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Participatory development of a persuasive eHealth tool to support COPD self-management

Kramer, L.L. (2017) Participatory development of a persuasive eHealth tool to support COPD self-management.

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Abstract:Background. Self-management in chronic obstructive pulmonary disease (COPD) is important since it increases quality of life and thus reduces health service costs. The patient can be supported in this through eHealth, and social support from both informal caregiver and healthcare professional. Based on this idea, the self-management platform Emma was developed by Medicine Men. However, limited attention was paid to increasing psychological motivation to support behavioral change. Therefore, the aim of this study was to participatory increase the persuasiveness of Emma. Methods. The CeHRes Roadmap and the Persuasive System Design (PSD) model were used for the development and evaluation. The study was divided into three stages; (1) Stakeholders, current situation and values; (2) Prototype design, requirements and development; and (3) Evaluation. Eight COPD patients (52-70 years) from the Bravis Hospital participated, together with three informal caregivers and four healthcare professionals. Participants were interviewed, invited for a co-creation session and completed an online evaluation in each stage respectively. The interviews and co-creation session were audio-recorded, transcribed verbatim and analyzed by an iterative process, which combined deductive and inductive coding. Results. In stage 1, Medicine Men and users were selected as important stakeholders and the context was described. Three requirements were identified: a measure for oxygen saturation (Self-monitoring), support for patients in reaching their goal (Reminder) and a mobile application for the informal caregiver (Social Facilitation). In Stage 2 the prototypes were developed based on the requirements and design principles from the PSD model. A majority of stakeholder preferred the Reminder, and additional requirements were identified. In Stage 3 the Reminder was implemented and evaluated. Based on primarily experiences, patients indicated the tool persuaded them into changing their behavior, and therefore being effective in supporting self-management. Conclusion. We showed that Dialogue and Primary Task support were needed in persuading COPD patients into increasing their self-management. A non-invasive Reminder tool seemed indeed effective in changing patients’ behavior. Including multiple stakeholders and an extensive and systematic contextual inquiry are recommended. Keywords: Participatory development; persuasive design; eHealth technology; self-management; chronic obstructive pulmonary disease
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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