Converging on Bladder Health through Design Thinking: From an Ecology of Influence to a Focused Set of Research Questions

RISE FOR HEALTH: Rationale and protocol for a prospective cohort study of bladder health in women

INTRODUCTION

The spectrum of bladder health and the factors that promote bladder health and prevent lower urinary tract symptoms (LUTS) among women are not well understood. This manuscript describes the rationale, aims, study design, sampling strategy, and data collection for the RISE FOR HEALTH (RISE) study, a novel study of bladder health in women conducted by the Prevention of Lower Urinary Tract Symptom (PLUS) Research Consortium.

METHODS AND RESULTS

RISE is a population-based, multicenter, prospective longitudinal cohort study of community-dwelling, English- and Spanish-speaking adult women based in the United States. Its goal is to inform the distribution of bladder health and the individual factors (biologic, behavioral, and psychosocial) and multilevel factors (interpersonal, institutional, community, and societal) that promote bladder health and/or prevent LUTS in women across the life course. Key study development activities included the: (1) development of a conceptual framework and philosophy to guide subsequent activities, (2) creation of a study design and sampling strategy, prioritizing diversity, equity, and inclusion, and (3) selection and development of data collection components. Community members and cross-cultural experts shaped and ensured the appropriateness of all study procedures and materials. RISE participants will be selected by simple random sampling of individuals identified by a marketing database who reside in the 50 counties surrounding nine PLUS clinical research centers. Participants will complete self-administered surveys at baseline (mailed paper or electronic) to capture bladder health and LUTS, knowledge about bladder health, and factors hypothesized to promote bladder health and prevent LUTS. A subset of participants will complete an in-person assessment to augment data with objective measures including urogenital microbiome specimens. Initial longitudinal follow-up is planned at 1 year.

DISCUSSION

Findings from RISE will begin to build the necessary evidence base to support much-needed, new bladder health promotion and LUTS prevention interventions in women.

A Storytelling Methodology to Facilitate User-Centered Co-Ideation between Scientists and Designers

Successful implementation of sustainable innovation requires strong collaborative ecosystems. In particular, collaboration between scientific and people-centered expertise (e.g., designers) is essential to bring technical innovation through contextualized, meaningful and attractive experiences. However, in practice, these types of expertise are siloed and struggle to communicate and think together. We present a creative design method based on participatory story building to support collaborative user-centered ideation between technology scientists and designers. The core of the method is a new story creation model, the three-tension framework, that facilitates the exploration of users’ experiences and needs during ideation. To evaluate the method’s effectiveness, we conducted open-ended interviews with participants. We found that the method facilitates the expression of different perspectives and outside-the-box creative thinking. An originality and strength of our method is that it favors the discovery of new issues and pain points—rather than only solutions. This, combined with idea enrichment by multidisciplinary expertise, contributes to generating ideas in a broader range of application areas than usual. Our results indicate that participatory storytelling has the potential to facilitate multidisciplinary collaboration and to bring user-centered thinking to non-design stakeholders in order to envision user needs in future scenarios and new ecosystems.

"We Need a Song of Hope": Responding to the COVID-19 Informational and Psychospiritual Needs of Residents of a Gated Community in the Philippines

The brutal disruptions caused by the novel coronavirus (COVID-19) pandemic require dynamic ways of responding, not only to the informational needs of communities, but also engaging and creating interventions they consider relevant to their psychospiritual needs. Using the design thinking steps, we identified, developed and tested the type and nature of a unique song which residents of a gated community needed in their journey through COVID-19 lockdowns and government restrictions. The design thinking model provided clear steps for engaging residents to develop an anti-COVID-19 song of hope to cope with the physical, sociopolitical, psychological and spiritual trauma caused by the pandemic.