TY - JOUR
AU - K. Tirtanadi
AU - K. A. Johnson
AU - A. J. Epler
AU - J. A. Chen
A1 - 
AB - OBJECTIVE: Shared Decision Making (SDM) is heralded as a standard for patient-centered care, but implementation of SDM in routine mental health practice has proven difficult to achieve. Human-centered design (HCD) may hold promise for improving SDM implementation in busy clinical settings. This study describes applying HCD to develop an SDM documentation support tool intended to encourage successful use of SDM by mental health clinicians. METHODS: This descriptive, proof-of-concept study utilized the Discover-Design-Build-Test HCD framework to simplify a comprehensive SDM protocol for mental health decision making. Implementation was piloted within multiple primary care clinics. The study consisted of three phases: information gathering (interviewing clinicians), solution generation and prototyping, and testing a final prototype in routine care settings. RESULTS: Our project proceeded through eight cycles of user design and feedback. Clinicians pilot tested the final product, a documentation note template incorporating SDM prompts and explanations. It is currently available for clinical use. CONCLUSIONS: Clinicians were able to use the HCD-redesigned SDM documentation note template intuitively, i.e., without explicit instruction. Leveraging buy-in from users throughout the entirety of the process (from problem investigation to solution discussions) created opportunities to tailor implementation strategies and may support ownership of the end-product by primary stakeholders. PRACTICE IMPLICATIONS: HCD may be a promising methodology for streamlining the adoption of complex clinical tasks like SDM.
AD - Health Systems Research (HSR) Seattle-Denver Center of Innovation (COIN), VA Puget Sound Healthcare System, Seattle, WA, United States.; VA Puget Sound Healthcare System, Silverdale, WA, United States.; Alaska VA Healthcare System, Muldoon Clinic, Anchorage, AK, United States.; Health Systems Research (HSR) Seattle-Denver Center of Innovation (COIN), VA Puget Sound Healthcare System, Seattle, WA, United States. Electronic address: Jessica.Chen663@va.gov.
AN - 40139024
BT - Patient Educ Couns
C5 - Education & Workforce
DA - Jul
DO - 10.1016/j.pec.2025.108745
DP - NLM
ET - 20250313
JF - Patient Educ Couns
LA - eng
N2 - OBJECTIVE: Shared Decision Making (SDM) is heralded as a standard for patient-centered care, but implementation of SDM in routine mental health practice has proven difficult to achieve. Human-centered design (HCD) may hold promise for improving SDM implementation in busy clinical settings. This study describes applying HCD to develop an SDM documentation support tool intended to encourage successful use of SDM by mental health clinicians. METHODS: This descriptive, proof-of-concept study utilized the Discover-Design-Build-Test HCD framework to simplify a comprehensive SDM protocol for mental health decision making. Implementation was piloted within multiple primary care clinics. The study consisted of three phases: information gathering (interviewing clinicians), solution generation and prototyping, and testing a final prototype in routine care settings. RESULTS: Our project proceeded through eight cycles of user design and feedback. Clinicians pilot tested the final product, a documentation note template incorporating SDM prompts and explanations. It is currently available for clinical use. CONCLUSIONS: Clinicians were able to use the HCD-redesigned SDM documentation note template intuitively, i.e., without explicit instruction. Leveraging buy-in from users throughout the entirety of the process (from problem investigation to solution discussions) created opportunities to tailor implementation strategies and may support ownership of the end-product by primary stakeholders. PRACTICE IMPLICATIONS: HCD may be a promising methodology for streamlining the adoption of complex clinical tasks like SDM.
PY - 2025
SN - 0738-3991 (Print); 0738-3991
SP - 108745
ST - Applications in human-centered design: Shared-Decision Making for mental health treatment in primary care
T1 - Applications in human-centered design: Shared-Decision Making for mental health treatment in primary care
T2 - Patient Educ Couns
TI - Applications in human-centered design: Shared-Decision Making for mental health treatment in primary care
U1 - Education & Workforce
U3 - 10.1016/j.pec.2025.108745
VL - 136
VO - 0738-3991 (Print); 0738-3991
Y1 - 2025
ER -