232 Chapter 7 enhancing satisfaction and engagement [34,38]. Our research has indicated the need for the development of various tools for MHN [23]. The ideas for tools have been assessed using Multi-Criteria Decision Analysis (MCDA) based on seven design criteria identified from the literature [35,39,40], such as ‘contributing to increased sensitization’ and ‘integrating seamlessly and rapidly’. It was crucial that these design criteria served as a foundation in the ongoing development of these tools. Additionally, the development and testing of the brochure involved co-creation with MHNs to ensure that the content was specifically tailored to their needs and those of their patients. One of the key lessons learned from the Double Diamond model is the iterative nature of the design process. The iterations within each phase helped us to refine both problem understandings and solutions. This iterative process allowed us to build on what worked and to make informed adjustments. The second learned lesson is the value of balancing divergent and convergent thinking. During the Discover and Develop phases. Divergent thinking allowed us to explore a wide range of possibilities and ideas with end-users without constraints. Conversely, convergent thinking in the Define and Deliver phases helped us to narrow down options and focus on feasible and impactful solutions. The third lesson learned was that this design approach not only fostered behavioural changes among MHNs but also built foundational support for the use of the developed tool in the near future and for the use of design-oriented research methods. In co-creation with end-users, we developed a tool for oral health, which they received positively, and revealed high levels of enthusiasm and engagement. Notably, one organization integrated the awareness screening questions into their Routine Outcome Monitoring (ROM), which systematically assesses treatment effectiveness and enhances clinical practices for better outcomes.
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