Applying Human-Centered Design Methods to Develop a New Systems Alignment Model for Newcomer Health and Well-Being in the United States.

Abstract

<b>Objectives.</b> To apply human-centered design (HCD) for creating a new systems alignment model that addresses upstream barriers to newcomer health and well-being. <b>Methods.</b> We leveraged an existing federal mechanism for coordinating regional newcomer resettlement in the United States known as quarterly consultations (QCs). We partnered with a 6-member advisory panel and applied HCD methods across 3 iterative phases: inspiration, ideation, and implementation. We conducted formative research including QC meeting observations, a focus group, and key informant interviews. The project team channeled research insights to design the prototype of a new alignment model. <b>Results.</b> HCD deepened our understanding of QCs, system partner experiences, and structural barriers experienced by newcomers, to inform the design of a new alignment structure, process, and activities anchored in system mapping. <b>Conclusions.</b> HCD methods can help design effective and efficient operations, programs, and policies that are suited to the realities of diverse system partners and the people they serve. More effective systems alignment for resettlement efforts serving newcomers can reduce duplication of efforts, balance capacity shortages, and sustain collective impacts, to potentially benefit other community groups experiencing similar structural barriers to health and well-being. (<i>Am J Public Health</i>. 2026;116(S3): S143-S151. https://doi.org/10.2105/AJPH.2026.308611).