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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Supporting collaborative reflection on personal values and health.

Andrew B Berry1, Catherine Y Lim2, Calvin A Liang3

  • 1NORTHWESTRN UNIVERSITY, CHICAGO IL.

Proceedings of the ACM on Human-Computer Interaction
|January 16, 2023
PubMed
Summary

People with multiple chronic conditions (MCC) benefit from tools that connect personal values to health. Future-focused reflection fosters hope and change, while past reflection can cause resistance.

Keywords:
concordancemultiple chronic conditionspatient-clinician communicationreflection

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Area of Science:

  • Health Psychology
  • Patient-Centered Care
  • Qualitative Research Methods

Background:

  • Individuals with multiple chronic conditions (MCC) require support to align personal values with health decisions.
  • Existing patient support systems may not adequately address the complex interplay between values and health in MCC populations.

Purpose of the Study:

  • To develop and evaluate prototypes designed to help people with MCC reflect on the relationship between their personal values and health.
  • To understand patient experiences and preferences regarding different methods of values-based health reflection.

Main Methods:

  • A qualitative study involving 12 participants with MCC.
  • Development and testing of three distinct prototypes for values-health reflection.
  • Semi-structured interviews to gather participant feedback on prototype usability and impact.

Main Results:

  • Prototypes showed potential for supporting values-health reflection, with varying success based on integration with existing practices.
  • Participant comfort levels differed regarding facilitator-guided versus self-guided reflection.
  • Future-oriented reflection promoted positive attitudes and planning, whereas past-oriented reflection encountered resistance.

Conclusions:

  • Designing effective reflection tools for people with MCC requires careful consideration of self-guided vs. facilitator-guided approaches.
  • Balancing exploratory and outcome-oriented reflection is crucial for engagement.
  • Leveraging future-oriented reflection may be more beneficial than past-oriented reflection for promoting health behavior change.