Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care
Abstract Background Archetypes are representations of a group of people with shared behaviors, attitudes, and characteristics. The design and use of archetypes have potential application to increase partnership and support when embedding and scaling interventions but methodological approaches have n...
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BMC
2025-01-01
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| Series: | Implementation Science Communications |
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| Online Access: | https://doi.org/10.1186/s43058-024-00683-9 |
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| author | Martha Abshire Saylor Danny Scerpella Margo Chapin Anushka Jajodia Amrutha J. Kadali Jessica L. Colburn Valerie Cotter Jennifer L. Wolff |
| author_facet | Martha Abshire Saylor Danny Scerpella Margo Chapin Anushka Jajodia Amrutha J. Kadali Jessica L. Colburn Valerie Cotter Jennifer L. Wolff |
| author_sort | Martha Abshire Saylor |
| collection | DOAJ |
| description | Abstract Background Archetypes are representations of a group of people with shared behaviors, attitudes, and characteristics. The design and use of archetypes have potential application to increase partnership and support when embedding and scaling interventions but methodological approaches have not been developed. Objective To describe the methodology of designing archetypes for use in a pragmatic trial of advance care planning in the primary care context, SHARING Choices ((NCT04819191). We present resulting archetypes representing three key roles (primary care champion, advance care planning facilitator, and patient) in our pragmatic trial. Methods Our process for developing archetypes involved 4 steps: 1) Identify roles for archetype development, 2) Identify Shareholders and Data Sources for Archetype Development, 3) Generate unique archetypes and their distinguishing traits, and 4) Iteratively refine archetypes through exposure, scrutiny, and shareholder input. We also developed a process map to communicate our methodology. Results We created 6 distinct archetypes for the primary care champion role, 5 archetypes for the advance care planning facilitator role and 6 archetypes for the patient role. For each archetype we described strengths, challenges, prevailing emotions, and successful approaches to collaboration (e.g., “what works for me”). Unique opportunities for synergy between archetypes (such as with facilitator and champion) and potential challenges between archetypes (such as for facilitator and patient) suggest ways to improve training and support of key roles. Discussion Our process for creating archetypes for use in implementation research was iterative and informative in discussion of implementation with shareholders. We expect this methodology to be useful for anticipating and analyzing many aspects of implementation. |
| format | Article |
| id | doaj-art-017b4077bc4d4a4b991b7b28be1181a1 |
| institution | Kabale University |
| issn | 2662-2211 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj-art-017b4077bc4d4a4b991b7b28be1181a12025-01-12T12:25:54ZengBMCImplementation Science Communications2662-22112025-01-016111010.1186/s43058-024-00683-9Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary careMartha Abshire Saylor0Danny Scerpella1Margo Chapin2Anushka Jajodia3Amrutha J. Kadali4Jessica L. Colburn5Valerie Cotter6Jennifer L. Wolff7Johns Hopkins School of NursingJohns Hopkins Bloomberg School of Public HealthJohns Hopkins Bloomberg School of Public HealthJohns Hopkins School of NursingJohns Hopkins Bloomberg School of Public HealthJohns Hopkins School of MedicineJohns Hopkins School of NursingJohns Hopkins Bloomberg School of Public HealthAbstract Background Archetypes are representations of a group of people with shared behaviors, attitudes, and characteristics. The design and use of archetypes have potential application to increase partnership and support when embedding and scaling interventions but methodological approaches have not been developed. Objective To describe the methodology of designing archetypes for use in a pragmatic trial of advance care planning in the primary care context, SHARING Choices ((NCT04819191). We present resulting archetypes representing three key roles (primary care champion, advance care planning facilitator, and patient) in our pragmatic trial. Methods Our process for developing archetypes involved 4 steps: 1) Identify roles for archetype development, 2) Identify Shareholders and Data Sources for Archetype Development, 3) Generate unique archetypes and their distinguishing traits, and 4) Iteratively refine archetypes through exposure, scrutiny, and shareholder input. We also developed a process map to communicate our methodology. Results We created 6 distinct archetypes for the primary care champion role, 5 archetypes for the advance care planning facilitator role and 6 archetypes for the patient role. For each archetype we described strengths, challenges, prevailing emotions, and successful approaches to collaboration (e.g., “what works for me”). Unique opportunities for synergy between archetypes (such as with facilitator and champion) and potential challenges between archetypes (such as for facilitator and patient) suggest ways to improve training and support of key roles. Discussion Our process for creating archetypes for use in implementation research was iterative and informative in discussion of implementation with shareholders. We expect this methodology to be useful for anticipating and analyzing many aspects of implementation.https://doi.org/10.1186/s43058-024-00683-9Advance care planningArchetypesHuman-centered designMethodology |
| spellingShingle | Martha Abshire Saylor Danny Scerpella Margo Chapin Anushka Jajodia Amrutha J. Kadali Jessica L. Colburn Valerie Cotter Jennifer L. Wolff Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care Implementation Science Communications Advance care planning Archetypes Human-centered design Methodology |
| title | Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care |
| title_full | Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care |
| title_fullStr | Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care |
| title_full_unstemmed | Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care |
| title_short | Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care |
| title_sort | developing archetypes for key roles in a pragmatic trial implementing human centered design to promote advance care planning in primary care |
| topic | Advance care planning Archetypes Human-centered design Methodology |
| url | https://doi.org/10.1186/s43058-024-00683-9 |
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