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      Co‐designing a telepractice journey map with disability customers and clinicians: Partnering with users to understand challenges from their perspective

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          Abstract

          Introduction

          Telepractice has the potential to align with the directive to reduce inequalities by United Nations Sustainable Development Goal 10. Telepractice additionally addresses a national digital health strategic plan for accessible digitally enabled models of care. To plan improvements, it is essential to understand the experience of telepractice for people with disability, which may be achieved through an approach such as journey mapping. The current article provides both a disability‐specific case study and a methodological guide for the inclusion of customers and clinicians in the meaningful redevelopment of services. The Perth, Australia‐based case study aimed to gain insights into the experience of telepractice for people with disability. The methodological aim describes using co‐design to produce a journey map in collaboration with customers and clinicians, for potential replication in a wide range of health and social care contexts.

          Method

          Interview transcripts gathered from a cohort of customer participants ( n = 17) were used to inform the journey map. A group of customers ( n = 5) and clinicians plus one manager ( n = 5) distributed the findings onto a customer experience journey map during a co‐design workshop. The journey map describes the emotional experience and actions taken, along five phases of a timeline through telepractice service interactions: (1) before, (2) selecting telepractice, (3) telepractice preparation, (4) during telepractice sessions and (5) after.

          Results

          A journey map visualisation of customer experiences was produced that identified strengths of telepractice service delivery (flexibility) while noting challenges (with technology) as opportunities for improvement. The consensus of participants was the desire to have access to telepractice currently and in the future, in addition to in‐person delivery.

          Conclusion

          These findings are valuable in the context of advocating for the incorporation of customers and clinicians through co‐design workshops in the content analysis and creation of a journey map that is representative of the lived experience of accessing telepractice services.

          Patient or Public Contribution

          The paper forms part of a larger co‐design process that included customer participants throughout the design and planning of the project, inclusion of a peer researcher and the co‐designers in the workshops, journey map and this article production.

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          Most cited references32

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          Standards for reporting qualitative research: a synthesis of recommendations.

          Standards for reporting exist for many types of quantitative research, but currently none exist for the broad spectrum of qualitative research. The purpose of the present study was to formulate and define standards for reporting qualitative research while preserving the requisite flexibility to accommodate various paradigms, approaches, and methods.
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            Qualitative research practice: a guide for social science students and researchers

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              Universal Design and disability: an interdisciplinary perspective.

              Inger Lid (2014)
              To discuss Universal Design (UD) as an interdisciplinary topic with relevance for rehabilitation professions and planning and building professions. Significant for this topic is to discuss to what model of disability UD strategies correlates. The paper argues that the UN Convention on the Rights for Persons with Disabilities (CRPD) pre-supposes a relational model of disability. This is a theoretical paper on the understanding of UD and the significance of UD as a subject of interdisciplinary research and teaching. The paper is based on literature and focuses on how to understand UD in interdisciplinary contexts. Both impairment effects and disabling barriers are important for understanding UD. Rehabilitation professions together with user-representatives provide knowledge on impairments as an aspect of human diversity; planning professionals provide knowledge on architecture and spatial planning. As an emerging field of knowledge, UD involves different knowledge; however, these differences may also lead to difficulties in communication. Both theoretically and practically UD must correspond to an understanding of disability as relational, involving person, interaction and barriers. Implementing UD strategies ought to be linked to a concept of person that clearly includes impairments as a dimension of human plurality. In conclusion, the paper suggests that a common knowledge platform can prove productive for interdisciplinary work with UD. Implications for Rehabilitation Universal Design is a strategy to improve equal access for people with disabilities. A concept of the person and of disability is of importance for implementing Universal Design strategies. The interdisciplinary involvement in Universal Design must involve rehabilitation professions to attend to the individual dimension in Universal Design.
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                Author and article information

                Contributors
                Role: Researchercloe.benz@curtin.edu.au
                Role: Peer Researcher
                Role: Consumer/Administrative Co‐designer
                Role: Consumer Co‐designer
                Role: Consumer Co‐designer
                Role: Consumer Co‐designer
                Role: Clinician Co‐designer
                Role: Clinician Co‐designer
                Role: Clinician Co‐designer
                Role: Manager Co‐designer
                Role: Industry Supervisor
                Role: Assoicate Professor
                Role: Associate Professor
                Role: Professor
                Journal
                Health Expect
                Health Expect
                10.1111/(ISSN)1369-7625
                HEX
                Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
                John Wiley and Sons Inc. (Hoboken )
                1369-6513
                1369-7625
                21 November 2023
                February 2024
                : 27
                : 1 ( doiID: 10.1111/hex.v27.1 )
                : e13919
                Affiliations
                [ 1 ] School of Population Health Curtin University Bentley Western Australia Australia
                [ 2 ] Rocky Bay Mosman Park Western Australia Australia
                [ 3 ] Deakin Health Economics Institute for Health Transformation, Deakin University Burwood Victoria Australia
                Author notes
                [*] [* ] Correspondence Cloe Benz, Researcher, School of Population Health, Curtin University, 208 Kent Rd, Bentley, WA 6102 Australia.

                Email: cloe.benz@ 123456curtin.edu.au

                Author information
                http://orcid.org/0000-0001-6950-8855
                http://orcid.org/0000-0002-7818-0115
                http://orcid.org/0000-0002-3112-3893
                http://orcid.org/0000-0001-5022-5281
                http://orcid.org/0000-0001-5703-6475
                Article
                HEX13919
                10.1111/hex.13919
                10726283
                37990612
                59ca0c56-2a0d-4d44-bd23-537374dc1b6a
                © 2023 The Authors. Health Expectations published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 November 2023
                : 24 August 2023
                : 12 November 2023
                Page count
                Figures: 2, Tables: 1, Pages: 11, Words: 7000
                Funding
                Funded by: Australian Government Research Training Programme (RTP)
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                February 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.6 mode:remove_FC converted:18.12.2023

                Health & Social care
                co‐design,disability,journey map,patient and public involvement,peer researcher,telepractice

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