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Evaluation of Online Public Sexual Health Care in the Netherlands: A Scenario-Based User Evaluation

Roskam, Ronald (2014) Evaluation of Online Public Sexual Health Care in the Netherlands: A Scenario-Based User Evaluation.

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Abstract:BACKGROUND: Various eHealth services are currently available within public sexual healthcare, such as online interventions and other eHealth services. There is little known about the effects and the use of these services. First, evaluation is crucial to tailor eHealth services to the target group. Second, evaluation is necessary to improve existing online eHealth services in public health care. In addition, generic tools en instruments are needed to compare diverse eHealth services. OBJECTIVE: The main objectives of this research are: (1) to evaluate existing public eHealth interventions for sexual healthcare in the Netherlands and (2) to develop an evaluation checklist to compare diverse eHealth interventions in public healthcare. METHOD: Study one focusses on a scenario-based user evaluation using Personas and real-time scenarios gathered within Dutch online public sexual health care with young adults between 12 and 25 years old (N=28, mostly between 15-17 years old) and sexual health caregivers (N=2) of the online public sexual health support via chat and email. Study two focuses on the development of an evaluation checklist meant as a handy tool for public health experts to monitor, compare and rate various types of eHealth interventions during the development process. The second study is based on a non-systematic literature analysis and semi-structured interviews (N=5) with eHealth experts, experts in online health care support and project managers of the municipal health services. RESULTS: Young adults who participated in study one were mainly girls (57.1%), never had sex before (64.4%) were educated within the Dutch VMBO system (50%), were mainly born in the Netherlands (92.9%) and mostly second-generation foreigners (53.6%). Most of the participants never used eHealth services. Results were mixed. Most young adults preferred face-to-face support, family and friends above online support about sexual health. Both young adults and sexual health caregivers rated the eHealth service between 2 and 3 out of five on aspect of usability, perceived system credibility and caregiver communication skills. Young adults preferred face-to-face when there were heavy problems such as abuse and psychotrauma. Sexual health caregivers found that the real essence of the problem was missing and that the conversation were very general. CONCLUSION: Young adults liked the idea of online public health care, but generally preferred other sources, such as contact with family or professional face-to-face support. Both caregivers and caretakers were very critical and stressed that improvement in terms of therapist skills and interaction is necessary. SEARCH TERMS: eHealth, online intervention, sexual health care, evaluation methods, CeHRes Roadmap, scenario-based user evaluation, Personas
Item Type:Essay (Master)
National Institution of Public Health & Environment
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:54 computer science, 70 social sciences in general, 77 psychology
Programme:Health Sciences MSc (66851)
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