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.

中文翻译：

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采用以人为本的设计方法，在艾滋病毒诊所中采用护士主导的心血管疾病预防干预措施。

在医疗机构内，需要采取利益相关者知情的策略来解决艾滋病毒感染者 (PWH) 的心血管疾病 (CVD) 负担。本研究评估了以人为本的设计 (HCD) 如何指导护士主导的干预措施的调整，以降低感染者的 CVD 风险。研究人员利用 HCD 方法指导了俄亥俄州和北卡罗来纳州的两个多学科“设计团队”，每个团队召开了五次 HCD 会议。我们进行了可接受性和可行性测试。由主要利益相关者组成的两个设计团队提出了六项核心建议，并在可接受性和可行性测试后进一步发展，以产生 14 个可采取行动的适应领域的最终清单。可接受性和可行性测试揭示了需要适应的领域，例如患者对沟通的偏好以及额外工作人员支持患者随访的好处。总之，除了可接受性和可行性测试之外，HCD 还提出了 14 项关键建议，以提高 HIV/CVD 综合干预措施的有效性和可扩展性。