Print Email Facebook Twitter An overview of facilitators and barriers in the development of eHealth interventions for people of low socioeconomic position Title An overview of facilitators and barriers in the development of eHealth interventions for people of low socioeconomic position: A Delphi study Author Al-Dhahir, Isra (Universiteit Leiden) Breeman, Linda D. (Universiteit Leiden) Faber, J.S. (TU Delft Design Aesthetics) Reijnders, Thomas (Universiteit Leiden) JG van den Berg-Emons, Rita (Erasmus MC) Visch, V.T. (TU Delft Design Aesthetics) Chavannes, N.H. (Leiden University Medical Center) Evers, A.W.M. (TU Delft Applied Ergonomics and Design; TU Delft Medical Delta; Universiteit Leiden; Leiden University Medical Center) Date 2023 Abstract Objective: eHealth interventions can improve the health outcomes of people with a low socioeconomic position (SEP) by promoting healthy lifestyle behaviours. However, developing and implementing these interventions among the target group can be challenging for professionals. To facilitate the uptake of effective interventions, this study aimed to identify the barriers and facilitators anticipated or experienced by professionals in the development, reach, adherence, implementation and evaluation phases of eHealth interventions for people with a low SEP. Method: We used a Delphi method, consisting of two online questionnaires, to determine the consensus on barriers and facilitators anticipated or experienced during eHealth intervention phases and their importance. Participants provided open-ended responses in the first round and rated statements in the second round. The interquartile range was used to calculate consensus, and the (totally) agree ratings were used to assess importance. Results: Twenty-seven professionals participated in the first round, and 19 (70.4%) completed the second round. We found a consensus for 34.8% of the 46 items related to highly important rated barriers, such as the lack of involvement of low-SEP people in the development phase, lack of knowledge among professionals about reaching the target group, and lack of knowledge among lower-SEP groups about using eHealth interventions. Additionally, we identified a consensus for 80% of the 60 items related to highly important rated facilitators, such as rewarding people with a low SEP for their involvement in the development phase and connecting eHealth interventions to the everyday lives of lower-SEP groups to enhance reach. Conclusion: Our study provides valuable insights into the barriers and facilitators of developing eHealth interventions for people with a low SEP by examining current practices and offering recommendations for future improvements. Strengthening facilitators can help overcome these barriers. To achieve this, we recommend defining the roles of professionals and lower-SEP groups in each phase of eHealth intervention and disseminating this study's findings to professionals to optimize the impact of eHealth interventions for this group. Subject Delphi studyeHealtheHealth professionalsIntervention developmentLow socioeconomic position (SEP)Low socioeconomic status (SES)Uptake To reference this document use: http://resolver.tudelft.nl/uuid:335374da-d93e-4a03-b988-575166668882 DOI https://doi.org/10.1016/j.ijmedinf.2023.105160 ISSN 1386-5056 Source International Journal of Medical Informatics, 177 Part of collection Institutional Repository Document type journal article Rights © 2023 , Isra Al-Dhahir, Linda D. Breeman, J.S. Faber, Thomas Reijnders, Rita JG van den Berg-Emons, V.T. Visch, N.H. Chavannes, A.W.M. Evers, More Authors Files PDF 1_s2.0_S1386505623001788_main.pdf 548.96 KB Close viewer /islandora/object/uuid:335374da-d93e-4a03-b988-575166668882/datastream/OBJ/view