The Co-Design of RIH

The Co-Design of RIH

How could clinicians, patients and caregivers contribute to the co-design of RIH?

As part of Research Stream A (The Design of RIH), Project 3 aims to clarify why and how clinicians, patients and caregivers could contribute to the co-design of RIH in the areas of chronic disease and aging.

The data collection techniques will differ for both groups: focus groups will be conducted with the clinicians and individual interviews with the patients and caregivers.

Up to 32 clinicians will be recruited to form 4 homogeneous focus groups. We target 8 participants for each of the following categories: 1) family physicians; 2) geriatricians; 3) nurses specializing in chronic disease management; And 4) nurses specializing in aging. Our diversification criteria include gender, practice environment (eg, university healthcare center, first line, community environment) and number of years of experience (7 years and under, 8 to 15 years).

Up to 40 patients and caregivers directly affected by innovation in chronic disease and aging will be recruited for semi-directed interviews (ie, 20 per area of ​​care). Participants who are physically or mentally vulnerable will be excluded. Our diversification criteria include gender and age.

All participants will be invited to comment on a co-design model and scenario that we will develop using the results of our meta-ethnography (see our secondary research). The meta-ethnography will identify the key steps in a co-design process and help to illustrate them using a scenario. Clinicians, patients and caregivers will comment on the applicability of a scenario in their area (chronic disease or aging).

The discussion groups, which will last 2.5 hours and will be facilitated by a communication expert, will be recorded. A member of our team will act as a non-participant observer for each of the groups.

The interviews will last from 60 to 90 minutes and will be conducted by a research professional of our team. The face-to-face interviews will be recorded and its location will be decided by the participant.

In order to facilitate the recruitment of clinicians, we intend to make this activity a training activity with associated training credits accepted by the concerned authorities (eg, Quebec College of Family Physicians, Quebec Federation of Medical Specialists, Ordre des infirmières et infirmiers du Québec). These organizations send to their members a list of certified activities. We anticipate recruiting clinicians in Montreal, on the South Shore and North Shore and in the Lanaudière, Montérégie and Laurentides regions.

Project Lead: To be determined