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other·obstetrics and gynecology, public health, research methods, family medicine·PMC10134912

Human-centered design in the context of social determinants of health in maternity care: methods for meaningful stakeholder engagement

International Journal of Qualitative Studies on Health and Well-being · 5 authors, 3 centres

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TL;DR

This qualitative study used human-centered design methods across three phases to explore the needs of birthing parents and healthcare teams regarding social determinants of health screening in maternity care. The central result was identifying key informational and emotional needs for both groups to improve engagement with sensitive SDoH data.

Full summary

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The study employed a multi-method, iterative human-centered design approach with three phases of qualitative research conducted from December 2018 to January 2020. Shadowing, interviews, focus groups, and participatory workshops were used to engage birthing parents, healthcare team members, and administrators at a university teaching hospital prenatal clinic.

STUDY TYPE

other

SPECIALTY

obstetrics and gynecology

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AI pipeline

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ORIGINAL PAPER

PMC10134912

Human-centered design in the context of social determinants of health in maternity care: methods for meaningful stakeholder engagement

International Journal of Qualitative Studies on Health and Well-being

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ABSTRACT

ABSTRACT Purpose The screening process for social determinants of health (SDoH) includes questions regarding life circumstances and barriers to accessing health care. For patients, these questions may be intrusive, biased, and potentially risky. This article describes human-centered design methods to engage birthing parents and health care team members around SDoH screening and referral in maternity care. Methods Three phases of qualitative research with birthing parents, health care teams, and hospital administrators were conducted in the United States. Shadowing, interviews, focus groups, and participatory workshops addressed the explicit and tacit concerns of the stakeholders regarding SDoH during maternity care. Results Birthing parents wanted to be informed of the purpose of the clinic collecting SDoH information and how this information is used. Health care teams want to feel they are providing reliable and quality resources to their patients. They would like greater transparency that administrators are acting on SDoH data and the information is reaching people that can assist patients. Conclusion As clinics implement patient-centered strategies for addressing SDoH in maternity care, it is important to include patients’ perspectives. This human-centered design approach advances understanding of knowledge and emotional needs around SDoH and offers insights to meaningful engagement around sensitive health data.

CITATION EXPORT

Kelly A. Umstead, Carolina Gill, Marina S. Pearsall et al.. Human-centered design in the context of social determinants of health in maternity care: methods for meaningful stakeholder engagement. International Journal of Qualitative Studies on Health and Well-being. (2023). https://doi.org/10.1080/17482631.2023.2205282

AUTHORS

5 · 3 CENTRES

Kelly A. Umstead, Carolina Gill, Marina S. Pearsall, Alison M. Stuebe, Kristin P. Tully

aDepartment of Graphic, Experience, and Industrial Design, North Carolina State University, Raleigh, NC, USA
bGillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
cDepartment of Obstetrics and Gynecology, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA