O-086 Co-development of Orchid mobile application for supporting fertility intentions and reproductive choices

Abstract Study question What does co-development bring to the design of a mobile application (app) for supporting fertility intentions and reproductive choices? Summary answer Co-development app choices informed content, from expressed preferences, ensuring acceptability by end user. is known already We sought develop digital tool support people age understand their pregnancy preferences intentions; helping them prepare pregnancy, improving outcomes, preventing unplanned pregnancies reducing inequalities in maternal health. Orchid encourages person consider that they have choice about reflect on personal goals how this may fit with other life goals. aimed co-develop via person-centred approach, which draws behaviour change theory. design, size, duration The development was conducted University College London. online over five rounds (four surveys one group discussion) November 2022 – February 2023. Round 1 Content mapping, 2 App layout, 3 Online discussion content 4 5 - Functioning pilot app. Participants/materials, setting, methods Participants were invited database potential research participants purposefully selected ensure diversity inclusion. made up 10 women across UK; aged 19-44 years range relationship status’ (married, divorced, cohabiting single), ethnicities (White n = 8, Asian 1, Mixed 1) family sizes. Main results role chance gained feedback our through surveys, combination structured open text questions. also held an session allowed us in-depth look As result feedback, we redesigned key elements app; altering language used throughout, including wording prediction, adding extra information preference groups wider resources. overall changed considerably, make decisions regarding colour scheme, number screens, layout presentation information. Final user testing verify functionality performed multiple iterations survey at every stage inform throughout process Limitations, reasons caution There limited involved this, first developing Minimum Viable Product (MVP) A larger even more diverse individuals will be needed next stage, likely increase complexity process. Wider implications findings co-developed MVP sample population, representative end-user. provided positive evaluation product. People must viewed less as consumers contributing partners care. Trial registration not applicable