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.

中文翻译：

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电子卫生保健的多方利益相关者方法：在心血管疾病患者中促进持续健康的生活

背景

健康的生活是预防和康复心血管疾病（CVD）的关键。然而，支持和维持健康的生活方式异常困难，人们在对健康生活方式干预的最佳支持方面的需求也有所不同。

目的

这项研究的目标是三方面的：发现利益相关者的需求和偏好，将其转化为核心价值，并基于这些核心价值开发eHealth技术。我们的主要研究问题是：哪种类型的eHealth应用程序支持CVD（高风险）人群中的健康生活，将为所有利益相关者带来最大的收益？

方法

遵循了CeHRes电子卫生保健发展路线图中以用户为中心的设计原则，以指导重要利益相关者价值的发现。数据是从各种定性研究（即文献研究，访谈，思考型会议，焦点小组）和可用性测试（即启发式评估，认知演练，大声思考研究）中合成的。我们还开发了一种创新的应用程序评估工具，可以对33种eHealth应用程序进行竞争对手分析。最后，为了确保在eHealth技术开发中考虑所有最终用户的需求和偏好，我们创建了角色和客户旅程。

结果

我们发现了在CVD预防和康复背景下基于eHealth的支持健康生活的举措应遵守的10个普遍价值（例如，提供社会支持，激发内在动力，提供护理的连续性）。将这些值转换为14个所需的核心属性，然后进行原型设计。有趣的是，我们发现，良好的eHealth技术的主要属性不是单一干预原则，而是该技术应采用传播各种干预措施的数字平台形式，即“一站式服务”。

结论

利用一个个性化的eHealth平台可以最大程度地受益于心血管预防和康复领域的利益相关者，该平台集成了各种基于证据的干预措施，而不是一种新工具。该数字平台不是一种千篇一律的方法，而是应根据个人特征和偏好，帮助患者和特定干预措施之间的匹配。