Understanding unexplained symptoms with eHealth: Een inventarisatie van problemen en behoeften van patiënten en zorgprofessionals in het SOLK-traject en welke rol eHealth daarin kan spelen

Bood, K.F. (2016) Understanding unexplained symptoms with eHealth: Een inventarisatie van problemen en behoeften van patiënten en zorgprofessionals in het SOLK-traject en welke rol eHealth daarin kan spelen.

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Abstract:Background: Medically unexplained symptoms (MUPS) are a common occurrence in general practice. Patients feel misunderstood and GPs struggle with how patients do not wish to see the psychological causes of their symptoms. eHealth poses a possible solution for the problems that occur with MUPS. A model to develop eHealth is the CeHRes Roadmap. De scope of this research was the web application ‘Grip op klachten’ which is meant to support MUPS patients and GPs. Aim: The aim of this research was to investigate the problems and needs of patients, GP’s and GP nurses and how the web application ‘Grip op klachten’ can offer support. Method: In the contextual inquiry patients and GP staff were interviewed to investigate their problem and needs. Additionally possible advantages and barriers of use of questionnaires, symptom diaries and eHealth were investigated. These insights were translated to requirements, personas, use-case scenarios and design elements. For persuasive profiling questionnaires were used to measure persuadability. The personas and design elements were formative evaluated with potential users using card sorts, q-sorts and interviews. The method of paper prototyping was used to develop a design which was formative evaluated with potential users. For this evaluation participants had to complete task with the paper prototype. Results: In the contextual inquiry it became clear that patients often feel misunderstood, desire control over their unpredictable symptoms and want to learn to set boundaries. GP staff indicated that patients are often focused on the physical symptoms, want to make the patient aware of the psychosocial factors and want tools for patients to learn self-management skills. With the eHealth application patients and healthcare professionals expect to gain new insights in MUPS and relevant factors. In the value specification requirements were gathered for the application. The four personas were evaluated with GPs showing that the personas represented the user groups well. Using the results of persuasive profiling and additional literature persuasive strategies were chosen: authority, trustworthiness, suggestions, personalization and selected tunneling. The list drawn up of design elements and the use-case scenarios were used in the pre-design phase to paper prototype. In the formative evaluation the participants were mostly successful in completing a task. Participants sometimes had trouble finding elements and found the use of colors pleasing. Conclusion: This study provides useful points for improvement of the eHealth application 'Grip op klachten' and gives suggestions on how to integrate persuasive strategies in the design.
Item Type:Essay (Master)
Clients:
Universitair Medisch Centrum Groningen, Groningen, Nederland
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/70533
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