Co-designing for behaviour change – The development of a theory-informed oral-care intervention for stroke survivors

Lievesley, Matthew, Powell, Rachael, Carey, Daniel, Hulme, Sharon, Westoby, Wendy, O'Malley, Lucy, Zadik, Jess, Bowen, Audrey, Brocklehurst, Paul and Smith, Craig (2022) Co-designing for behaviour change – The development of a theory-informed oral-care intervention for stroke survivors. Design for Health, 6 (2). ISSN 2473-5132 (In Press)

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This article discusses how research to understand the oral care needs and experiences of stroke survivors was translated into a prototypical intervention. It addresses the challenge of how to develop service improvements in healthcare settings that are both person-centred, through the use of co-design, and also based on theory and evidence.A sequence of co-design workshops with stroke survivors, family carers and with health and social care professionals, ran in parallel with an analysis of behavioural factors. This determined key actions which could improve mouthcare for this community and identified opportunities to integrate recognised behaviour-change techniques into the intervention. In this way, behaviour change theory, evidence from qualitative research and experience-based co-design were effectively combined. The intervention proposed is predominantly a patient-facing resource, intended to support stroke-survivors and their carers with mouth care, as they transition from hospital care to living at home. This addresses a gap in existing provision, as other published oral-care protocols for stroke are clinician-facing and concerned primarily with acute care (in the first days after a stroke).Although it draws on the experiences of a single design project, this study articulates a ‘working relationship’ between design practice methods and the application of behaviour change theory

Item Type: Article
Additional Information: Funding information: This research was funded by the National Institute for Health Research (NIHR) (PB-PG-0815-20017) using UK aid from the UK Government to support global health research. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK Department of Health and Social Care.
Uncontrolled Keywords: co-design, behaviour change, stroke care, oral care, person-centred care, EBCD, experience based co-design
Subjects: B900 Others in Subjects allied to Medicine
W200 Design studies
Department: Faculties > Arts, Design and Social Sciences > Design
Depositing User: John Coen
Date Deposited: 23 Jun 2022 07:44
Last Modified: 04 Jul 2022 10:15

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