TY - JOUR
T1 - Values of Importance to Patients with Cardiovascular Disease as a Foundation for eHealth Design and Evaluation
T2 - Mixed Methods Study
AU - Bente, Britt E.
AU - Wentzel, Jobke
AU - Groeneveld, Rik G. H.
AU - IJzerman, Renée V. H.
AU - de Buisonjé, David R.
AU - Breeman, Linda D.
AU - Janssen, Veronica R.
AU - Kraaijenhagen, Roderik
AU - Pieterse, Marcel E.
AU - Evers, Andrea W. M.
AU - van Gemert-Pijnen, Julia E. W. C.
N1 - Funding Information: We acknowledge the help of Pauline van Wolferen in preparing data, Floor Sieverink in collecting and analyzing the data as an independent researcher, and Mike Keesman and Jessica van der Geer for their input in the brainstorming sessions about the values. This work was supported by the Netherlands Cardiovascular Research Initiative: an initiative with support of the Dutch Heart Foundation, CVON2016-12 BENEFIT, ZonMw (the Netherlands Organization for Health Research and Development), and the members of the BENEFIT for All consortium. Publisher Copyright: © 2021 JMIR Publications Inc. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Background: eHealth interventions are developed to support and facilitate patients with lifestyle changes and self-care tasks after being diagnosed with a cardiovascular disease (CVD). Creating long-lasting effects on lifestyle change and health outcomes with eHealth interventions is challenging and requires good understanding of patient values. Objective: The aim of the study was to identify values of importance to patients with CVD to aid in designing a technological lifestyle platform. Methods: A mixed method design was applied, combining data from usability testing with an additional online survey study, to validate the outcomes of the usability tests. Results: A total of 11 relevant patient values were identified, including the need for security, support, not wanting to feel anxious, tailoring of treatment, and personalized, accessible care. The validation survey shows that all values but one (value 9: To have extrinsic motivation to accomplish goals or activities [related to health/lifestyle]) were regarded as important/very important. A rating of very unimportant or unimportant was given by less than 2% of the respondents (value 1: 4/641, 0.6%; value 2: 10/641, 1.6%; value 3: 9/641, 1.4%; value 4: 5/641, 0.8%; value 5: 10/641, 1.6%; value 6: 4/641, 0.6%; value 7: 10/639, 1.6%; value 8: 4/639, 0.6%; value 10: 3/636, 0.5%; value 11: 4/636, 0.6%) to all values except but one (value 9: 56/636, 8.8%). Conclusions: There is a high consensus among patients regarding the identified values reflecting goals and themes central to their lives, while living with or managing their CVD. The identified values can serve as a foundation for future research to translate and integrate these values into the design of the eHealth technology. This may call for prioritization of values, as not all values can be met equally.
AB - Background: eHealth interventions are developed to support and facilitate patients with lifestyle changes and self-care tasks after being diagnosed with a cardiovascular disease (CVD). Creating long-lasting effects on lifestyle change and health outcomes with eHealth interventions is challenging and requires good understanding of patient values. Objective: The aim of the study was to identify values of importance to patients with CVD to aid in designing a technological lifestyle platform. Methods: A mixed method design was applied, combining data from usability testing with an additional online survey study, to validate the outcomes of the usability tests. Results: A total of 11 relevant patient values were identified, including the need for security, support, not wanting to feel anxious, tailoring of treatment, and personalized, accessible care. The validation survey shows that all values but one (value 9: To have extrinsic motivation to accomplish goals or activities [related to health/lifestyle]) were regarded as important/very important. A rating of very unimportant or unimportant was given by less than 2% of the respondents (value 1: 4/641, 0.6%; value 2: 10/641, 1.6%; value 3: 9/641, 1.4%; value 4: 5/641, 0.8%; value 5: 10/641, 1.6%; value 6: 4/641, 0.6%; value 7: 10/639, 1.6%; value 8: 4/639, 0.6%; value 10: 3/636, 0.5%; value 11: 4/636, 0.6%) to all values except but one (value 9: 56/636, 8.8%). Conclusions: There is a high consensus among patients regarding the identified values reflecting goals and themes central to their lives, while living with or managing their CVD. The identified values can serve as a foundation for future research to translate and integrate these values into the design of the eHealth technology. This may call for prioritization of values, as not all values can be met equally.
KW - app
KW - behavior
KW - cardiovascular
KW - cardiovascular disease
KW - design
KW - eHealth
KW - evaluation
KW - health behavior
KW - intervention
KW - lifestyle
KW - mobile app
KW - patient values
KW - platform
KW - support
KW - user-centered design
UR - http://www.scopus.com/inward/record.url?scp=85117908832&partnerID=8YFLogxK
U2 - https://doi.org/10.2196/33252
DO - https://doi.org/10.2196/33252
M3 - Article
C2 - 34677130
SN - 2561-1011
VL - 5
JO - JMIR Cardio
JF - JMIR Cardio
IS - 2
M1 - e33252
ER -