1. Use of a human-centered design approach to adapt a nurse-led cardiovascular disease prevention intervention in HIV clinics.
- Author
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Aifah A, Okeke NL, Rentrope CR, Schexnayder J, Bloomfield GS, Bosworth H, Grover K, Hileman CO, Muiruri C, Oakes M, Webel AR, Longenecker CT, and Vedanthan R
- Subjects
- Anti-HIV Agents adverse effects, Cardiovascular Diseases diagnosis, Cardiovascular Diseases nursing, Feasibility Studies, Female, HIV Infections diagnosis, HIV Infections nursing, Health Status, Humans, Leadership, Male, Middle Aged, North Carolina, Ohio, Patient Acceptance of Health Care, Stakeholder Participation, Treatment Outcome, Viral Load, Anti-HIV Agents therapeutic use, Cardiovascular Diseases prevention & control, Delivery of Health Care, Integrated, HIV Infections drug therapy, HIV Long-Term Survivors, Nurse's Role, Patient-Centered Care, Preventive Health Services
- Abstract
Stakeholder-informed strategies addressing cardiovascular disease (CVD) burden among people living with HIV (PWH) are needed within healthcare settings. This study provides an assessment of how human-centered design (HCD) guided the adaptation of a nurse-led intervention to reduce CVD risk among PWH. Using a HCD approach, research staff guided two multidisciplinary "design teams" in Ohio and North Carolina, with each having five HCD meetings. We conducted acceptability and feasibility testing. Six core recommendations were produced by two design teams of key stakeholders and further developed after the acceptability and feasibility testing to produce a final list of 14 actionable areas of adaptation. Acceptability and feasibility testing revealed areas for adaptation, e.g. patient preferences for communication and the benefit of additional staff to support patient follow-up. In conclusion, along with acceptability and feasibility testing, HCD led to the production of 14 key recommendations to enhance the effectiveness and scalability of an integrated HIV/CVD intervention., Competing Interests: Declaration of competing interest The author has no conflict of interest to declare., (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Published
- 2020
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