Kathrina Dankl | Kolding School of Design (original) (raw)

Papers by Kathrina Dankl

Research paper thumbnail of Multidimensional Design Research for Dementia and Its Methodological Opportunities for Cross-Disciplinary Consortia

The Design Journal

Abstract Dementia is one of the most common causes of disability among older adults. The design o... more Abstract Dementia is one of the most common causes of disability among older adults. The design of supportive IT applications requires an understanding of the multitude of individual challenges faced by people living with dementia, as well as the knowledge of the condition per se. A scaffolding design process and the inclusion of appropriate experts might be the key. Our research for a supportive IT application for the early stages of dementia has shown a set of issues that should be taken into consideration; stakeholders’ own strategies for remembering, technological literacy levels, particular opportunities to support information, orientation and organization of users’ every day and a careful and realistic choice for design methods taking the possibilities of cross-disciplinary as well as international consortiums into account. The main contribution of this paper is a set of methodological recommendations, encapsulated by the following four themes: coherence, ownership, experiential knowledge and generative tools.

Research paper thumbnail of A design-led patient campaign development process for disseminating the concept of shared decision making

Research paper thumbnail of Intuition, Reflection and Reflexivity

FormAkademisk - forskningstidsskrift for design og designdidaktikk

This paper synthesises findings from a design method course that focused on a design brief in sha... more This paper synthesises findings from a design method course that focused on a design brief in shared medical decision making. In the paper, design methods is a term describing any action undertaken for a forward movement in the design process. The course is based on a selection of assignments that target intuition, reflection and reflexivity. Although many science disciplines strive to include more elements of active and practice-based learning, design education faces the challenge of integrating theory in a ‘designerly’ way. The current curriculum offers little opportunity to train these skills together with traditional practice-based ones. However, the complexity of design tasks in interconnected systems with manifold stakeholders and users requires a cohesive design research approach to govern its inherent complexity. Using the findings of this case study, design students can integrate theory in their practical work and welcome the confrontation found in current design research l...

Research paper thumbnail of Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards

Medical Decision Making

Background The objective of this International Patient Decision Aids Standard (IPDAS) review is t... more Background The objective of this International Patient Decision Aids Standard (IPDAS) review is to update and synthesize theoretical and empirical evidence on how balanced information can be presented and measured in patient decision aids (PtDAs). Methods A multidisciplinary team conducted a scoping review using 2 search strategies in multiple electronic databases evaluating the ways investigators defined and measured the balance of information provided about options in PtDAs. The first strategy combined a search informed by the Cochrane Review of the Effectiveness of Decision Aids with a search on balanced information. The second strategy repeated the search published in the 2013 IPDAS update on balanced presentation. Results Of 2450 unique citations reviewed, the full text of 168 articles was screened for eligibility. Sixty-four articles were included in the review, of which 13 provided definitions of balanced presentation, 8 evaluated mechanisms that may introduce bias, and 42 qu...

Research paper thumbnail of Co-creation for empathy and mutual learning: a framework for design in health and social care

CoDesign

ABSTRACT Co-creation is seen as imperative in healthcare however existing frameworks are in need ... more ABSTRACT Co-creation is seen as imperative in healthcare however existing frameworks are in need for adapting to specific settings from a person-centred care perspective such as shared decision-making, characterised by asymmetrical power relations and restricted time resources. This article takes a workshop in shared decision-making with doctors, nurses, patients and relatives as a point of departure for process reflection. The aim of the workshop was to develop implementation strategies for a decision tool for future cancer care. By analysing its concept and methods, we propose a general framework for design in health and social care, based on meeting fellow stakeholders, switching over roles, voicing and developing ideas and finally evaluating proposals (MOVE). By evidence of our research, we propose that empathy can be created and strengthened through co-creation in health and social care.

Research paper thumbnail of Lessons in Integrating Shared Decision-Making Into Cancer Care

Journal of oncology practice, 2018

The benefits of shared decision-making (SDM) in health care delivery are well documented, but imp... more The benefits of shared decision-making (SDM) in health care delivery are well documented, but implementing SDM at the institutional level is challenging, particularly when patients have complex illnesses and care needs, as in cancer. Denmark's Lillebaelt Hospital, in creating The Patient's Cancer Hospital in Vejle, has learned key lessons in implementing SDM so that the organization's culture is actually being transformed. In short, SDM is becoming part of the fabric of care, not a mere add-on to it. Specifically, the hospital chose and structured its leadership to ensure that SDM is constantly championed. It organized multiple demonstration projects focused on use of decision aids, patient-reported outcome measures, and better communication tools and practices. It designed programs to train clinicians in the art of doctor-patient communication. It used research evidence to inform development of the decision aids that its clinicians use with their patients. And it rigoro...

Research paper thumbnail of Material Immaterialized Mature Living Beyond Smart Housing

Space and Culture, Aug 1, 2012

This article looks at elderly individuals, their possessions, and their ties to both space and ti... more This article looks at elderly individuals, their possessions, and their ties to both space and time.1 How does the material constantly reflect the immaterial? How are everyday rituals and routines anchored and solidified in the built environment? This article is a study in the tradition of ethnographic research, aiming at a better understanding of how designed artifacts form and are formed by the context of their practice. The article explores people-centric values and beliefs inherently embedded in all artifacts. This study concentrates on materiality in a more complex, culturally informed way, in contrast with current trends that provide technological solutions for ageing groups in society. Findings from this study present a multisensual design approach that moves beyond the construct of ageing as a physically based design “problem”; instead, it favors material culture approaches that trace the development and changes in aesthetic and symbolic values throughout the life course. The insight presented is multilayered and includes subtle strategies and design solutions enacted by elderly informants themselves. The article thus shows useful starting points for thinking about design solutions with less emphasis on “technology-first” and much more on “people-first.”

Research paper thumbnail of Style, Strategy and Temporality: How to Write an Inclusive Design Brief?

The Design Journal, 2013

ABSTRACT This paper explores alternative starting points for inclusive design projects based on a... more ABSTRACT This paper explores alternative starting points for inclusive design projects based on a two-year ethnographic study with elderly people in Vienna. It argues that design briefs already take account of ageing reality such as physical ageing but less widely of people's experience, holistic style issues and own strategies on how to deal with getting older. These narratives of consumption or ‘experience-based design’ might more likely gather convergences and meeting points between people and products; thus they root themselves in individuals' everyday practices and tactics developed over the life course. Inclusive as categorized by the author is not only a matter of better products but awareness for individual contexts of usage as well.

Research paper thumbnail of 31m2 and Style

this chapter explores design and aging, looking at the role of place and things in older life. Wh... more this chapter explores design and aging, looking at the role of place and things in older life. What can ethnography in a specific locale bring to the practice and thinking around design?

Research paper thumbnail of Multidimensional Design Research for Dementia and Its Methodological Opportunities for Cross-Disciplinary Consortia

The Design Journal

Abstract Dementia is one of the most common causes of disability among older adults. The design o... more Abstract Dementia is one of the most common causes of disability among older adults. The design of supportive IT applications requires an understanding of the multitude of individual challenges faced by people living with dementia, as well as the knowledge of the condition per se. A scaffolding design process and the inclusion of appropriate experts might be the key. Our research for a supportive IT application for the early stages of dementia has shown a set of issues that should be taken into consideration; stakeholders’ own strategies for remembering, technological literacy levels, particular opportunities to support information, orientation and organization of users’ every day and a careful and realistic choice for design methods taking the possibilities of cross-disciplinary as well as international consortiums into account. The main contribution of this paper is a set of methodological recommendations, encapsulated by the following four themes: coherence, ownership, experiential knowledge and generative tools.

Research paper thumbnail of A design-led patient campaign development process for disseminating the concept of shared decision making

Research paper thumbnail of Intuition, Reflection and Reflexivity

FormAkademisk - forskningstidsskrift for design og designdidaktikk

This paper synthesises findings from a design method course that focused on a design brief in sha... more This paper synthesises findings from a design method course that focused on a design brief in shared medical decision making. In the paper, design methods is a term describing any action undertaken for a forward movement in the design process. The course is based on a selection of assignments that target intuition, reflection and reflexivity. Although many science disciplines strive to include more elements of active and practice-based learning, design education faces the challenge of integrating theory in a ‘designerly’ way. The current curriculum offers little opportunity to train these skills together with traditional practice-based ones. However, the complexity of design tasks in interconnected systems with manifold stakeholders and users requires a cohesive design research approach to govern its inherent complexity. Using the findings of this case study, design students can integrate theory in their practical work and welcome the confrontation found in current design research l...

Research paper thumbnail of Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards

Medical Decision Making

Background The objective of this International Patient Decision Aids Standard (IPDAS) review is t... more Background The objective of this International Patient Decision Aids Standard (IPDAS) review is to update and synthesize theoretical and empirical evidence on how balanced information can be presented and measured in patient decision aids (PtDAs). Methods A multidisciplinary team conducted a scoping review using 2 search strategies in multiple electronic databases evaluating the ways investigators defined and measured the balance of information provided about options in PtDAs. The first strategy combined a search informed by the Cochrane Review of the Effectiveness of Decision Aids with a search on balanced information. The second strategy repeated the search published in the 2013 IPDAS update on balanced presentation. Results Of 2450 unique citations reviewed, the full text of 168 articles was screened for eligibility. Sixty-four articles were included in the review, of which 13 provided definitions of balanced presentation, 8 evaluated mechanisms that may introduce bias, and 42 qu...

Research paper thumbnail of Co-creation for empathy and mutual learning: a framework for design in health and social care

CoDesign

ABSTRACT Co-creation is seen as imperative in healthcare however existing frameworks are in need ... more ABSTRACT Co-creation is seen as imperative in healthcare however existing frameworks are in need for adapting to specific settings from a person-centred care perspective such as shared decision-making, characterised by asymmetrical power relations and restricted time resources. This article takes a workshop in shared decision-making with doctors, nurses, patients and relatives as a point of departure for process reflection. The aim of the workshop was to develop implementation strategies for a decision tool for future cancer care. By analysing its concept and methods, we propose a general framework for design in health and social care, based on meeting fellow stakeholders, switching over roles, voicing and developing ideas and finally evaluating proposals (MOVE). By evidence of our research, we propose that empathy can be created and strengthened through co-creation in health and social care.

Research paper thumbnail of Lessons in Integrating Shared Decision-Making Into Cancer Care

Journal of oncology practice, 2018

The benefits of shared decision-making (SDM) in health care delivery are well documented, but imp... more The benefits of shared decision-making (SDM) in health care delivery are well documented, but implementing SDM at the institutional level is challenging, particularly when patients have complex illnesses and care needs, as in cancer. Denmark's Lillebaelt Hospital, in creating The Patient's Cancer Hospital in Vejle, has learned key lessons in implementing SDM so that the organization's culture is actually being transformed. In short, SDM is becoming part of the fabric of care, not a mere add-on to it. Specifically, the hospital chose and structured its leadership to ensure that SDM is constantly championed. It organized multiple demonstration projects focused on use of decision aids, patient-reported outcome measures, and better communication tools and practices. It designed programs to train clinicians in the art of doctor-patient communication. It used research evidence to inform development of the decision aids that its clinicians use with their patients. And it rigoro...

Research paper thumbnail of Material Immaterialized Mature Living Beyond Smart Housing

Space and Culture, Aug 1, 2012

This article looks at elderly individuals, their possessions, and their ties to both space and ti... more This article looks at elderly individuals, their possessions, and their ties to both space and time.1 How does the material constantly reflect the immaterial? How are everyday rituals and routines anchored and solidified in the built environment? This article is a study in the tradition of ethnographic research, aiming at a better understanding of how designed artifacts form and are formed by the context of their practice. The article explores people-centric values and beliefs inherently embedded in all artifacts. This study concentrates on materiality in a more complex, culturally informed way, in contrast with current trends that provide technological solutions for ageing groups in society. Findings from this study present a multisensual design approach that moves beyond the construct of ageing as a physically based design “problem”; instead, it favors material culture approaches that trace the development and changes in aesthetic and symbolic values throughout the life course. The insight presented is multilayered and includes subtle strategies and design solutions enacted by elderly informants themselves. The article thus shows useful starting points for thinking about design solutions with less emphasis on “technology-first” and much more on “people-first.”

Research paper thumbnail of Style, Strategy and Temporality: How to Write an Inclusive Design Brief?

The Design Journal, 2013

ABSTRACT This paper explores alternative starting points for inclusive design projects based on a... more ABSTRACT This paper explores alternative starting points for inclusive design projects based on a two-year ethnographic study with elderly people in Vienna. It argues that design briefs already take account of ageing reality such as physical ageing but less widely of people's experience, holistic style issues and own strategies on how to deal with getting older. These narratives of consumption or ‘experience-based design’ might more likely gather convergences and meeting points between people and products; thus they root themselves in individuals' everyday practices and tactics developed over the life course. Inclusive as categorized by the author is not only a matter of better products but awareness for individual contexts of usage as well.

Research paper thumbnail of 31m2 and Style

this chapter explores design and aging, looking at the role of place and things in older life. Wh... more this chapter explores design and aging, looking at the role of place and things in older life. What can ethnography in a specific locale bring to the practice and thinking around design?