Table 2 Diagnosis phase—activities and domains for the development of the Better Hearts Better Cities initiative in São Paulo, Brazil
From: Deconstructing design thinking as a tool for the implementation of a population health initiative
Process phase | No. | Activity | When | Main actors | Dose/input (time required to develop/implement or activity frequency) | Target (of action; unit of analysis) | Actions (brief) | Purpose (brief) | Expectation/outcome (brief) |
|---|---|---|---|---|---|---|---|---|---|
Diagnosis | 9 | Desk research | Feb 2018 | Tellus team | 1 month | – HTN patients – Other cities involved – Context of São Paulo and Itaquera | Disease, BHBC initiative and local context | Familiarization with disease, content and context | Comprehensive learning about target group and health systems Identification and alignment with priority needs |
10 | CSD Matrix development | Feb 2018 | Tellus team | 1 month | – Design team (visual summary/thinking tool) – Other initiative stakeholders | Consolidation of research findings | Visual summary of evidence to guide next steps | Creation of a visual summary of evidence as a foundation for learning, critical thinking and research action | |
11 | Meetings with east zone coordination | 27 Feb 2018 | Tellus team | 20 (approximately) | – East zone coordinator – Itaquera district – Santa Marcelina social organization | Stakeholder validation of research tools and schedule | Relationship-building, shared decision-making and needs alignment | Confirmation from stakeholders about the next stage, focal areas and timeline Strengthening of stakeholder and team relationships | |
12 | Interviews and co-creation sessions in primary care clinics | 26 Feb–26 Mar 2018 | Tellus team | 1 month field interviews: 80 interviews (patients, supervisors, health professionals and support staff) 10 co-creation sessions with patients and management council | – Territory supervisors and healthcare workers and administrative staff – Itaquera community – Health unit management councils | Primary data collection–Interviews and co-creation sessions | Build knowledge, frame and reframe to achieve target focus | Understanding of engagement and user needs for validation of hypotheses and clarity on design work Research and inclusion of additional stakeholders to build connection | |
13 | Systematization, initiative status update and live event | Mar 2018 | Tellus team | Systematization process: 10Â days Status updates: five meetings (individual meetings with partners) | NF, City Hall, American Heart Association | Frame findings to establish innovation framework, stakeholder involvement and opportunities | Converge, review and distil knowledge | Confirmation of key findings and subsequent definition of next steps based on evidence review Regular face-to-face meetings |