Browsing by Author "Montt Blanchard, Denise"

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    Considerations for Community Engagement in Design Education
    (2023) Montt Blanchard, Denise; Najmi, Sheba; Spinillo, Carla Galvão
    The Future of Design Education working group on Community Engagement describes the active involvement of students and faculty with community groups as important co-design and participatory research opportunities that shift the designer's role from expert to facilitator. The working group offers overarching principles for designer behavior when working in communities and recommendations for the management of community-based student projects. The goal of engagement is to share knowledge and power, building toward autonomous decision-making about the community's future. A matrix “A Spectrum of Community Engagement in Design Education” illustrates a continuum of participation to explain the types of work in which students, faculty, and researchers might engage. A discussion of assessment both acknowledges challenges that are different from the typical individual studio projects and offers insights from other service sectors for a broader review of engagement program success. Short descriptions of cases illustrate key concepts.
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    Domesticating the condition: Design lessons gained from a marathon on how to cope with barriers imposed by type 1 diabetes
    (2022) Montt Blanchard, Denise; Dubois-Camacho, Karen; Costa-Cordella, Stefanella; Sánchez, Raimundo
    Through analytical autoethnographic analysis of marathon preparation, this study examines challenges faced by people with Type 1 Diabetes (T1D) who engage in high-performance sports. Autoethnographer and second-person perspectives (T1D runners, family members, and health providers) were collected through introspective activities (autoethnographic diary and in-depth interviews) to understand the T1D runner’s coping experience. Six insights involved in T1D self-management were identified and analyzed with reference to related design tools (prototyping, archetyping and journey mapping). Finally, we conclude with a discussion of how endurance physical activity (PA) such as running helps to “domesticate” T1D, a term coined to reflect the difficulties that T1D presents for PA accomplishment and how T1D runners’ experiences give them an opportunity to overcome PA barriers promoting physical culture and enriching further health psychology studies.
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    Explorar-me: A patient-centred toolkit to address sexual wellbeing in breast cancer treatment
    (2025) Cisternas Gonzalez, Ariana Fernanda; Zubeldia Anuch, Matias Ignacio; Flores, Valentina; Montt Blanchard, Denise
    Breast cancer (BC) treatment often overlooks sexual health, focusing solely on survival indicators. The Explorar-me kit invites BC patients to reconnect with their sexuality through self-exploration tools and accessible education. Patient-centred design revealed cultural barriers and normalized discomforts, highlighting the need for proactive sexual health education. The kit’s tools, including a vibrator and dilators, would allow patients to explore their sexual wellbeing independently and confidently. This replicable model demonstrates how empathy-driven, collaborative design can address stigmatised health topics and improve patient experiences.
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    Hypoglycemia and glycemic variability of people with type 1 diabetes with lower and higher physical activity loads in free-living conditions using continuous subcutaneous insulin infusion with predictive low-glucose suspend system
    (2023) Montt Blanchard, Denise; Sánchez, Raimundo; Dubois Camacho, Karen; Leppe, Jaime; Onetto Flores, María Teresa
    Introduction Maintaining glycemic control during and after physical activity (PA) is a major challenge in type 1 diabetes (T1D). This study compared the glycemic variability and exercise-related diabetic management strategies of adults with T1D achieving higher and lower PA loads in nighttime-daytime and active- sedentary behavior hours in free-living conditions., Research design and methods Active adults (n=28) with T1D (ages: 35 +/- 10 years; diabetes duration: 21 +/- 11 years; body mass index: 24.8 +/- 3.4 kg/m(2); glycated hemoglobin A1c: 6.9 +/- 0.6%) on continuous subcutaneous insulin delivery system with predictive low glucose suspend system and glucose monitoring, performed different types, duration and intensity of PA under free-living conditions, tracked by accelerometer over 14 days. Participants were equally divided into lower load (LL) and higher load (HL) by median of daily counts per minute (61122). Glycemic variability was studied monitoring predefined time in glycemic ranges (time in range (TIR), time above range (TAR) and time below range (TBR)), coefficient of variation (CV) and mean amplitude of glycemic excursions (MAGE). Parameters were studied in defined hours timeframes (nighttime-daytime and active-sedentary behavior). Self-reported diabetes management strategies were analysed during and post-PA., Results Higher glycemic variability (CV) was observed in sedentary hours compared with active hours in the LL group (p <= 0.05). HL group showed an increment in glycemic variability (MAGE) during nighttime versus daytime (p <= 0.05). There were no differences in TIR and TAR across all timeframes between HL and LL groups. The HL group had significantly more TBR during night hours than the LL group (p <= 0.05). Both groups showed TBR above recommended values. All participants used fewer post-PA management strategies than during PA (p <= 0.05)., Conclusion Active people with T1D are able to maintain glycemic variability, TIR and TAR within recommended values regardless of PA loads. However, the high prevalence of TBR and the less use of post-PA management strategies highlights the potential need to increase awareness on actions to avoid glycemic excursions and hypoglycemia after exercise completion.
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    Impresiones 3D de Cortes Transversales de un Cuerpo Humano: Un Recurso Didáctico para el Estudio de la Anatomía Seccional
    (2020) Montt Blanchard, Denise; Caro Pinto, Iván; Neyem, Hugo Andrés; Inzunza, Oscar
    Los cursos de anatomía constituyen un componente esencial del currículo de medicina, aportando las bases morfológicas para el examen clínico, la interpretación de imágenes médicas y la práctica segura de intervenciones quirúrgicas y procedimientos. Recientemente, la tecnología de impresión 3D ha permitido generar réplicas de disecciones de segmentos corporales a escala real que se utilizan como recursos docentes para el estudio de la anatomía humana, generando así modelos docentes de alta verosimilitud que sirven como alternativa al uso de preparaciones cadavéricas para la docencia anatómica. En este trabajo presentamos los resultados obtenidos al utilizar nuestro kit KAN3D que incluye réplicas físicas de secciones transversales del tronco y de las extremidades y una plataforma que aloja los modelos digitales debidamente rotulados, producto financiado con el proyecto FONDEF IT16I10073. La aplicación de estos productos en docencia señalan que las réplicas de secciones transversales de segmentos corporales presentan una alta verosimilitud en términos de forma, color, topografía y texturas, características que las validan como un excelente recurso docente para la docencia y el aprendizaje de la anatomía seccional humana. El kit KAN3D pone a disposición de los estudiantes de las carreras de la salud recursos de alta verosimilitud, disponibles a libre demanda, que les permita reproducir la experiencia de la actividad práctica de Morfología en el momento y lugar en que ellos se encuentren dispuestos, superando así las limitaciones de acceso a los pabellones de Anatomía y a material cadavérico de calidad
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    Individualized visual narratives: type 1 diabetes management strategies among three runners in the London Marathon
    (2023) Montt Blanchard, Denise; Onetto Flores, María Teresa; Sánchez, Raimundo
    This study investigates the diabetes management strategies of three high-level athletes with Type 1 Diabetes (t1D) during the 43rd London Marathon. The athletes’ strategies, which included insulin dose adjustments, carbohydrate intake, and monitoring techniques, were analyzed using a collaborative autoethnographic approach and data from medical and running devices. The athletes, two males and one female, used various technologies such as Supersapiens, Freestyle Libre, and the Medtronic Minimed 780g insulin pump to manage their diabetes during the marathon. Despite individual challenges, all three athletes successfully completed the marathon. The study presents the strategies, glycemic data, and major highlights using visual narratives, providing valuable insights into the experiences of athletes with t1D during endurance events. These narratives effectively communicate the challenges faced by athletes with t1D and can help optimize diabetes management during endurance events.
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    Managing Type 1 Diabetes During Marathons: A Case Study on Glucose Monitoring and Technology Failures
    (2025) Montt Blanchard, Denise; Giraudo, Franco; Sánchez, Raimundo
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    Medicine-Hub: A New Teaching Tool for the Study of Sectional Anatomy
    (Lancaster Univeristy, 2023) Montt Blanchard, Denise; Inzunza, Oscar; Neyem, Andrés; Caro Pinto, Iván
    Medicine-Hub is a platform that integrates analogue and digital components, specially designed for the visualization of -and interaction with- high-fidelity anatomical structures matching the reality of a cadaveric preparation. This project presents a solution to the inequality gap generated by the scarcity of cadaveric dissections available for health career students.
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    Proposed Model to Understand Coping Mechanisms Development in Athletes Living with Type 1 Diabetes to Address Physical Activity Barriers
    (Mary Ann Liebert, Inc., publishers, 2024) Montt Blanchard, Denise
    Background and Aims: Individuals with Type 1 diabetes (T1D) often face distinct hurdles in high‐performance sports, with some athletes using coping mechanisms that remain poorly understood. This study explores the significance of these coping mechanisms in overcoming T1D‐related barriers in competitive physical activities among young and adult patients in Chile. By delving into these mechanisms, the study aims to bridge knowledge gaps in T1D management within high‐performance sports, ultimately promoting physical activity for individuals with T1D. Methods: An interdisciplinary patient‐centered approach was employed in this study. In‐depth interviews were conducted with thirty competitive athletes with T1D who participated in any Olympic sport at a competitive level. The interviews were transcribed verbatim and analyzed using QcaMap. Thematic analysis was carried out by professionals from behavioral sciences and design to comprehensively examine the coping mechanisms of the participants. Results: The study reveals three key insights for T1D self‐management in high‐performance sports: negative influences driving competitive training motivation, physical coping mechanisms for diabetes, and positive outcomes impacting performance. Examined through psychological behavior theory, these insights deepen our understanding of T1D management in sports. Conclusions: This research provides insights into how athletes with T1D overcome physical activity barriers, offering a model for understanding strategies. These insights can guide inclusive design solutions to promote physical activity in T1D, linking behavioral science and design. This interdisciplinary approach contributes to health psychology and design management, potentially enhancing lives and athletic performance of individuals with T1D while inspiring innovations in diabetes care and physical activity promotion.
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    Use of an Advanced Hybrid Closed Loop System During Marathon Running: Case Examples and Clinical Implications
    (2025) Onetto Flores, Maria Teresa; Montt Blanchard, Denise; Berget, Cari; Strodhoff, Kristel; Grassi, Bruno
    Background and aims: Maintaining glucose levels in the target range during aerobic training and athletic competition is especially difficult. The use of Automated Insulin Delivery (AID) technology is increasing, but exercise continues to be a challenge for persons with type 1 diabetes (T1D). In this case report series, we present 3 cases (C1, C2 and C3) of persons with T1D who used the MiniMed 780G during marathon races. We describe the strategies they used before, during and after the race to manage their glycaemia as well as the results of these strategies on their glycaemic control during the race. Methods: The Medtronic CareLink platform was employed to remotely access insulin pump settings and glycaemic outcomes. Race parameters were obtained from sport watches. Supplemental data were obtained through interviews. Results: Carelink data for Cases 1, 2, and 3 before the race were downloaded: Time in range (TIR) 70-180 mg/dL 89%, 76%, 82%; time above range (TAR) > 180 mg/dL, 9%, 20%, 16%; time below range (TBR) < 70 mg/dL, 1%, 4%, 1%, respectively. The breakfast insulin reduction percentages were -25%, 0%, and 0% for C1, C2, and C3, respectively. In all three cases, insulin dose reduction was applied to the pre-race snack at percentages of -50%, -100% and -83%. The consumption of carbohydrates during the race was 0.39 g/kg/hour, 0.42 g/kg/hour, and 0.5 g/kg/hour, respectively. The total amount of carbohydrates consumed was 101 g, 120 g, and 115 g, respectively. Throughout the race, a temporary target was used for all cases. Conclusions: These cases provide insights for healthcare professionals who assist athletes with T1D using AID systems during prolonged physical activities. Highlighting the significance of specialised education, planning, and personalised approaches.
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    Worun: Feeling Safer by Design. Reflections on Gender Inequalities in Female Urban Running
    (2025) Montt Blanchard, Denise
    The Worun: Feeling Safer by Design project addresses gender-based disparities in urban running among women in Chile, presenting a design-led solution to improve safety and reduce perceived vulnerability. This mixed-method study involved 177 participants and combined in-depth interviews, autoethnographic observation, narrative cartography, and journey mapping to identify the barriers female runners face and their unmet needs. Drawing on these insights, the team co-created process a mobile application—Worun—that connects female runners based on shared preferences. Worun leverages community-building and connection to address safety concerns, highlighting the potential of human-centered design to advance gender equity and empowerment. The app was evaluated through a survey that incorporated a promotional video to simulate its use. Results suggest that the proposed solution may help reduce perceived vulnerability. The study found that all female runners experienced some level of vulnerability regardless of age, running pace, or distance. Participants reported a range of urban and social barriers, including inadequate lighting and harassment. By facilitating safer running experiences through connection and community, Worun demonstrates how design can operate as a tactical intervention to improve well-being and autonomy in public spaces. This research contributes to broader conversations on feminist and socially responsive design, emphasizing the need for context-specific solutions that address complex societal issues and support women’s active engagement in urban life.