Poster can be found in location 138.

Background Effective clinician-patient communication is key to enable person-centered care [1, 2]. However, communication difficulties after stroke is common and may cause barriers in delivering health care [3, 4]. Consequently, there is an increased risk for adverse events due to mistreatments [5, 6]. The Post-stroke checklist (PSC) [7]  is a tool to support follow-up and is endorsed by the World-Stroke Organization. Stroke Health [8] is a newly developed pre-visit tool based on the PSC. To date, there is no adaptation of these tools to support communication between health care professionals and persons with communication disorders. Co-design has been suggested in development and implementation of person-centered care [2]. Aims/purpose This study aims to describe the process of developing a pictographic support using a co-design approach, and what stakeholders stress as important in such an adaptation.    Methods: Methods of data collection and user input involved interviews, workshops and surveys (see Figure 1). Stakeholders include persons living with aphasia (n=6) recruited from patient organizations, a patient-partner (n=1), speech language therapists (n=14), and other stroke professionals (physician, occupational therapist, physiotherapist). Prototypic pictures were used in cognitive interviews with persons with aphasia and in surveys and workshops with stroke professionals. All decisions, concerning revisions based on user-input, were made in consensus workshops with a patient-partner with stroke, before being relayed to an illustrator. Results: The user input from stakeholders guided the development process. Stakeholders requested a variety in disability, gender, age and culture. Participants with aphasia preferred pictures of individuals engaging in activities as a way to display context.  Conclusion: The use of prototypes in the development process facilitated discussions, enabled persons with aphasia to fully contribute and allowed for all participants to give suggestions to improve the pictures. Planned studies will evaluate if the co-designed pictographic version facilitates clinician-patient communication in a clinical setting. Figure 1. The co-design process of developing a pictographic support.