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Understanding power dynamics in digital health participatory design (PD) is key for successful adoption. Patients, healthcare professionals, and family members each possess unique power bases influencing tool co-creation.

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Area of Science:

  • Digital Health
  • Human-Computer Interaction
  • Sociology of Health

Background:

  • Digital health adoption requires multi-stakeholder engagement.
  • Participatory design (PD) facilitates co-creation but is influenced by stakeholder relationships and power dynamics.

Purpose of the Study:

  • To explore power dynamics among patients, healthcare professionals, and family members during participatory design workshops for digital health tools.
  • To understand how different bases of power influence the co-design process across diverse international settings.

Main Methods:

  • Conducted a series of participatory design workshops in four countries.
  • Collected data through participant observation, audio recordings, and facilitator interviews.
  • Analyzed data using French and Raven's Bases of Power framework.

Main Results:

  • Patients utilized referent and informational power stemming from lived experiences.
  • Healthcare professionals primarily employed expert and legitimate power.
  • Family members demonstrated coercive and reward power, impacting the design process.

Conclusions:

  • Recognizing and addressing distinct power bases among patients, healthcare professionals, and family members is crucial for effective digital health co-design.
  • Power dynamics significantly shape participatory design outcomes, influencing the development and adoption of digital health technologies.