V.; CLARKE, V. Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, v. 11, n. 4, p. 589–597, 1 ago. 2019.

  • BRAUN, V.; CLARKE, V. Successful qualitative research: a practical guide for beginners. [s.l.] SAGE, 2013. 360 p.

  • BROCK, A. M.; TRUILLET, P.; ORIOLA, B. Inclusive co-design of accessible technologies: a case study. Design for Health, v. 3, n. 1, p. 39–59, 1 jan. 2019.

  • BROOKS, H. L.; SANDERS, C.; LOVELL, K.; FRASER, R. P. Acceptability of digital technology interventions promoting physical activity in people with severe mental illness. Journal of Medical Internet Research, v. 23, n. 1, p. e19606, 11 jan. 2021.

  • BRYMAN, A. Social Research Methods. [s.l.] Oxford University Press, 2016. 792 p.

  • CALLAHAN, K. E.; RUPP, M. E.; KARVE, S. J. Healthcare design that supports aging-in-place. The Design Journal, v. 24, n. 3, p. 333–353, 2 mai. 2021.

  • CAMACHO, F. R.; CORREIA, E. A.; GUTIERREZ, A.; ROTTA, J.; LEVIS, D. H. Design and implementation of a multidisciplinary model for innovation in healthcare. Healthcare Management Forum, v. 34, n. 5, p. 301–307, set. 2021.

  • CAMPOS, G. W. S.; MINAYO, M. C. S.; AKERMAN, M.; JÚNIOR, M. D.; CARVALHO, Y. M. (ed.). Tratado de Saúde Coletiva. São Paulo: Hucitec; Fiocruz, 2006.

  • CARNALL, D. The case for co-design in health care. British Journal of General Practice, v. 61, n. 590, p. 502–503, set. 2011.

  • CHENG, S. Y.; HOLROYD, E. Service design as a tool for the development of person-centred healthcare service. Health Expectations, v. 19, n. 3, p. 519–532, jun. 2016.

  • CORREIA, J. C. d. O.; SAMPAIO, B. A.; GRISI, H. P.; MACCARI, C. N.; MONTANHER, T.; FERREIRA, H. M.; MOTA, V. d. F. Universidade, saúde e comunidade: as metodologias participativas na construção de políticas públicas de saúde. Estudos em Design, v. 30, n. 2, p. 14–35, 19 ago. 2022.

  • COX, S.; BUTCHER, R.; CATTAN, M.; HILKESBERGER, E.; WHARTON, P. Design of a technology-based social engagement programme for people with dementia. Design for Health, v. 6, n. 1, p. 25–45, 1 jan. 2022.

  • CRESWELL, J. W.; CRESWELL, J. D. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. [s.l.] SAGE, 2018. 304 p.

  • CUMMINGS, S. R.; BROWNER, W. S.; HULLEY, S. B. Conceiving the research question and developing the study plan. In: Designing Clinical Research: An Epidemiologic Approach. [s.l.] Wolters Kluwer, 2013. p. 14–31.

  • DAMODARAN, L.; OLPHERT, W. Sustaining user involvement in health ICT projects: The CADENSE framework. The Design Journal, v. 14, n. 3, p. 345–374, 1 jan. 2011.

  • DANHOLT, P.; LANGSTRUP, H. Intervention: Configuring the material culture of participation. In: The Routledge Handbook of Interdisciplinary Studies. [s.l.] Routledge, 2014. p. 81–96.

  • DANTEC, C. A. L.; SENGERS, P. Troubles with energy informatics. In: Proceedings of the designing interactive systems conference. [S.l.]: ACM, 2014. p. 705–714.

  • DESMET, P. M. A.; POHLMEYER, A. E. Positive design and emotions. In: Design and emotion. [s.l.] Routledge, 2013. p. 19–35.

  • DESMET, P.; SJÖBERG, A.; ODELIUS, J. What Makes Your Interaction Design Special? A Longitudinal Design Approach to Understanding Meaningful Engagement. Applied Sciences, v. 11, n. 3, p. 1223, 1 fev. 2021.

  • DONETTO, S.; PIERCE, H.; MALONE, M.; MCKEE, L. Experience-based co-design and healthcare improvement: realizing participatory potential. Journal of Health Services Research & Policy, v. 20, n. 2, p. 128–129, abr. 2015.

  • DONETTO, S.; TSIANAKAS, V.; MALONE, M.; PIERCY, H.; MCKEE, L. Towards an agenda for experience-based co-design in the NHS: lessons from patient funded projects. The Design Journal, v. 18, n. 4, p. 527–548, 1 ago. 2015.

  • DOUGLAS, R.; REAY, S. Collaborative design in health-related decision-making: current state and future directions. Journal of Design Research, v. 16, n. 2, p. 145–165, 1 jan. 2018.

  • DOWNE, S.; FINLAYSON, K.; WALSH, D. Approaches to qualitative research in practice-based midwifery education and research. Education for Primary Care, v. 20, n. 4, p. 221–227, 1 jul. 2009.

  • DUITS, N.; SLUIS, S. D.; BONT, J. D.; YZERMANS, J. Patient and staff needs in primary health care: a case study of the development of the electronic health record. Healthcare, v. 4, n. 2, p. 35, 7 abr. 2016.

  • EDVARDSSON, B.; TRONVOLL, B.; GRUBER, T. Expanding understanding of service exchange and value co-creation: a social construction approach. Journal of the Academy of Marketing Science, v. 39, n. 2, p. 327–339, abr. 2011.

  • ERIKSSON, P.; KOVALAINEN, A. Qualitative Methods in Business Research. [s.l.] SAGE, 2015. 406 p.

  • FACER, K.; MEADOWS, B. The learn to live well initiative: participatory design for personalised learning in healthcare. Learning, Media and Technology, v. 38, n. 3, p. 321–340, 1 ago. 2013.

  • FENG, Y.; WANG, K.; WANG, L.; WU, C. Research on the effect of service design on user experience in medical and health. Journal of Healthcare Engineering, v. 2021, p. 1–9, 17 ago. 2021.

  • FERNANDES, I. Acerca de la salud y del cuidado. Texto & Contexto-Enfermagem, v. 15, n. 1, p. 106–111, 2006.

  • FERRI, S. M.; PEREIRA, M. J. B.; MISHIMA, S. M.; CACCIA-BAVA, M. d. C. d. G.; ROCHA, J. S. Y. d. Atendimento com equipes de saúde no contexto dos serviços básicos de saúde. Revista da Escola de Enfermagem da USP, v. 41, n. 2, p. 257–263, jun. 2007.

  • FIORAVANTI, C. Projeto inovador une pesquisa e assistência para tratar depressão de idosos. Jornal da Unicamp, n. 628, p. 12, 2015.

  • FLECK, M. P. A.; CHACHAMOVICH, E.; TRENTINI, C. M. Projeto WHOQOL-OLD: método e resultados de grupos focais no Brasil. Revista de Saúde Pública, v. 37, n. 6, p. 793–799, dez. 2003.

  • FOLEY, T.; WOOLFSON, L. Contradictions and tensions in a doctor's work: the case for a psychodynamic understanding of the general practitioner. British Journal of General Practice, v. 58, n. 557, p. 154–161, fev. 2008.

  • FONDAZIONE, C. User-centred design of inclusive ICTs. Design for All, v. 2, n. 1, p. 1–10, 2007.

  • FRISTEDT, S.; FÄLTHOLM, Y. Facilitating factors in health-promoting activities after stroke. Design for Health, v. 2, n. 2, p. 305–326, 3 jul. 2018.

  • ISMAILOVA, E.; ERMAKOV, A. Analysis of User Experience data and Methodology of application to improve the development of User Interface. 24 maio 2024.

  • JUTAI, J. W.; HATOUM, F.; BHARDWAJ, D.; HOSSEINI, M. Implementation of Digital Health Technologies for Older Adults: A Scoping Review. Frontiers in aging, v. 5, p. 1349520, 7 maio 2024.

  • KNIGHT, I.; WEST, J.; MATTHEWS, E.; KABIR, T.; LAMBE, S.; WAITE, F.; FREEMAN, D. Participatory design to create a VR therapy for psychosis. Design for Health, v. 5, n. 1, p. 98–119, 1 maio 2021.

  • LABATTAGLIA, O.; REAY, S.; NAKARADA-KORDIC, I. Co-designing accessible co-design. Design for Health, v. 7, n. 3, p. 366–382, 2 set. 2023.

  • NAKAMURA, C. A.; SCAZUFCA, M.; MORETTI, F. A.; DIDONE, T. V. N.; DE SÁ MARTINS, M. M.; PEREIRA, L. A.; DE SOUZA, C. H. Q.; DE OLIVEIRA, G. M.; DA COSTA, M. O.; MACHADO, M.; DA SILVA BITENCOURT, E.; DOS SANTOS, M. S.; MURDOCH, J.; VAN DE VEN, P.; SEWARD, N.; HOLLINGWORTH, W.; PETERS, T. J.; ARAYA, R. Digital Psychosocial Intervention for Depression among Older Adults in Socioeconomically Deprived Areas in Brazil (PRODIGITAL-D): Protocol for an Individually Randomised Controlled Trial. Trials, v. 23, n. 1, p. 761, 7 set. 2022.

  • PAMEDYTYTE, R.; AKOGLU, C. Value Creation Through Service Design in a Healthcare Environment. The Design Journal, v. 22, n. sup1, p. 655–668, 1 abr. 2019.

  • PAULOVICH, B. Take charge: collaboratively designing educational resources for children and adolescents with chronic functional constipation. Design for Health, v. 5, n. 3, p. 330–345, 2 set. 2021.

  • POWELL, L.; WHEELER, G.; REDFORD, C.; PARKER, J. The suitability and acceptability of a co-designed prototype psychoeducational activity book for seven- to eleven-year-olds with ADHD. Design for Health, v. 5, n. 1, p. 4–25, 1 maio 2021.

  • REAY, S. D.; COLLIER, G.; DOUGLAS, R.; HAYES, N.; NAKARADA-KORDIC, I.; NAIR, A.; KENNEDY-GOOD, J. Prototyping collaborative relationships between design and healthcare experts: mapping the patient journey. Design for Health, v. 1, n. 1, p. 65–79, 2 jan. 2017.

  • RUDAWSKA, I.; KROT, K.; PORADA-ROCHOŃ, M. Unveiling the Nexus of Technology Acceptance in Healthcare: Empirical Exploration of the Multifaceted Drivers. Human Technology, v. 20, n. 1, p. 114–130, 27 maio 2024.

  • SAMES, H.; REAY, S.; KHOO, C.; TERRY, G. Thinking through colour: designing a collaborative paint-based co-design method. Design for Health, v. 8, n. 1, p. 78–92, 2 jan. 2024.

  • SCAZUFCA, M.; NAKAMURA, C. A.; SEWARD, N.; DIDONE, T. V. N.; MORETTI, F. A.; OLIVEIRA DA COSTA, M.; QUEIROZ DE SOUZA, C. H.; MACIAS DE OLIVEIRA, G.; SOUZA DOS SANTOS, M.; PEREIRA, L. A.; MENDES DE SÁ MARTINS, M.; VAN DE VEN, P.; HOLLINGWORTH, W.; PETERS, T. J.; ARAYA, R. Self-Help Mobile Messaging Intervention for Depression among Older Adults in Resource-Limited Settings: A Randomized Controlled Trial. Nature medicine, v. 30, n. 4, p. 1127–1133, abr. 2024.

  • SCHOUTEN, S. E.; KIP, H.; DEKKERS, T.; DEENIK, J.; BEERLAGE-DE JONG, N.; LUDDEN, G. D. S.; KELDERS, S. M. Best-practices for co-design processes involving people with severe mental illness for eMental health interventions: a qualitative multi-method approach. Design for Health, v. 6, n. 3, p. 316–344, 2 set. 2022.

  • SECOMANDI, F. Design e as interfaces de serviço. Estudos em Design, v. 23, p. 74–83, 1 dez. 2014.

  • SECOMANDI, F.; SNELDERS, D. The Object of Service Design. Design issues, v. 27, n. 3, p. 20–34, jul. 2011.

  • STICKDORN, M.; HORMESS, M. E.; LAWRENCE, A.; SCHNEIDER, J. This Is Service Design Doing. [s.l.] O'Reilly Media, Inc., 2018a. 568 p.

  • STICKDORN, M.; HORMESS, M.; LAWRENCE, A.; SCHNEIDER, J. (ed.). This is service design doing: applying service design thinking in the real world ; a practitioners' handbook. Sebastapol, CA: O'Reilly, 2018b. 541 p.

  • STRAUSS, G.; FLANNERY, J. E.; VIERRA, E.; KOEPSELL, X.; BERGLUND, E.; MILLER, I.; LAKE, J. I. Meaningful Engagement: A Crossfunctional Framework for Digital Therapeutics. Frontiers in digital health, v. 4, p. 890081, 11 ago. 2022.

  • TETZLAFF, J. M.; CHAN, A.-W.; KITCHEN, J.; SAMPSON, M.; TRICCO, A. C.; MOHER, D. Guidelines for Randomized Clinical Trial Protocol Content: A Systematic Review. Systematic reviews, v. 1, p. 43, 24 set. 2012.

  • TONG, A.; SAINSBURY, P.; CRAIG, J. Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32-Item Checklist for Interviews and Focus Groups. International journal for quality in health care: journal of the International Society for Quality in Health Care / ISQua, v. 19, n. 6, p. 349–357, 16 set. 2007.

  • VAN DER LUGT, R.; VAN DER LAAN, T. Design facilitators' journeys through the jungle of Co- in healthcare. The Design Journal, v. 20, n. sup1, p. S2057–S2067, 28 jul. 2017.

  • VINK, J.; EDVARDSSON, B.; WETTER-EDMAN, K.; TRONVOLL, B. Reshaping mental models – enabling innovation through service design. Journal of Service Management, v. 30, n. 1, p. 75–104, 1 jan. 2018.

  • YU, E. Design for Service Implementation: Proposing a Service Implementation Framework and Exploring Design Practices. The Design Journal, v. 24, n. 6, p. 907–930, 15 nov. 2021.

  • YU, H.; WOO, D.; KIM, H. J.; CHOI, M.; KIM, D. H. Development of Healthcare Service Design Concepts for NICU Parental Education. Children, v. 8, n. 9, 10 set. 2021.

  • ZHAO, J.; WANG, T.; FAN, X. Patient Value Co-Creation in Online Health Communities. Journal of service management, v. 26, n. 1, p. 72–96, 16 mar. 2015.

  • ZITKUS, E.; LIBANIO, C. User Experience of Brazilian Public Healthcare System. A case study on the accessibility of the information provided. The Design Journal, v. 22, n. sup1, p. 707–721, 1 abr. 2019.