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      <image:title>Identifying Wraparound Services for Complex Care</image:title>
      <image:caption>We conducted 1 hour of contextual and semi-structured interviews with each family in their homes. We inquired about family dynamic, child’s diagnosis, hospitalization, information access, and the makings of both good and bad days. For a subset of families, we asked them to share artifacts—such as albums and organizing tools.</image:caption>
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      <image:title>Identifying Wraparound Services for Complex Care</image:title>
      <image:caption>After the interviews, we facilitated 1 hour of generative research to shift the participants’ mindsets from present to future and surface potential solutions. First, we asked participants to envision and write down an ideal future for themselves, their child, and their family. Second, we asked the participants to use a Venn diagram and series of stickers to diagram qualities of their ideal vision for themselves, their child, and their family.</image:caption>
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      <image:title>Identifying Wraparound Services for Complex Care</image:title>
      <image:caption>We facilitated a card sorting exercise to identify highest pain points and participant-centered solutions related to aspects of the caregiver journey. We asked participants to sort through 22 cards and choose 3 that they would love to completely redesign.</image:caption>
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      <image:title>Identifying Wraparound Services for Complex Care</image:title>
      <image:caption>We asked families if they would be closer to achieving the currently unattained components of their ideal vision if the chosen 3 journey aspects were redesigned. The answers were unanimously, “yes.”</image:caption>
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      <image:caption>We conducted 1 hour of contextual and semi-structured interviews with each family in their homes. We inquired about family dynamic, child’s diagnosis, hospitalization, information access, and the makings of both good and bad days. For a subset of families, we asked them to share artifacts—such as albums and organizing tools.</image:caption>
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      <image:title>Work</image:title>
      <image:caption>After the interviews, we facilitated 1 hour of generative research to shift the participants’ mindsets from present to future and surface potential solutions. First, we asked participants to envision and write down an ideal future for themselves, their child, and their family. Second, we asked the participants to use a Venn diagram and series of stickers to diagram qualities of their ideal vision for themselves, their child, and their family.</image:caption>
    </image:image>
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      <image:title>Work</image:title>
      <image:caption>We facilitated a card sorting exercise to identify highest pain points and participant-centered solutions related to aspects of the caregiver journey. We asked participants to sort through 22 cards and choose 3 that they would love to completely redesign.</image:caption>
    </image:image>
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      <image:caption>We asked families if they would be closer to achieving the currently unattained components of their ideal vision if the chosen 3 journey aspects were redesigned. The answers were unanimously, “yes.”</image:caption>
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      <image:caption>Participatory Design Studios: Analyzing Stock Photos + Crafting Alternative Versions</image:caption>
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      <image:caption>Analysis of Existing Stock Photo</image:caption>
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      <image:caption>Participant-Created Photos Participants felt strongly that most existing stock images "seemed like assisted living" and did not represent the full spectrum of growing older. With these images, participants wanted to portray active, independent, self-sufficient aging.</image:caption>
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      <image:caption>Participants noted that in existing stock photos featuring a solitary senior there was an overwhelming feeling of sadness, prompting the viewer to feel pity for the senior. In this image, participants wanted to depict a senior who was alone and content.</image:caption>
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      <image:caption>Existing stock images featuring multiple older adults predominantly depict romantic partnership. Participants wanted to portray other forms of companionship that are central to their experiences of senior life. Several participants play cards, and used this scenario to express a light-hearted rapport among older adult companions.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5707104f27d4bdcee1470cc5/1473115835574-WUG5VZ58XRU1JJV5PQYO/ReimagingAging3_850_900.jpg</image:loc>
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      <image:caption>Participants were steadfast in their dismissal of one perpetually repeated gesture: the supposedly comforting hand of the physician placed on the patient's shoulder. As one participant stated, it was if the physician was saying, loudly and definitively, “You’re going to hospice...just take our pills and shut up.” Participants agreed that touch can be a powerful way to express empathy, but because the cumulative impact of seeing the same gesture was patronizing, they removed touch from their versions.</image:caption>
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      <image:caption>To combat the “dominant-subordinate relationship” that consistently appeared in stock examples, participants wanted to focus on a moment of consultation rather than examination. To emphasize the crucial role of conversation, they positioned doctor and patient at the same eye level. Evidence-based healthcare equipment, which they believed reinforced a highly clinical approach to care, was removed.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5707104f27d4bdcee1470cc5/1473115835163-RROITE2MZBJFUVHF1RQS/ReimagingAging1_850_900.jpg</image:loc>
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      <image:caption>One participant shared that she checks test results online and emails her doctor—new developments the entire group agreed supported a team-based approach to wellness. In the stock examples, though, the technology was always in the hands of the physician. In their version, participants placed the tablet in the patient’s hands. She roleplayed using it to review her list of discussion items with the doctor.</image:caption>
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