Using human-centered design with 26 stakeholders, researchers co-designed a multi-level intervention including midwife-led visits, remote blood pressure monitoring, and doula care to improve postpartum management of hypertensive disorders of pregnancy.
Human-centered design identified key unmet needs and informed a multi-level intervention to improve postpartum management of hypertensive disorders of pregnancy and long-term cardiovascular health.
Objectives/Goals: Our objective was to use human-centered design methods to co-develop an intervention that enhances postpartum management of hypertensive disorders of pregnancy and reduces long-term cardiovascular (CV) disease risk. Methods/Study Population: Human-centered design is a problem-solving approach that centers the end-user including patients, clinicians, and community members. We conducted six focus groups with people who experienced HDP, doulas, lactation consultants, perinatal community health workers, midwives, Ob/Gyns, and family physicians (n=26). Design activities included patient journey mapping, group discussion, mad lib creation, rapid solution brainstorming, dot voting, impact/difficulty matrix analysis, and pitch concept development. Focus group sessions explored the patient journey and identified major unmet needs. These results informed the co-design of solutions to address key facilitators and barriers to positive care pathways. Results/Anticipated Results: Participants identified a need for a community-embedded care model that promotes continued engagement after delivery, timely blood pressure (BP) monitoring and management, chronic stress reduction, and a smooth transition to primary care. These findings informed the co-design of a multi-level intervention that includes 1) midwife-led dyadic mom–baby visits that facilitate evidence-based strategies: BP surveillance, medication management, and lifestyle education; 2) remote BP monitoring with bi-directional communication; 3) community-based doula care; 4) a co-located family support specialist that addresses social determinants of health and chronic stress; and 5) facilitated primary care transition. Discussion/Significance of Impact: Using human-centered design enabled the integration of lived experiences, clinical insights, and community perspectives. This participatory process ensures that actionable solutions are responsive to real-world needs and have greater potential to improve CV health.
Noelene Jeffers (2026) studied Hypertensive disorders of pregnancy (n=26). Human-centered design co-developed multi-level intervention was evaluated on Identified unmet needs and co-designed solutions for postpartum care pathways. Using human-centered design with 26 stakeholders, researchers co-designed a multi-level intervention including midwife-led visits, remote blood pressure monitoring, and doula care to improve postpartum management of hypertensive disorders of pregnancy.
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