Table 1.
Ways to incorporate principles into phases of femtech development.
| Phase of development | Principles | ||
|
|
Interdisciplinary stakeholder–inclusive teams | Person-centered approach | Advancing reproductive health equity |
| Conceptualization and content development | Conduct semistructured qualitative work (one-on-one interviews or focus groups) with women, health care providers (including subspecialty providers), and other expert stakeholders | Structure interview guides around evidence-based best practices to identify gaps in knowledge, and understand experiences and preferences related to reproductive care | Incorporate historical and theoretical frameworks in conceptualizing the tool and its content to ensure an equity lens from the start of any work |
| Design implementation | Review content and functionality iteratively with members of key stakeholder groups such as patients, medical experts, human-computer interaction specialists, bioethicists, social scientists, and relevant community organization leaders (eg, reproductive justice advocacy groups, church leaders, women’s shelters, doulas) | Design features and content to incorporate clinical best practices, yet focus on users’ informational needs and personal values | Structure advisory or expert panels to include content and lived-experience experts; seek diverse perspectives within each category of stakeholder |
| Testing | Prioritize patient and other stakeholder goals for the tool | Plan acceptability metrics around patient-centered/patient-defined outcomes | Power trials to identify differences in outcomes for diverse patient populations based on preplanned equity-driven hypotheses |