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AbstractSince the launch of ChatGPT in November 2022, the number of services providing generative AI has been steadily increasing. As different services enter the market, the generative AI interfaces users experience become more diverse. However, none of the services has yet established itself as the dominant tool, and which interface component affects user preferences the most has yet to be identified. This study investigates user preferences based on the interface of generative AI services currently on the market. We investigated users’ preferred interface components by setting the output data type, generative style, output variation, reference style, and generation history provided by the current generative AI service as properties. We collected data from 500 users through a survey and conducted conjoint analysis. Users preferred the provision of 10 generation histories the most, and the second most preferred the provision of reference style in footnote format. In addition, it was found that there was no preference for the creative generative style, which can be interpreted as users being aware of the problem of hallucination in generative AI. The results of this study will help future generative AI services design interfaces that consider user experience. [ABSTRACT FROM AUTHOR]

Background: While Human Factors (HF) methods have been applied to the design of decision support systems (DSS) to aid clinical decision-making, the role of HF to improve decision-support for population health outcomes is less understood. We sought to comprehensively understand how HF methods have been used in designing digital population health DSS. Materials and methods: We searched English documents published in health sciences and engineering databases (Medline, Embase, PsychINFO, Scopus, Comendex, Inspec, IEEE Xplore) between January 1990 and September 2023 describing the development, validation or application of HF principles to decision support tools in population health. Results: We identified 21,581 unique records and included 153 studies for data extraction and synthesis. We included research articles that had a target end-user in population health and that used HF. HF methods were applied throughout the design lifecycle. Users were engaged early in the design lifecycle in the needs assessment and requirements gathering phase and design and prototyping phase with qualitative methods such as interviews. In later stages in the lifecycle, during user testing and evaluation, and post deployment evaluation, quantitative methods were more frequently used. However, only three studies used an experimental framework or conducted A/B testing. Conclusions: While HF have been applied in a variety of contexts in the design of data-driven DSSs for population health, few have used Human Factors to its full potential. We offer recommendations for how HF can be leveraged throughout the design lifecycle. Most crucially, system designers should engage with users early on and throughout the design process. Our findings can support stakeholders to further empower public health systems. [ABSTRACT FROM AUTHOR]

This paper reports a design and implementation of a STEM enrichment programme infused with affective elements designed for Hong Kong students. Specifically, it features a design-thinking approach to develop solutions to a self-selected problem addressing the United Nations Sustainable Development Goals. Around 30 upper primary school (grades 5 to 6) and 20 lower secondary students (grades 7 to 10) enrolled in the study. Considering empathy as a core value of the design-thinking process and aligned with affective dimensions of thinking and learning, we investigate students' design-thinking development and STEM learning processes while highlighting empathy map as a pedagogical tool. We discuss the implications and insights of offering humanistic perspectives on STEM curricular design, especially for K-12 students. Our results showed that students at different age range were able to use empathy maps to devise designs effectively, despite their varying degrees of empathy. Furthermore, we conceptualize empathy maps as a pedagogical tool that creates physical boundaries in design thinking, making students' mental transitions across design stages more explicit. This study contributes to a better understanding of the educational potentials of design-thinking enhanced classrooms, with the results informing theoretical and practical advice on the integration of the empathy map in innovation-oriented projects. [ABSTRACT FROM AUTHOR]

The present landscape of adverse drug reactions (ADRs) cases paints a somber picture, with statistics indicating that a substantial proportion of hospital admissions result from patients experiencing drug side effects. The existing solutions for preventing and monitoring ADRs, however, seem to operate in isolation. Addressing these gaps calls for the creation of a fully integrated platform for preventing and monitoring ADRs. Central to the success of such a platform is understanding user needs. This research focused on identifying functional needs for physicians and patients, along with non-functional requirements from hospital information system providers. This study employs a user-centered design methodology structured around a series of key steps that collectively guide the process of user needs and requirement identification and analysis. For an overarching view of the functional requirements, questionnaires were utilized to engage both physicians and patients. For gathering non-functional requirements interviews were conducted with Hospital Information System Providers. 37 physicians and 40 patients participated in the survey. Physicians favored Drug Information Checker, Drug-to-Drug Interaction Checker, Patient ADR Report history-based drug checker, and other general features. Patients prioritized ADR Reporting, Medication Reminders, and mobile platform accessibility. Additionally, two hospital system experts highlighted non-functional prerequisites, including interoperability, security, usability, availability, and performance. This study focus encompassed three pivotal actors: physicians, patients, and hospital information system providers. Physicians and patients lent insights into functional requirements that mirror their clinical and personal journeys, respectively. Meanwhile, the contributions of hospital information system providers illuminated the non-functional aspects imperative for a seamlessly integrated platform. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate the usability and feasibility of incorporating a cardiovascular risk assessment tool into adolescent reproductive health and primary care visits. We recruited 60 young women ages 13-21 years to complete the HerHeart web-tool in 2 adolescent clinics in Atlanta, GA. Main Outcome Measures: Participants rated the tool's usability via the Website Analysis and Measurement Inventory (WAMMI, range 0-95) and their perceived 10-year and lifetime risk of cardiovascular disease (CVD) on a visual analog scale (range 0-10). Participants' perceived risk, blood pressure, and body mass index were measured at baseline and 3 months after enrollment. Health care providers (HCP, n = 5) completed the WAMMI to determine the usability and feasibility of incorporating the HerHeart tool into clinical practice. Adolescent participants and HCPs rated the tool's usability highly on the WAMMI with a median of 79 (interquartile range [IQR] 65, 84) and 76 (IQR 71, 84). At the baseline visit, participants' median perceived 10-year risk of a heart attack was 1 (IQR 0, 3), and perceived lifetime risk was 2 (IQR 0, 4). Immediately after engaging with the tool, participants' median perceived 10-year risk was 2 (IQR 1, 4.3), and perceived lifetime risk was 3 (IQR 1.8, 6). Thirty-one participants chose to set a behavior change goal, and 12 participants returned for follow-up. Clinical metrics were similar at the baseline and follow-up visits. HerHeart is acceptable to young women and demonstrates potential for changing risk perception and improving health habits to reduce risk of CVD. Future research should focus on improving retention in studies to promote cardiovascular health within reproductive health clinics. [ABSTRACT FROM AUTHOR]

The list of standard abbreviations for JDS is available at adsa.org/jds-abbreviations-24. Nonstandard abbreviations are available in the Notes. For successful development and adoption of technology on dairy farms, farmers need to be included in the innovation process. However, the design of agricultural technologies usually takes a top-down approach with little involvement of end-users at the early stages. Living Labs offer a methodology that involve end-users throughout the development process and emphasize the importance of understanding users' needs. Currently, exploration of dairy farmers' technology needs has been limited to specific types of technology (e.g., smartphone apps) and adult cattle. The aim of this study was to use a Living Lab approach to identify dairy farmers' data and technology needs to improve herd health and inform innovation development. We conducted 18 focus groups with a total of 80 dairy farmers from Belgium, Ireland, the Netherlands, Norway, Sweden, and the United Kingdom. Data were analyzed using Template Analysis, and 6 themes were generated representing the fundamental needs of autonomy, comfort, competence, community and relatedness, purpose, and security. Farmers favored technologies that provided them with convenience, facilitated their knowledge and understanding of problems on farm, and allowed them to be self-reliant. Issues with data sharing and accessibility and usability of software were barriers to technology use. Furthermore, farmers were facing problems around recruitment and management of labor and needed ways to reduce stress. Controlling aspects of the barn environment, such as air quality, hygiene, and stocking density, were particular concerns in relation to youngstock management. Overall, the findings suggest that developers of farm technologies may want to include farmers in the design process to ensure a positive user experience and improve accessibility. The needs identified in this study can be used as a framework when designing farm technologies to strengthen need satisfaction and reduce any potential harm toward needs. [ABSTRACT FROM AUTHOR]

Background: Cardiovascular disease is the leading cause of death worldwide. Cardiac rehabilitation (CR) programs are recognized as effective in reducing the burden of cardiovascular disease. However, CR programs are offered inequitably across regions and are available in less than 15% of remote areas worldwide. The main goal of this study was to design a CR program adapted to the contexts of remote areas to improve the service offered to patients. Methods: We used an iterative user-centered design approach to understand the user context and services offered in cardiac rehabilitation in remote areas. We conducted two co-design processes with knowledge users in two remote regions. Two advisory committees were created in each of these regions, comprising managers (n = 6), healthcare professionals (n = 12) and patients (n = 2). We utilized the BACPR guidelines and the Hautes Autorités de santé operational model to support data collection in coding sessions to develop the CR program. We conducted four cycles of co-design with each of the committees to develop the cardiac rehabilitation program. Qualitative data were analyzed iteratively after each cycle. Results: The co-design process resulted in developing a prototype cardiac rehabilitation program similar in both regions. It is based on a contextualized six-phase pathway of care designed for remote regions. For each phase 0 to 6 of the care pathway, knowledge users were asked to describe how to offer these phases in remote areas. Participants made structural changes to phases 0, 2, 3 and 4 in order to overcome staffing shortages in remote areas. These changes make it possible to decentralize cardiac rehabilitation expertise away from specialized centers, to ensure equity of service across the territory. Therapeutic patient education was integrated into phase 4 to meet patients' needs. Participants suggested that three follow-up offerings could come from nursing services to increase access to the cardiac rehabilitation program (primary care, home care, special chronic disease programs) in patients' home communities. Conclusion: The co-design process enables us to meet the needs of remote regions in program development. This final program can be the subject of future implementation research. [ABSTRACT FROM AUTHOR]

Physical inactivity is prevalent among hospitalized patients and the daytime spent lying should be utilised for exercise. However, implementing new interventions in hospitals’ complex daily routines is difficult and requires a participatory approach. Exploring clinical settings and clinicians’ perspectives regarding exercise in hospitalized patients to gauge the potential of further development of an in-bed training device and to formulate development goals. A User-Centered Design approach was employed, consisting of work shadowing and focus groups with physiotherapists and nurses. Content and network analyses of the focus group data were performed. Personas were then developed and used to create clinical scenarios. Some clinicians perceived in-bed exercise counterproductive, while others recognized potential for unsupervised training. The most important design characteristics appeared to be a small size, low weight and simplicity of use to facilitate storage, transportation, and administration, respectively. The scenarios revealed that the device’s use could increase the physical activity time by 1.4%, although it would also increase the working time of clinicians. The study highlighted the difficulties in developing a usable training device but encouraged the authors to pursue their efforts under the strict condition of following the formulated development goals. [ABSTRACT FROM AUTHOR]

The Human Readiness Level (HRL) scale is a simple nine‐level scale that brings structure and consistency to the real‐world application of user‐centered design. It enables multidisciplinary consideration of human‐focused elements during the system development process. Use of the standardized set of questions comprising the HRL scale results in a single human readiness number that communicates system readiness for human use. The Human Views (HVs) are part of an architecture framework that provides a repository for human‐focused system information that can be used during system development to support the evaluation of HRL levels. This paper illustrates how HRLs and HVs can be used in combination to support user‐centered design processes. A real‐world example for a U.S. Army software modernization program is described to demonstrate application of HRLs and HVs in the context of user‐centered design. [ABSTRACT FROM AUTHOR]

Remote Patient Monitoring has enjoyed strong growth to new heights driven by several factors, such as the COVID-19 pandemic or advances in technology, allowing consumers and patients to continuously record health data by themselves. This does not come without its challenges, however. A literature review was completed and highlights usability gaps when using wearables or home use medical devices in a virtual environment. Based on these findings, the Pi-CON methodology was applied to close these gaps by utilizing a novel sensor that allows the acquisition of vital signs at a distance, without any sensors touching the patient. Pi-CON stands for passive, continuous and non-contact, and describes the ability to acquire vital signs continuously and passively, with limited user interaction. The preference of vital sign acquisition with a newly developed sensor was tested and compared to vital sign tests taken with patient generated health-data devices (ear thermometer, pulse oximeter) measuring heart rate, respiratory rate and body temperature. In addition, the amount of operator errors and the user interfaces were tested and compared. Results show that participants preferred vital signs acquisition with the novel sensor and the developed user interface of the sensor. Results also revealed that participants had a mean error of.85 per vital sign measurement with the patient-generated health data devices and.33 with the developed sensor, confirming the beneficial impact available when using the developed sensor based on the Pi-CON methodology. [ABSTRACT FROM AUTHOR]

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Context: Utilizing mobile apps to increase physical activity levels is now standard practice in cancer care. The study's objective was to provide patients with precise physical activity recommendations and/or initiate self-directed exercise programs. Methods: A multidisciplinary group directed the design procedure. We adhered to the self-determination approach,and accompanying behavior modification strategies, as well as international guidelines in the field of physical activity in cancer care. The design process was user-centered and involved three steps: Understanding the user and the context, conceptualization, and evaluation of the prototype. The testing was carried out by the beneficiaries, healthcare professionals, and two experts. Three criteria were evaluated in the designed solution: usability, quality, and potential for behavior change. Results: The evaluation results of the designed solution showed good perception by both beneficiaries and healthcare professionals. The average system usability scale score was 90,6 (SD: 7.33) for beneficiaries, and 92.75 (SD: 3.83) for healthcare professionals. The first expert received a mean overall quality score of 4.51 on the mobile app rating scale, while the second received a score of 4.27. The results of the app behavior change scale gave the first expert a score of 17/21 and the second a score of 15/21. Conclusion: Based on the criteria of usability, quality, and potential for behavior change, the designed app demonstrated positive results. This is a preliminary evaluation, which will be followed by additional, in-depth evaluations with larger sample sizes. [ABSTRACT FROM AUTHOR]

Abstract\nIMPLICATIONS FOR REHABILITATIONThe increasing prevalence of mobility impairments underscores the urgent need for accessible and affordable mobility aids. To overcome the mobility limitations of people with disabilities, there is an increasing need for the development of lightweight and portable powered wheelchairs that can be easily loaded. This study aimed to perform an early health technology assessment and a formative usability evaluation on a modular (detachable) powered wheelchair. It aimed to gauge device satisfaction among users, pinpoint areas for improvement, and detect any unforeseen errors to inform future development. Engaging 16 participants, including powered wheelchair users, healthcare professionals, and caregivers, the research evaluated the wheelchair’s functionality in various scenarios, emphasizing safety, effectiveness, and convenience. Statistical analyses of task performance and satisfaction surveys highlighted that, while powered wheelchair users successfully completed tasks focusing on driving and power control, healthcare professionals and caregivers encountered difficulties with the wheelchair’s assembly and disassembly. Despite general positivity, the surveys indicated mixed satisfaction levels regarding safety, validity, and convenience, with specific issues related to frame durability, seat comfort, and control mechanisms. These findings suggest that refining the wheelchair’s design and addressing user concerns could significantly enhance satisfaction and mobility services. Future efforts will include a thorough review of an advanced prototype and further satisfaction assessments.We believe that our study makes a significant contribution to the literature by addressing a critical gap in the understanding of user-centric design and usability testing for powered wheelchairs.By emphasizing the importance of early assessments and incorporating user feedback into the development process, our research offers practical insights for creating more accessible and user-friendly mobility solutions.This contribution is particularly relevant in the context of advancing assistive technology and improving the quality of life for individuals with disabilities.We believe that our study makes a significant contribution to the literature by addressing a critical gap in the understanding of user-centric design and usability testing for powered wheelchairs.By emphasizing the importance of early assessments and incorporating user feedback into the development process, our research offers practical insights for creating more accessible and user-friendly mobility solutions.This contribution is particularly relevant in the context of advancing assistive technology and improving the quality of life for individuals with disabilities. [ABSTRACT FROM AUTHOR]

Introduction: Many countries are facing a shortage of healthcare workers. Furthermore, healthcare workers are experiencing many stressors, resulting in psychological issues, impaired health, and increased intentions to leave the workplace. In recent years, different technologies have been implemented to lighten workload on healthcare workers, such as electronic patient files. Robotic solutions are still rather uncommon. To help with acceptance and actual use of robots their functionalities should correspond to the users' needs. Method: In the pilot study Care4All-Initial, we developed and field-tested applications for a mobile service robot in a psychosocial, multimodal group therapy for people with dementia. To guide the process and assess possible facilitators and barriers, we conducted a reoccurring focus group including people with dementia, therapists, professional caregivers as well as researchers from different disciplines with a user-centered design approach. The focus group suggested and reviewed applications and discussed ethical implications. We recorded the focus group discussions in writing and used content analysis. Results: The focus group discussed 15 different topics regarding ethical concerns that we used as a framework for the research project: Ethical facilitators were respect for the autonomy of the people with dementia and their proxies regarding participating and data sharing. Furthermore, the robot had to be useful for the therapists and attendees. Ethical barriers were the deception and possible harm of the people with dementia or therapists. The focus group suggested 32 different applications. We implemented 13 applications that centered on the robot interacting with the people with dementia and lightening the workload off the therapists. The implemented applications were facilitated through utilizing existing hard- and software and building on applications. Barriers to implementation were due to hardware, software, or applications not fitting the scope of the project. Discussion: To prevent barriers of robot employment in a group therapy for people with dementia, the robot's applications have to be developed sufficiently for a flawless and safe use, the use of the robot should not cause irritation or agitation, but rather be meaningful and useful to its users. To facilitate the development sufficient time, money, expertise and planning is essential. [ABSTRACT FROM AUTHOR]

This study presents a strengths-based framework for designing virtual reality experiences tailored to the needs and abilities of autistic individuals. Recognizing the potential of virtual reality to provide engaging and immersive learning environments, the framework aligns the strengths and preferences of autistic users with the affordances of virtual reality platforms. Drawing on the existing literature and empirical findings, the framework highlights key areas of alignment, including visual perception, anxiety management, attention to differences, concrete thinking, and response to positive feedback. The framework emphasizes the importance of involving autistic individuals in the co-design and co-creation of virtual reality technologies to ensure a more tailored and preferred user experience. By adopting a strengths-based approach and actively involving autistic individuals, the design and implementation of virtual reality interventions can better address their unique needs and foster positive outcomes. The study concludes by advocating for continued research and collaboration to advance the field of virtual reality technology for autistic individuals and to work toward shared goals with the autistic community. Virtual reality has been studied for its potential in supporting individuals with autism, but existing research often focuses on deficits and lacks consideration of individual preferences and strengths. This article introduces a framework that emphasizes the strengths and abilities of autistic individuals when designing virtual reality interventions. It builds upon an existing taxonomy of educational technology affordances and extends it to align with the unique needs of autistic individuals. The framework provides guidance for incorporating virtual reality technology that supports and amplifies autistic strengths, such as visual perception and response to positive feedback. The framework has implications for practice, research, and policy. For practitioners, it offers a tool for designing virtual reality experiences that cater to the strengths of autistic individuals, enhancing engagement and educational outcomes. Researchers can utilize the framework to guide the development of user-centered virtual reality interventions and expand our understanding of the potential benefits of virtual reality for autistic populations. Policymakers and educators can consider this framework when incorporating virtual reality into educational settings, ensuring that virtual reality technology is used in a way that aligns with the strengths and needs of autistic learners. Overall, the framework promotes a strengths-based approach in utilizing virtual reality technology for individuals with autism, fostering inclusivity and maximizing the benefits of immersive experiences. [ABSTRACT FROM AUTHOR]

Abstract\nIMPLICATIONS FOR REHABILITATIONWheelchair users (WCUs) face additional challenges than non-WCU to multi-tasking (i.e. open doors, cook, use a cell-phone) while navigating their environments. While assistive devices have attempted to provide WCUs with mobility solutions that enable multi-tasking capabilities, current devices have been developed without the input of end-users and have proven to be non-usable. More balanced approaches that integrate the end-users’ voices may improve current assistive technology usability trends. This study sought to empathically understand the lived experience of WCUs, their needs towards a mobility device, and their perceptions towards hands-free mobility. Full-time WCUs and care providers participated in semi-structured interviews examining wheelchair use and perceptions towards current and future mobility devices. Thematic analysis was used to analyze interview data. 9 WCUs (aged 32.1 ± 7.0 years; wheelchair experience 17.9 ± 11.6 years) and five care providers (years caring for WCU 3.75 ± 0.96 years) participated in the study. The most common disability type was spinal cord injury (WCUs: n = 3; care providers: n = 3). Qualitative analysis revealed four key themes: (1) Current wheelchair usage, (2) WCU and care provider perspectives, (3) Future wheelchair, and (4) Hands-free wheelchair. Accordingly, participants desire bespoke, light-weight mobility devices that can through tight spaces, access uneven terrain, and free the hands during navigation. This study provides meaningful insight into the needs of WCUs and care providers that assistive technology innovators can use to develop more usable assistive technologies. Amongst study participants, the concept of a hands-free mobility device appears to be usable and desirable.Integrating end-users’ voices into the development of assistive technology may improve current usability trendsWheelchair users desire access to their hands and the ability to multi-task while navigating their wheelchairsThe development of a hands-free mobility device may profoundly improve the quality of life of wheelchair users.Integrating end-users’ voices into the development of assistive technology may improve current usability trendsWheelchair users desire access to their hands and the ability to multi-task while navigating their wheelchairsThe development of a hands-free mobility device may profoundly improve the quality of life of wheelchair users. [ABSTRACT FROM AUTHOR]

Websites for university units provide lists of faculty (teaching staff) to support a variety of users' tasks including creating collaborations and student choice for projects and courses. However, these lists often only provide shallow features about the faculty such as pictures and names and not the semantic attributes of expertise, interest, or accomplishments. Prospective students, faculty, parents, donors, and those in the community often cannot directly access these semantic attributes and sometimes not without extensive search. Not having scholarship-focused individual entries leaves the selection process more open for implicit and explicit biases to be applied when searching for areas of expertise—if the website is face-focused (only pictures and names are provided), users can only choose (or choose who to explore further) based solely on name and physical appearance, thus including race, clothing and attractiveness. This paper argues for ease of access to the right information and self-authorship of the public-facing information. We document that this problem is pervasive at universities across the world (n  = 275). We suggest good practices for decreasing the prominence of less relevant information to summarize faculty. This is accomplished by increasing the prominence and accessibility of more relevant information, including self-reported research interests and accomplishments. We provide example templates to support more semantic choices that would be applicable to similar organizational lists. This approach could be applied to other sets of professionals, such as doctors and lawyers. [ABSTRACT FROM AUTHOR]

The web was conceived in 1997 with the goal of universal accessibility. However, it still presents obstacles for users with diverse abilities. Although interactions in digital environments have improved the quality of life for many people, they remain a source of limitations and frustrations, up to twice as much for users with total visual impairment, which is commonly known as blindness. This article emphasizes the need to provide designers and developers with methodologies and tools that consider users with different abilities in all stages and from the beginning of the design, redesign, and development of digital products and services on the web, collecting their needs and goals and delving into their reactions and emotions. While an approach based on persona archetypes can optimally represent each group of users with disabilities throughout website design processes, serving as a communication and empathy tool for development teams and stakeholders, it is essential that this tool considers all dimensions involved in the experiences of people with disabilities. This conceptual paper develops a methodology that provides designers with a persona tool that effectively captures the goals and emotions of these users in their interaction with the web. This methodology proposal is multidimensional and holistic. It addresses conscious and subconscious dimensions, combines traditional user experience and neuroscientific techniques, focuses on total visual impairment, the most challenging in digital environments, and makes it adaptable to other disabilities. [ABSTRACT FROM AUTHOR]

Abstract Background While Human Factors (HF) methods have been applied to the design of decision support systems (DSS) to aid clinical decision-making, the role of HF to improve decision-support for population health outcomes is less understood. We sought to comprehensively understand how HF methods have been used in designing digital population health DSS. Materials and methods We searched English documents published in health sciences and engineering databases (Medline, Embase, PsychINFO, Scopus, Comendex, Inspec, IEEE Xplore) between January 1990 and September 2023 describing the development, validation or application of HF principles to decision support tools in population health. Results We identified 21,581 unique records and included 153 studies for data extraction and synthesis. We included research articles that had a target end-user in population health and that used HF. HF methods were applied throughout the design lifecycle. Users were engaged early in the design lifecycle in the needs assessment and requirements gathering phase and design and prototyping phase with qualitative methods such as interviews. In later stages in the lifecycle, during user testing and evaluation, and post deployment evaluation, quantitative methods were more frequently used. However, only three studies used an experimental framework or conducted A/B testing. Conclusions While HF have been applied in a variety of contexts in the design of data-driven DSSs for population health, few have used Human Factors to its full potential. We offer recommendations for how HF can be leveraged throughout the design lifecycle. Most crucially, system designers should engage with users early on and throughout the design process. Our findings can support stakeholders to further empower public health systems.

This article introduces the FIRST Values Framework, a conceptual marketing thinking tool designed to foster empathy in library marketing by aligning strategies with core values and community needs. The framework enhances user-centered design and engagement efforts through five values: fellow-feeling, identification, responsiveness, self-awareness, and thoughtfulness. The literature discusses the significance of empathy in libraries, empathetic marketing, relationship marketing, and incorporating empathy into staff training for service design, highlighting the essential need for empathic connections in library services. The article discusses the integration of empathy across different contexts by briefly comparing the FIRST Values Framework with existing models like design thinking and human-centered design. Practical steps for implementing the framework in libraries are provided, ensuring marketing and outreach efforts are empathetic, user-centered, and impactful.

An innovative approach was pursued for sustainable packaging design using Cycle Generative Adversarial Networks (CycleGANs), tailored for wood packaging engraving. The methodology includes four phases: user participatory design, assembly scheme design, detailed Finite Element Analysis (FEA) optimization, and computer numerical control (CNC) engraving production. Each phase targets sustainability from design to final product, minimizing environmental impact and economic costs. Emphasizing early user participation helps adapt designs to user needs and environmental standards. Innovations such as real-time updates of packaging patterns via cloud-based iterations and an FEA optimization system enhance durability and aesthetics. This approach improves the environmental footprint and recyclability of conventional wood packaging. The research aims to shift perceptions in the packaging industry towards more sustainable practices, showcasing the practical applications of advanced digital tools in traditional manufacturing. It offers a scalable model for integrating sustainability into packaging design, providing valuable insights and inspiring future innovations in environmentally friendly practices across the industry.

Abstract Background Cardiovascular disease is the leading cause of death worldwide. Cardiac rehabilitation (CR) programs are recognized as effective in reducing the burden of cardiovascular disease. However, CR programs are offered inequitably across regions and are available in less than 15% of remote areas worldwide. The main goal of this study was to design a CR program adapted to the contexts of remote areas to improve the service offered to patients. Methods We used an iterative user-centered design approach to understand the user context and services offered in cardiac rehabilitation in remote areas. We conducted two co-design processes with knowledge users in two remote regions. Two advisory committees were created in each of these regions, comprising managers (n = 6), healthcare professionals (n = 12) and patients (n = 2). We utilized the BACPR guidelines and the Hautes Autorités de santé operational model to support data collection in coding sessions to develop the CR program. We conducted four cycles of co-design with each of the committees to develop the cardiac rehabilitation program. Qualitative data were analyzed iteratively after each cycle. Results The co-design process resulted in developing a prototype cardiac rehabilitation program similar in both regions. It is based on a contextualized six-phase pathway of care designed for remote regions. For each phase 0 to 6 of the care pathway, knowledge users were asked to describe how to offer these phases in remote areas. Participants made structural changes to phases 0, 2, 3 and 4 in order to overcome staffing shortages in remote areas. These changes make it possible to decentralize cardiac rehabilitation expertise away from specialized centers, to ensure equity of service across the territory. Therapeutic patient education was integrated into phase 4 to meet patients' needs. Participants suggested that three follow-up offerings could come from nursing services to increase access to the cardiac rehabilitation program (primary care, home care, special chronic disease programs) in patients' home communities. Conclusion The co-design process enables us to meet the needs of remote regions in program development. This final program can be the subject of future implementation research.

The article explores the usability of the geodiscussion administrative panel, an online tool aiding Public Participation Geographic Information Systems. This tool was specifically designed and developed for distribution in a Software as a service model, offering geodiscussion users the flexibility to leverage the tool without the need for substantial investments in expensive infrastructure or complex deployments. The research primarily centers on the geodiscussion administrative panel, a key component empowering organizers of public consultations in spatial planning to efficiently create and manage consultation processes. In contrast to previous studies that focused on the usability for consultation participants, this research uniquely targets individuals responsible for organizing and overseeing the consultation processes. A diverse array of usability research methods were employed, ranging from the creation of personas and conducting direct interviews based on test scenarios to non-invasive methods for recording user activities. The study involved 682 participants who had prior experience with public consultations across various public administration units and representatives from consulting firms. Given that the usability studies were an integral part of the geodiscussion administrative panel’s development process, the research team has the opportunity to influence the further implementation of the applied functionalities. This implies that insights gained from the research can actively shape and enhance the tool’s features as it progresses in its development cycle.

Abstract Context Utilizing mobile apps to increase physical activity levels is now standard practice in cancer care. The study’s objective was to provide patients with precise physical activity recommendations and/or initiate self-directed exercise programs. Methods A multidisciplinary group directed the design procedure. We adhered to the self-determination approach,and accompanying behavior modification strategies, as well as international guidelines in the field of physical activity in cancer care. The design process was user-centered and involved three steps: Understanding the user and the context, conceptualization, and evaluation of the prototype. The testing was carried out by the beneficiaries, healthcare professionals, and two experts. Three criteria were evaluated in the designed solution: usability, quality, and potential for behavior change. Results The evaluation results of the designed solution showed good perception by both beneficiaries and healthcare professionals. The average system usability scale score was 90,6 (SD: 7.33) for beneficiaries, and 92.75 (SD: 3.83) for healthcare professionals. The first expert received a mean overall quality score of 4.51 on the mobile app rating scale, while the second received a score of 4.27. The results of the app behavior change scale gave the first expert a score of 17/21 and the second a score of 15/21. Conclusion Based on the criteria of usability, quality, and potential for behavior change, the designed app demonstrated positive results. This is a preliminary evaluation, which will be followed by additional, in-depth evaluations with larger sample sizes.

BACKGROUND: Contraceptive care is a key element of reproductive health, yet only 12%-30% of women report being able to access and receive the information they need to make these complex, personal health care decisions. Current guidelines recommend implementing shared decision-making approaches; and tools such as patient decision aid (PtDA) applications have been proposed to improve patients access to information, contraceptive knowledge, decisional conflict, and engagement in decision-making and contraception use. To inform the design of meaningful, effective, elegant, and feasible PtDA applications, studies are needed of all users current experiences, needs, and barriers. While multiple studies have explored patients experiences, needs, and barriers, little is known about clinicians experiences, perspectives, and barriers to delivering contraceptive counseling. OBJECTIVE: This study focused on assessing clinicians experiences, including their perspectives of patients needs and barriers. It also explored clinicians suggestions for improving contraceptive counseling and the feasibility of a contraceptive PtDA. METHODS: Following the decisional needs assessment approach, we conducted semistructured interviews with clinicians recruited from the Society of Family Planning. The Ottawa Decision Support Framework informed the interview guide and initial codebook, with a specific focus on decision support and decisional needs as key elements that should be assessed from the clinicians perspective. An inductive content approach was used to analyze data and identify primary themes and suggestions for improvement. RESULTS: Fifteen clinicians (12 medical doctors and 3 nurse practitioners) participated, with an average of 19 years of experience in multiple regions of the United States. Analyses identified 3 primary barriers to the provision of quality contraceptive counseling: gaps in patients underlying sexual health knowledge, biases that impede decision-making, and time constraints. All clinicians supported the development of contraceptive PtDAs as a feasible solution to these main barriers. Multiple suggestions for improvement were provided, including clinician- and system-level training, tools, and changes that could support successful implementation. CONCLUSIONS: Clinicians and developers interested in improving contraceptive counseling and decision-making may wish to incorporate approaches that assess and address upstream factors, such as sexual health knowledge and existing heuristics and biases. Clinical leaders and administrators may also wish to prioritize solutions that improve equity and accessibility, including PtDAs designed to provide education and support in advance of the time-constrained consultations, and strategic training opportunities that support cultural awareness and shared decision-making skills. Future studies can then explore whether well-designed, user-centered shared decision-making programs lead to successful and sustainable uptake and improve patients reproductive health contraceptive decision-making.

ABSTRACTDesign Thinking is a user-centred framework that captures unmet needs of users and generates ideas for sustainable solutions. Quality Function Deployment is a tool that translates the voice of customers into engineering attributes required for product and process design. Both concepts are globally adopted in various fields including but not limited to; manufacturing industries, business and service sectors, education, research, health care and social innovation. This study aims to propose a methodological framework that combine principles from user-driven ideation and customer-focused product/process design for the development of a sustainable solution in the context of small-scale agricultural community. The framework is validated with a case study at a learning community centre in Thailand. The machine was built with functions that allowed it to shred plants and mix the fertiliser simultaneously which was well accepted and sustainably used in the community. A policy recommendation based on this study is when working with community-based problems, the designers should immerse themselves with the community to completely understand the problem and solution context. A co-creation between the designers and the community users is encouraged to obtain impactful solutions. Local resources and accessible technology should be taken into account to reassure an effective and sustainable solution.