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Updated: May 10, 2025

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Navigating Complexity: Lessons Learned from Co-Designing a Care Transition Intervention for People with Stroke.

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Developing a complex care transition intervention for stroke survivors requires participatory approaches. Continuous engagement and relationship-building are crucial for shared understanding in complex adaptive systems.

Keywords:
adaptive systemsco-designcollaborationcomplexityemergenceintegrated careinvolvement

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Area of Science:

  • Healthcare research
  • Complex interventions
  • Integrated care

Background:

  • This study details the development of the Missing Link project, a care transition intervention for stroke survivors moving from hospital to home.
  • The intervention was designed using the Medical Research Council (MRC) Framework, incorporating contextual studies, co-design workshops, and prototype development.

Observation:

  • Challenges arose in understanding emergent properties within complex adaptive systems.
  • Sustained involvement of healthcare professionals, patients, and caregivers was not achieved, potentially leading to divergent interpretations of project emergence.

Findings:

  • Developing complex interventions necessitates participatory, emergent, and reflective strategies.
  • The Medical Research Council (MRC) Framework offers guidance but may not fully encompass the dynamic nature of complex adaptive systems.

Implications:

  • Investing in relationship building, interaction, and feedback is vital for successful complex intervention development.
  • Future research should explore adaptive frameworks that better capture emergence and self-organisation in healthcare interventions.