The co-design of a mHealth application to

support heart failure self-management

Australian Telehealth Conference11 April 2018

Leanna Woods

Clinical Nurse Specialist (Cardiology) & PhD Candidate

With thanks to A/Prof Liz Cummings, A/Prof Jed Duff and Dr Kim Walker

1. Nichols M, Peterson K, Herbert J, Alston L, Allender S. Australian Heart Disease Statistics 2015. Melbourne: National Heart Foundation of Australia; 2016.

2. National Heart Foundation of Australia. A Systematic Approach to Chronic Heart Failure Care: A Consensus Statement 2013.

3. World Health Organisation. Adherence to long-term therapies : evidence for action. Geneva: World Health Organization; 2003. 198 p.

Page 3

Research question

Page 4

Collaboration

Page 5

Method: Design Thinking

Hasso Plattner Institute of Design at Stanford University, A Virtual Crash Course in Design Thinking. 2017.

Page 6

• 1:1 interviews

• Needs and insights

Page 7

Data collection

• Empathy map • ‘Rose, Thorn, Bud’ technique

Page 8

Page 9

Page 10

Page 11

Define

• Design criteria X3

Page 12

• Activities from:

• Design Thinking

• Sprint: Solve Big Problems and Test

New Ideas in Just Five Days by Jake

Knapp from Google Ventures

Ideate• Divergent thinking

• Design workshops

Page 13

Idea Matrix

Page 14

Workshops

Page 15

• Convergent thinking

• Collaborative voting

1. Workshop output: Storyboard

2. Two cycles of iterative development: Wireframes

3. Software build (outsourced)

Page 16

Storyboard

Page 17

Wireframes

Page 18

Two feedback cycles

App build

Page 19

We are here!

• 14-day usability testing

• Qualitative: Interviews

• Quantitative: Mobile

Application Rating Scale

Page 20

1. The app

2. The process

Discussion

Page 21

Co-design: Our Team

Interviews Initial design

(workshops)

Development

(wireframes)

Patients 7 1 3

Family 4 0 1

Clinicians 7 6 7

Project lead and research team x3

Page 22

• Nurse leadership

• Clinician recruitment

• Team engagement

• Efficiency

• Proximal outcomes

Co-design: Lessons learned

• Patient & family recruitment

• Defining ‘the problem’

• Power dynamics

• Distal outcomes: consumer impact

Page 23

Thank you!

1. Nichols M, Peterson K, Herbert J, Alston L, Allender S.

Australian Heart Disease Statistics 2015. Melbourne:

National Heart Foundation of Australia; 2016.

2. National Heart Foundation of Australia. A Systematic

Approach to Chronic Heart Failure Care: A Consensus

Statement 2013.

3. World Health Organisation. Adherence to long-term

therapies : evidence for action. Geneva: World Health

Organization; 2003. 198 p.

4. Hasso Plattner Institute of Design at Stanford University,

A Virtual Crash Course in Design Thinking. 2017.@LeannaWoods2016

Come and say ‘hi’,

share experiences or

watch our app demo.