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Title: Human-centered implementation research: A new approach to develop and evaluate implementation strategies for strengthening Referral networks for hypertension in western Kenya
Authors: Pillsbury, McKinsey M
Mwangi, Eunice
Andesia, Josephine
Njuguna, Benson
Bloom, Gerald S
Chepchumba, Agneta
Kamano, Jemima
Mercer, Tim
Miheso, Juliet
Pastakia, Sonak D
Pathak, Shravani
Thakkar, Aarti
Naanyu, Violet
Akwanalo, Constantine
Vedanthan, Rajesh
Keywords: Human-centered design
Implementation research
Referral networks
Health information technology
Issue Date: 3-Sep-2021
Publisher: BMC
Abstract: Human-centered design (HCD) is an increasingly recognized approach for engaging stakeholders and developing contextually appropriate health interventions. As a component of the ongoing STRENGTHS study (Strengthening Referral Networks for Management of Hypertension Across the Health System), we report on the process and outcomes of utilizing HCD to develop the implementation strategy prior to a cluster-randomized controlled trial. Methods We organized a design team of 15 local stakeholders to participate in an HCD process to develop implementation strategies. We tested prototypes for acceptability, appropriateness, and feasibility through focus group discussions (FGDs) with various community stakeholder groups and a pilot study among patients with hypertension. FGD transcripts underwent content analysis, and pilot study data were analyzed for referral completion and reported barriers to referral. Based on this community feedback, the design team iteratively updated the implementation strategy. During each round of updates, the design team research other settings.
Appears in Collections:School of Medicine

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