Working with patients and health care providers to co-design health interventions is gaining global prominence. While co-design of interventions is important for all patients, it is particularly important for older adults who often experience multiple and complex chronic conditions. Persona-scenarios have been used by designers of technology applications. The purpose of this paper is to explore how a modified approach to the persona-scenario method was used to co-design a complex primary health care intervention (Health TAPESTRY) by and for older adults and providers and the value added of this approach. The persona-scenario method involved patient and clinician participants from two academically-linked primary care practices. Local prospective volunteers and community service providers (e.g., home care services, support services) were also recruited. Persona-scenario workshops were facilitated by researchers experienced in qualitative methods. Working mostly in homogenous pairs, participants created a fictitious but authentic persona that represented people like themselves. Core components of the Health TAPESTRY intervention were described. Then, participants created a story (scenario) involving their persona and an aspect of the proposed Health TAPESTRY program (e.g., volunteer roles). Two stages of analysis involved descriptive identification of themes, followed by an interpretive phase to extract possible actions and products related to ideas in each theme. Fourteen persona-scenario workshops were held involving patients (n = 15), healthcare providers/community care providers (n = 29), community service providers (n = 12), and volunteers (n = 14). Fifty themes emerged under four Health TAPESTRY components and a fifth category - patient. Eight cross cutting themes highlighted areas integral to the intervention. In total, 414 actions were identified and 406 products were extracted under the themes, of which 44.8% of the products (n = 182) were novel. The remaining 224 had been considered by the research team. The persona-scenario method drew out feasible novel ideas from stakeholders, which expanded on the research team’s original ideas and highlighted interactions among components and stakeholder groups. Many ideas were integrated into the Health TAPESTRY program’s design and implementation. Persona-scenario method added significant value worthy of the added time it required. This method presents a promising alternative to active engagement of multiple stakeholders in the co-design of complex interventions.

中文翻译：

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Health TAPESTRY：使用角色情景方法共同设计针对老年人的跨专业的初级保健计划

与患者和医疗保健提供者合作共同设计健康干预措施正在获得全球关注。尽管干预措施的共同设计对所有患者都很重要，但对于经常经历多种复杂性慢性病的老年人来说，这一点尤其重要。角色方案已被技术应用程序的设计人员使用。本文的目的是探究如何使用一种针对角色-情景方法的改进方法来共同设计老年人和提供者的复杂初级卫生保健干预措施（Health TAPESTRY），以及这种方法的附加值。角色情景方法涉及来自两个与学术相关的初级保健实践的患者和临床医生。当地的潜在志愿者和社区服务提供商（例如，家庭护理服务，支持服务）。在定性方法方面经验丰富的研究人员为角色情景研讨会提供了帮助。参与者大多以同质对的方式工作，创建了虚构但真实的人物角色，代表着自己的人。描述了Health TAPESTRY干预措施的核心组成部分。然后，参与者创建了一个涉及其角色的故事（场景）以及所提议的Health TAPESTRY计划的一个方面（例如，志愿者角色）。分析的两个阶段涉及对主题的描述性标识，然后是解释性阶段，以提取与每个主题中的思想相关的可能动作和产品。举办了14次角色情景研讨会，涉及患者（n = 15），医疗保健提供者/社区护理提供者（n = 29），社区服务提供者（n = 12）和志愿者（n = 14）。在四个主题“健康”和“第五个主题”下，出现了五十个主题。八个交叉主题突出显示了干预必不可少的领域。总共确定了414个动作，并提取了406个产品，其中44.8％（n = 182）是新产品。剩下的224位研究小组已经考虑过了。角色情景方法从利益相关者那里提取出可行的新颖想法，这些想法在研究团队的原始想法上得到扩展，并强调了各个组成部分和利益相关者群体之间的互动。Health TAPESTRY计划的设计和实施中集成了许多想法。角色情景方法可带来可观的价值，相当于它所需要的额外时间。