Exploring Alternative Tools to Help Patients with Discordant Chronic Comorbidities (DCCs) Better Prioritize their Care and Treatment Plans and Communicate With Multiple Providers
Tom Ongwere, Indiana University-Bloomington
Patients with Discordant Chronic Comorbidities (DCCs) have multiple, often unrelated, chronic illnesses with opposing treatment instructions. These conditions can make it difficult for patients and healthcare providers to prioritize and manage the treatment of each individual disease. Despite the fact that challenges of managing multiple chronic diseases are well known in the literature, with an exception of work on the elimination diet, no other tools have been designed to address issues specific to care and treatment of type-2 diabetes concurrently with other diseases. In this Ph.D. work, I explore strategies and techniques to help patients with discordant chronic comorbidities (DCCs) better prioritize their treatment plans and communicate with multiple providers. I have completed; i) a 2 week photo-elicitation interviews to understand the needs and barriers to effective care and treatment of DCCs, ii) qualitative interviews with healthcare providers to understand their perspective on barriers to care and treatment of DCCs, iii) a focus group study with health care providers to brainstorm strategies and design directions for effective care and treatment of type-2 diabetes and DCCs, iv) the basic design sessions to evaluate DCCs care model. I intend to conduct a series of participatory design workshops with patients to design basic goal setting strategies and ways to achieve these goals.