This Strategic Product Design graduation project is carried out on behalf of the Civil-Military Centre of Expertise for Trauma Care (CETC). Based on insights from the research phase, the design direction iterated two times and evolved into ‘an interactive tool that supports person-centred value based health care (PCVBHC) during trauma rehabilitation, by making patients more actively involved in the design of their customized care plan and by facilitating effective interdisciplinary goal-setting. Additionally, the tool aims to help patients with acceptance, as this makes an essential contribution to quality of life’.

The designed tool is called Libra Care, which refers to ‘care that is in balance’. This means that the optimal customized care plan is created with medical input from the health care provider, but also with personal input from the patient. Patients are the only ones that can determine the value of various health outcomes for their quality of life. And therefore, Libra Care provides support for patients to actively participate in the process of aligning care provision with their personal values, goals and preferences.

Libra Care uses a guided exercise in combination with generative techniques and mind-switching to elicit personal values and the things that are important in the life of this patient. These techniques are used to extract deeper and more valuable personal information. The generated ‘What matters to me’-dossier is the starting point for consultation with different health care providers, and supports expectation management, shared decision-making and personal goal-setting. All goals a patient works towards with different health care providers are documented in relation to the overarching goal and patient reported outcome
measurements (PROMs) they support. This ensures that health care providers can align their care, facilitating effective interdisciplinary collaboration. Regular patient reported outcome measurements (PROMs) ensure continuous patient involvement and evaluation.

The information in the dossier can also be used by psycho-social workers to support conversations about acceptance. The dossier helps to broaden a patient's perspective, by making them realize that most of what is important to them remains unaffected by the trauma injury. Personal goal-setting focuses on what is still possible for the patient (or could be possible in the future). Libra Care provides patients with the opportunity to explore the coping strategies of other patients. This will help them to realize that quality of life can be achieved in many ways and that their losses can often be mitigated or compensated. Within Libra Care, patients can share their experiences, concerns, and emotions. Feeling supported and connected with other patients supports mental, physical and emotional health, and it improves the capacity to cope with losses.

Although the desirability and value of the tool was proven during patient and expert focus groups, the project and design have some limitations. Therefore, recommendations have been provided for further research and testing. The implications of this project offer actionable insights for transforming health care practices and policies, ensuring that care remains person-centered and value-driven, despite the challenges posed by increasing healthcare demands.

This graduation project explores how designers, developers, and researchers can comprehend the elements and interactions that influence the successful implementation of innovation in cancer-care contexts, considering its inherent complexity.
Using a "Research through Design" methodology, data were collected through literature research and interviews with 4D PICTURE team members. Analysis and synthesis of information was done through an iterative process using giga-mapping techniques.
The result from the research is a GIGA map illustrating the complexity of the cancer care path, encompassing seven domains, 30 elements, and over 50 connections that impact technology implementation in this context. By understanding the systemic complexity of cancer care contexts, designers, developers, and researchers can develop technologies that enable successful implementation in the desired settings.
These insights can expand the knowledge on the complexity of implementation in cancer-care contexts, complementing existing literature in implementation science.