Co-design of a digital dietary intervention for adults at risk of type 2 diabetes

Abstract Background Co-design has the potential to create interventions that lead to sustainable health behaviour change. Evidence suggests application of co-design in various health domains has been growing; however, few public-facing digital interventions have been co-designed to specifically addr...

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Autores principales:	Brenda S. J. Tay, Sarah M. Edney, Grant D. Brinkworth, David N. Cox, Bonnie Wiggins, Aaron Davis, Ian Gwilt, Annemien Haveman-Nies, Jillian C. Ryan
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Co-design Participatory research Digital dietary intervention Pre-diabetes Type 2 diabetes Health behaviour Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/9ea41bd536ca46e194f307cb884731f2
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spelling	oai:doaj.org-article:9ea41bd536ca46e194f307cb884731f22021-11-14T12:14:53ZCo-design of a digital dietary intervention for adults at risk of type 2 diabetes10.1186/s12889-021-12102-y1471-2458https://doaj.org/article/9ea41bd536ca46e194f307cb884731f22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12102-yhttps://doaj.org/toc/1471-2458Abstract Background Co-design has the potential to create interventions that lead to sustainable health behaviour change. Evidence suggests application of co-design in various health domains has been growing; however, few public-facing digital interventions have been co-designed to specifically address the needs of adults at risk of Type 2 diabetes (T2D). This study aims to: (1) co-design, with key stakeholders, a digital dietary intervention to promote health behaviour change among adults at risk of T2D, and (2) evaluate the co-design process involved in developing the intervention prototype. Methods The co-design study was based on a partnership between nutrition researchers and designers experienced in co-design for health. Potential end-users (patients and health professionals) were recruited from an earlier stage of the study. Three online workshops were conducted to develop and review prototypes of an app for people at risk of T2D. Themes were inductively defined and aligned with persuasive design (PD) principles used to inform ideal app features and characteristics. Results Participants were predominantly female (range 58–100%), aged 38 to 63 years (median age = 59 years), consisting of a total of 20 end-users and four experts. Participants expressed the need for information from credible sources and to provide effective strategies to overcome social and environmental influences on eating behaviours. Preferred app features included tailoring to the individual’s unique characteristics, ability to track and monitor dietary behaviour, and tools to facilitate controlled social connectivity. Relevant persuasive design principles included social support, reduction (reducing effort needed to reach target behaviour), tunnelling (guiding users through a process that leads to target behaviour), praise, rewards, and self-monitoring. The most preferred prototype was the Choices concept, which focusses on the users’ journey of health behaviour change and recognises progress, successes, and failures in a supportive and encouraging manner. The workshops were rated successful, and feedback was positive. Conclusions The study’s co-design methods were successful in developing a functionally appealing and relevant digital health promotion intervention. Continuous engagement with stakeholders such as designers and end-users is needed to further develop a working prototype for testing.Brenda S. J. TaySarah M. EdneyGrant D. BrinkworthDavid N. CoxBonnie WigginsAaron DavisIan GwiltAnnemien Haveman-NiesJillian C. RyanBMCarticleCo-designParticipatory researchDigital dietary interventionPre-diabetesType 2 diabetesHealth behaviourPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Co-design Participatory research Digital dietary intervention Pre-diabetes Type 2 diabetes Health behaviour Public aspects of medicine RA1-1270
spellingShingle	Co-design Participatory research Digital dietary intervention Pre-diabetes Type 2 diabetes Health behaviour Public aspects of medicine RA1-1270 Brenda S. J. Tay Sarah M. Edney Grant D. Brinkworth David N. Cox Bonnie Wiggins Aaron Davis Ian Gwilt Annemien Haveman-Nies Jillian C. Ryan Co-design of a digital dietary intervention for adults at risk of type 2 diabetes
description	Abstract Background Co-design has the potential to create interventions that lead to sustainable health behaviour change. Evidence suggests application of co-design in various health domains has been growing; however, few public-facing digital interventions have been co-designed to specifically address the needs of adults at risk of Type 2 diabetes (T2D). This study aims to: (1) co-design, with key stakeholders, a digital dietary intervention to promote health behaviour change among adults at risk of T2D, and (2) evaluate the co-design process involved in developing the intervention prototype. Methods The co-design study was based on a partnership between nutrition researchers and designers experienced in co-design for health. Potential end-users (patients and health professionals) were recruited from an earlier stage of the study. Three online workshops were conducted to develop and review prototypes of an app for people at risk of T2D. Themes were inductively defined and aligned with persuasive design (PD) principles used to inform ideal app features and characteristics. Results Participants were predominantly female (range 58–100%), aged 38 to 63 years (median age = 59 years), consisting of a total of 20 end-users and four experts. Participants expressed the need for information from credible sources and to provide effective strategies to overcome social and environmental influences on eating behaviours. Preferred app features included tailoring to the individual’s unique characteristics, ability to track and monitor dietary behaviour, and tools to facilitate controlled social connectivity. Relevant persuasive design principles included social support, reduction (reducing effort needed to reach target behaviour), tunnelling (guiding users through a process that leads to target behaviour), praise, rewards, and self-monitoring. The most preferred prototype was the Choices concept, which focusses on the users’ journey of health behaviour change and recognises progress, successes, and failures in a supportive and encouraging manner. The workshops were rated successful, and feedback was positive. Conclusions The study’s co-design methods were successful in developing a functionally appealing and relevant digital health promotion intervention. Continuous engagement with stakeholders such as designers and end-users is needed to further develop a working prototype for testing.
format	article
author	Brenda S. J. Tay Sarah M. Edney Grant D. Brinkworth David N. Cox Bonnie Wiggins Aaron Davis Ian Gwilt Annemien Haveman-Nies Jillian C. Ryan
author_facet	Brenda S. J. Tay Sarah M. Edney Grant D. Brinkworth David N. Cox Bonnie Wiggins Aaron Davis Ian Gwilt Annemien Haveman-Nies Jillian C. Ryan
author_sort	Brenda S. J. Tay
title	Co-design of a digital dietary intervention for adults at risk of type 2 diabetes
title_short	Co-design of a digital dietary intervention for adults at risk of type 2 diabetes
title_full	Co-design of a digital dietary intervention for adults at risk of type 2 diabetes
title_fullStr	Co-design of a digital dietary intervention for adults at risk of type 2 diabetes
title_full_unstemmed	Co-design of a digital dietary intervention for adults at risk of type 2 diabetes
title_sort	co-design of a digital dietary intervention for adults at risk of type 2 diabetes
publisher	BMC
publishDate	2021
url	https://doaj.org/article/9ea41bd536ca46e194f307cb884731f2
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Co-design of a digital dietary intervention for adults at risk of type 2 diabetes

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