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An Onto-Epistemological Review of Human-Centered Design Family Planning Research: Implications for Relationship-Based
Lauren Gerchow1, Veronica C Pasha, Allison Squires
1Author Affiliations: Columbia University School of Nursing, New York NY (Dr Gerchow); New York University Rory Meyers College of Nursing, New York, NY (Ms Pasha, Dr Squires); School of Nursing, Chiang Mai University, Chiang Mai, Thailand (Dr Squires); and Nova School of Business and Economics, Carcavelos, Portugal (Dr Fayard).
Abstract:
Human-centered design (HCD) is increasingly applied in global sexual and reproductive health research to engage communities in creating person-centered interventions, yet it remains underutilized in the United States (US). A stronger theoretical understanding of HCD can support nurses to apply it as a novel approach to address persistent sexual and reproductive health inequities. This narrative review analyzes 10 US-based family planning HCD studies using the concept of epistemic stance to clarify how knowledge is created and evaluated through HCD. Findings show that HCD embodies a pluralistic stance grounded in creativity, context, and shared expertise, supporting nursing's philosophical commitment to relational, person-centered care.
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