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Primary Care Women's Health Screening: A Case Study of a Community Engaged Human Centered Design Approach to
Kathleen A Foley1, Julie Shelton2, Evan Richardson2
1Division of Research, UNC Health Sciences at MAHEC, 121 Hendersonville Road, Asheville, NC, 28803, USA. Kathy.foley@mahec.net.
A human-centered design approach co-created a women's health screening tool, incorporating intimate partner violence (IPV) screening. This tool addresses barriers to effective women's health screenings, emphasizing "time, trust, and talk" for improved primary care.
Area of Science:
- Women's Health
- Primary Care
- Public Health
Background:
- Evidence-based health screenings are crucial for women's primary care and disease prevention.
- Barriers often hinder comprehensive health screenings, leading to the exclusion of critical risks like intimate partner violence (IPV).
- Existing screening tools may not adequately address the multifaceted health needs of diverse female populations.
Purpose of the Study:
- To apply a Human-Centered Design (HCD) approach for co-designing a comprehensive women's health screening tool.
- To collaborate with community partners to enhance the inclusivity and effectiveness of women's health screenings.
- To integrate intimate partner violence (IPV) screening into a newly developed women's health assessment.
Main Methods:
- Utilized a Human-Centered Design (HCD) methodology involving key end-users and community partners.
- Recruited diverse participants: women affected by IPV, Spanish-speaking women, domestic violence organizers, and healthcare staff.
- Conducted three design sessions to refine existing screening tools and incorporate IPV screening.
Main Results:
- Co-designed a 9-topic women's health screening tool through collaboration with 21 participants.
- Successfully integrated intimate partner violence (IPV) screening into the comprehensive tool.
- Identified 'Triple T: time, trust, and talk' as critical factors influencing screening effectiveness.
Conclusions:
- The co-designed screening tool represents a significant step in addressing primary care and community-identified barriers for women's health.
- Future research should investigate facilitators and barriers to implementing the tool across various primary care settings.
- Further examination is needed to prevent stereotype threat and enhance the effectiveness of women's health screenings.
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