Abstract
BACKGROUND: Healthy living is key in the prevention and rehabilitation of cardiovascular disease (CVD). Yet, supporting and maintaining a healthy lifestyle is exceptionally difficult and people differ in their needs regarding optimal support for healthy lifestyle interventions.
OBJECTIVE: The goals of this study were threefold: to uncover stakeholders' needs and preferences, to translate these to core values, and develop eHealth technology based on these core values. Our primary research question is: What type of eHealth application to support healthy living among people with (a high risk of) CVD would provide the greatest benefit for all stakeholders?
METHODS: User-centered design principles from the CeHRes roadmap for eHealth development were followed to guide the uncovering of important stakeholder values. Data were synthesized from various qualitative studies (i.e., literature studies, interviews, think-aloud sessions, focus groups) and usability tests (i.e., heuristic evaluation, cognitive walkthrough, think aloud study). We also developed an innovative application evaluation tool to perform a competitor analysis on 33 eHealth applications. Finally, to make sure to take into account all end-users needs and preferences in eHealth technology development, we created personas and a customer journey.
RESULTS: We uncovered 10 universal values to which eHealth-based initiatives to support healthy living in the context of CVD prevention and rehabilitation should adhere to (e.g., providing social support, stimulating intrinsic motivation, offering continuity of care). These values were translated to 14 desired core attributes and then prototype designs. Interestingly, we found that the primary attribute of good eHealth technology was not a single intervention principle, but rather that the technology should be in the form of a digital platform disseminating various interventions, i.e., a 'one-stop-shop'.
CONCLUSION: Various stakeholders in the field of cardiovascular prevention and rehabilitation may benefit most from utilizing one personalized eHealth platform that integrates a variety of evidence-based interventions, rather than a new tool. Instead of a one-size-fits-all approach, this digital platform should aid the matchmaking between patients and specific interventions based on personal characteristics and preferences.
| Original language | English |
|---|---|
| Article number | 104364 |
| Number of pages | 8 |
| Journal | International Journal of Medical Informatics |
| Volume | 147 |
| Early online date | 13 Dec 2020 |
| DOIs | |
| Publication status | Published - 1 Mar 2021 |
Funding
We acknowledge the support from ZonMw (The Netherlands Organization for Health Research and Development) and the Netherlands Cardiovascular Research Initiative: An initiative with support of the Dutch Heart Foundation , CVON2016-12 BENEFIT . In addition, we like to thank the Dutch Cardiac Patient Association, the BENEFIT stakeholder committee, and members of the BENEFIT consortium for their helpful advice and feedback. Finally, we want to acknowledge the help of everyone involved in data collection and data analysis, in particular Floor Sieverink, David de Buisonjé, Jessica van der Geer, Renée IJzerman, Talia Cohen Rodrigues, Vincent Keizer, Isra Al-Dhahir, Margo Weerts, Mirjam Ruigrok, Milon van Vliet, Rik Groeneveld, Pauline van Wolferen, Jinell Besselink, Loes Embsen, Famke Grobben, Rosanne Heurman, Kim Knoef, Melissa Koetter, Anja Sherjon and Britt Straatman. We acknowledge the support from ZonMw (The Netherlands Organization for Health Research and Development) and the Netherlands Cardiovascular Research Initiative: An initiative with support of the Dutch Heart Foundation, CVON2016-12 BENEFIT. In addition, we like to thank the Dutch Cardiac Patient Association, the BENEFIT stakeholder committee, and members of the BENEFIT consortium for their helpful advice and feedback. Finally, we want to acknowledge the help of everyone involved in data collection and data analysis, in particular Floor Sieverink, David de Buisonjé, Jessica van der Geer, Renée IJzerman, Talia Cohen Rodrigues, Vincent Keizer, Isra Al-Dhahir, Margo Weerts, Mirjam Ruigrok, Milon van Vliet, Rik Groeneveld, Pauline van Wolferen, Jinell Besselink, Loes Embsen, Famke Grobben, Rosanne Heurman, Kim Knoef, Melissa Koetter, Anja Sherjon and Britt Straatman.
| Funders | Funder number |
|---|---|
| ZonMw : Dutch Organisation for Health Research and Development | |
| Hartstichting, Nederlandse | CVON2016-12 BENEFIT |
Keywords
- Cardiovascular disease
- eHealth
- Health behavior
- Lifestyle
- Mobile application
- User-centered design
