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Brief description of main results

The PCC-game

In 2017, we launched the PCC-game (Personcentred care game), an app for smartphones and tablets that had been developed together with the software company IUS innovation. The game could be downloaded for free on the App Store and Google Play, and received some media attention in Sweden. The mobile app contained various parts where the player could learn about personcentred care and also carry out exercises in virtual care meetings. The game was used by individuals, by groups in workplaces and in teaching. A pedagogical manual was also offered as a complement. In 2024, the game was shut down as it was in need of an update, which it was decided not to carry out.

Evaluation

In this project, the original research question was to evaluate the effect of using the PCC-game in a learning environment. To be able to do this, we first needed to describe the pedagogical and behavioral underlying mechanisms of the game. The PCC-game was developed in a participatory design with an agile methodology in close collaboration with IUS innovation. IUS provided us with data from the process. Each step was carefully carried out, but unfortunately not described in a way that could be used for research purposes. We have been in contact with an expert in digitalization, to get support on how to describe the development using scientific terminology. According to him, the development was missing essential steps that could not be explained retrospectively.

An innovative tool

We conclude that the PCC-game was in many ways an innovative tool, which was appreciated, noticed and used. However, in its current form, it cannot be used further to test the effect. Instead, we have written a script that explains what the PCC-game is and that it is based on basic research on pedagogical and behavior change techniques.

The online training course Mutual meetings 

Mutual meetings is a tool for teaching and implementing person-centered care for all professional groups in health care and care. Mutual meetings is free to use, and is carried out in groups of four to six people with mixed skills. It is available online and consists of three modules. The group is guided step by step through theory, discussion and exercises, including in daily work. The training can be carried out with very simple means. All that is needed is Post-it notes and a place and time for conversations and practical exercises. Mutual meetings was initially available in Swedish and English, and has since been translated into French and Portuguese.

Research questions we wanted to answer

1. How do managers perceive their responsibility in supporting healthcare staff's learning of person-centred care using the self-facilitating implementation tool Mutual meetings? 

2. How are healthcare staff's perceptions of learning person-centred care facilitated by Mutual meetings in terms of partnerships, narratives and documentation? 

3. What changes in practice have been planned for partnerships, naratives and documentation? 

4. What are healthcare staff's perceptions of the organizational conditions for person-centred care facilitated by Mutual meetings?

5. What costs are associated with the use of Mutual meetings?

Lack of time made the project impossible

To answer these questions, the recruitment of test beds started in May 2023 by contacting stakeholders in hospital care, primary care and social health care. Unfortunately, none of the agencies we had contacted agreed, with the justification that Mutual meetings was too extensive and therefore too time-consuming. These experiences were shared with the GPCC management who decided to offer indemnity funds. Despite indemnity funds, none of the practices we contacted were able to accept, on the grounds that the money offered did not cover the costs of releasing staff. Our conclusion is that the Mutual meetings project faced significant financial and time constraints. Our interpretation is that Mutual meetings is not feasible or accepted by the leaders in the clinical practices.