TY - GEN
T1 - Supporting communication about values between people with multiple chronic conditions and their providers
AU - Berry, Andrew B.L.
AU - Lim, Catherine Y.
AU - Hirsch, Tad
AU - Hartzler, Andrea L.
AU - Kiel, Linda M.
AU - Bermet, Zoë A.
AU - Ralston, James D.
N1 - Funding Information:
We thank Evette Ludman and Deryn Haug for their valuable contributions to this project. We are grateful for support from the Agency for Healthcare Research and Quality (R01 HS022364). The opinions expressed here do not reflect the position of AHRQ or the U.S. Department of Health and Human Services. We also appreciate the constructive feedback from anonymous reviewers.
Publisher Copyright:
© 2019 Association for Computing Machinery.
PY - 2019/5/2
Y1 - 2019/5/2
N2 - People with multiple chronic conditions (MCC) often disagree with healthcare providers on priorities for care, leading to worse health outcomes. To align priorities, there is a need to support patient-provider communication about what patients consider important for their well-being and health (i.e., their personal values). To address barriers to communication about values, we conducted a two-part study with key stakeholders in MCC care: patients, informal caregivers, and providers. In Part I, co-design activities generated seven dimensions that characterize stakeholders’ diverse ideas for supporting communication about values: explicitness, effort, disclosure, guidance, intimacy, scale, and synchrony. In Part II, we used the dimensions to generate three design concepts and presented them in focus groups to further scrutinize findings from Part I. Based on these findings we outline directions for research and design to improve patient-provider communication about patients’ personal values.
AB - People with multiple chronic conditions (MCC) often disagree with healthcare providers on priorities for care, leading to worse health outcomes. To align priorities, there is a need to support patient-provider communication about what patients consider important for their well-being and health (i.e., their personal values). To address barriers to communication about values, we conducted a two-part study with key stakeholders in MCC care: patients, informal caregivers, and providers. In Part I, co-design activities generated seven dimensions that characterize stakeholders’ diverse ideas for supporting communication about values: explicitness, effort, disclosure, guidance, intimacy, scale, and synchrony. In Part II, we used the dimensions to generate three design concepts and presented them in focus groups to further scrutinize findings from Part I. Based on these findings we outline directions for research and design to improve patient-provider communication about patients’ personal values.
KW - Co-design
KW - Multimorbidity
KW - Multiple chronic conditions
KW - Patient-provider communication
UR - http://www.scopus.com/inward/record.url?scp=85067632490&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85067632490&partnerID=8YFLogxK
U2 - 10.1145/3290605.3300700
DO - 10.1145/3290605.3300700
M3 - Conference contribution
AN - SCOPUS:85067632490
T3 - Conference on Human Factors in Computing Systems - Proceedings
BT - CHI 2019 - Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems
PB - Association for Computing Machinery
T2 - 2019 CHI Conference on Human Factors in Computing Systems, CHI 2019
Y2 - 4 May 2019 through 9 May 2019
ER -