Sonja Kuipers

181 The Development of an Oral Health Nursing Tool in Patients with a Psychotic Disorder care specialists); (2) contribute to raising the sensitisation of MHNs regarding the importance of oral health; (3) motivate MHNs to engage in specific behaviours (call to action); (4) encourage the adoption of sustainable behavioural changes; (5) integrate seamlessly into existing operational work; (6) be positive; and (7) be implemented rapidly and with ease within organisations. The MCDM was sent to participants by e-mail. Subsequently, all participants (n = 9) were asked to assess each tool based on the design criteria using a numerical scale ranging from 1 (low criterion score) to 5 (excellent criterion score). Additionally, participants provided reasons for their scores for each criterion. In step 3a, the tool was developed as a low-fidelity prototype based on the latest scientific insights from the literature (by SK, NB, and SB). This entailed creating a basic prototype to concretise ideas and facilitate testing [25]. Low-fidelity prototyping is a swift and efficient method by which to convert design ideas into tangible and testable artefacts. The primary and most critical function of low-fidelity prototypes is that they can evaluate and examine functionality, rather than focusing on the visual aesthetics of the product [25]. Participants were asked to critically review and identify areas for improvement in the low-fidelity prototype over 2 weeks. We conducted semi-structured interviews to explore the feasibility of the tested low-fidelity prototype in the field of mental health in a sample of participants who had not yet been involved in this study. Our objective was to evaluate the feasibility of the first low-fidelity prototype and investigate whether the individuals who were expected to be impacted by it were receptive to the tool and whether it would be pragmatic to contemplate its deployment in specific contexts. This could prevent the implementation of an intervention that does not apply to the target population or is, for example, too costly to implement [31]. For this purpose, a six-item topic list was developed based on a study by Bowen et al. on designing a feasibility study [30]. Six factors were identified that could be considered different aspects of feasibility: acceptability, demand, implementation, practicality, integration, and efficacy. Acceptability assesses people’s reactions to a tool, like its suitability and their satisfaction; demand gauges estimated use and interest; implementation examines the scope, likelihood, and methods of comprehensive execution; practicality evaluates feasibility under resource, time, and commitment constraints; integration looks at the extent of systemic changes needed for incorporation; and efficacy focuses on the likelihood of success and the intended effects of the tool [30]. 6

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