A Human Centred Innovative Approach Based on Persona in Hereditary Angioedema

Author:

Perego Francesca1ORCID,Zingale Lorenza Chiara1,Marcelli Azzurra Cesoni1,Ranucci Luca1,Rimoldi Lorenzo2,Nsanbayeva Nurgul3,Natale Maria Rosaria3,Vecchia Laura Adelaide Dalla1,Gorini Alessandra4

Affiliation:

1. Istituti Clinici Scientifici Maugeri SpA IRCCS Milano

2. Your Bisuness Partner

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4. Universita degli Studi di Milano Dipartimento di Scienze Cliniche e di Comunita

Abstract

Abstract

Background Hereditary Angioedema (HAE) due to C1-inhibitor deficiency (HAE-C1-INH) is a rare condition, clinically characterised by recurrent swelling. The unpredictability of attacks affects the patients’ quality of life (QoL). HAE patients and their families have vast unmet physical, psychological, and social needs. A human-centred design (HCD) approach to describing the needs of different user types is to utilise personas, a data-driven narrative tool for communicating user archetypes that capture the individuals’ attitudes, goals, and behaviours. The aim of this study was to create and analyse personas based on HAE patients’ and their caregivers’ interviews. Semi-structured interviews were conducted through anthropological conversations with patients, patient-caregivers (double role of patient and caregiver), and non-affected caregivers. Qualitative and quantitative insights from analyses formed the basis to create personas. Results We enrolled 17 subjects: 15 patients (6 of them were patient-caregivers) and 2 non-affected caregivers. The mean age of participants was 50,3±14,4 yrs. Eight patients were on treatment with prophylactic therapy. The mean percentage score of Angioedema Quality of Life (AE-QoL) for HAE patients was 19,8±12,0. Six personas were identified describing the participants’ personal history, disease management, and needs: four personas referred to patients, one to patient-caregivers, and one non-affected caregiver personas were identified. Across patient personas, the most expressed needs were psychological support and better awareness amongst healthcare professionals. Caregivers, on their side, desired better information about the disease, including the latest therapies, and higher awareness within the community. Conclusion A Human Centred Innovative Approach Based on Persona extends beyond the physical symptoms to encompass the psychological and social aspects of the individual's well-being also including the family in the evaluation.

Publisher

Springer Science and Business Media LLC

Reference41 articles.

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2. Novelties in the Diagnosis and Treatment of Angioedema;Cicardi M;J Investig Allergol Clin Immunol,2016

3. Hereditary Angioneurotic Edema: Two Genetic Variants;Rosen FS;Science,1965

4. Mutation screening of C1 inhibitor gene in 108 unrelated families with hereditary angioedema: functional and structural correlates;Pappalardo E;Mol Immunol,2008

5. Hereditary angioedema: an infrequent cause of abdominal pain with ascites;Talavera A;Am J Gastroenterol,1995

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