Use of a human-centered design approach to adapt a nurse-led cardiovascular disease prevention intervention in HIV clinics

Prog Cardiovasc Dis. 2020 Mar-Apr;63(2):92-100. doi: 10.1016/j.pcad.2020.02.013. Epub 2020 Feb 21.

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.

Keywords: CVD prevention; CVD-HIV integration; Human-centered design; Nurse-led intervention.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Anti-HIV Agents / adverse effects
  • Anti-HIV Agents / therapeutic use*
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / nursing
  • Cardiovascular Diseases / prevention & control*
  • Delivery of Health Care, Integrated*
  • Feasibility Studies
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / nursing
  • HIV Long-Term Survivors*
  • Health Status
  • Humans
  • Leadership
  • Male
  • Middle Aged
  • North Carolina
  • Nurse's Role*
  • Ohio
  • Patient Acceptance of Health Care
  • Patient-Centered Care*
  • Preventive Health Services*
  • Stakeholder Participation
  • Treatment Outcome
  • Viral Load

Substances

  • Anti-HIV Agents