document

Stroke patients’ motivation for home-based upper extremity rehabilitation with eHealth tools

Langerak, A.J. (author), D'Olivo, P. (author), Thijm, O. S.A. (author), Regterschot, G.R.H. (author), Meskers, C. G.M. (author), Rozendaal, M.C. (author), Visch, V.T. (author), Bussmann, J.B.J. (author)

Purpose: eHealth-based exercise therapies were developed to increase stroke patients’ adherence to home-based motor rehabilitation. However, these eHealth tools face a rapid decrease in use after a couple of weeks. This study investigates stroke patients’ motivation for home-based upper extremity rehabilitation with eHealth tools and their...

journal article 2024

document

Less stick more carrot? Increasing the uptake of deposit contract financial incentives for physical activity: A randomized controlled trial

de Buisonjé, David R. (author), Reijnders, T. (author), Cohen Rodrigues, Talia R. (author), Santhanam, Prabhakaran (author), Kowatsch, Tobias (author), Breeman, Linda D. (author), Janssen, Veronica R. (author), Kraaijenhagen, Roderik A. (author), Kemps, Hareld M.C. (author), Evers, A.W.M. (author)

Background: Financial incentives are a promising tool to help people increase their physical activity, but they are expensive to provide. Deposit contracts are a type of financial incentive in which participants pledge their own money. However, low uptake is a crucial obstacle to the large-scale implementation of deposit contracts. Therefore,...

journal article 2024

document

Effectiveness of Human-Supported and Self-Help eHealth Lifestyle Interventions for Patients With Cardiometabolic Risk Factors:: A Meta-Analysis

Cohen Rodrigues, Talia (author), Breeman, Linda D. (author), Kinik, Asena (author), Reijnders, Thomas (author), Dusseldorp, Elise (author), Janssen, Veronica (author), Kraaijenhagen, Roderik A. (author), Atsma, Douwe E. (author), Evers, A.W.M. (author)

Objective eHealth is a useful tool to deliver lifestyle interventions for patients with cardiometabolic diseases. However, there are inconsistent findings about whether these eHealth interventions should be supported by a human professional, or whether self-help interventions are equally effective. Methods Databases were searched between...

journal article 2023

document

eHealth to Improve Psychological Functioning and Self-Management of People With Chronic Kidney Disease: A Randomized Controlled Trial

Cardol, Cinderella K. (author), van Middendorp, Henriët (author), Dusseldorp, Elise (author), van der Boog, Paul J.M. (author), Hilbrands, Luuk B. (author), Navis, Gerjan (author), Sijpkens, Yvo W.J. (author), Evers, A.W.M. (author), van Dijk, Sandra (author)

Objective Psychological distress is common among patients with chronic kidney disease and can interfere with disease self-management. We assessed the effectiveness of the personalized E-GOAL electronic health care pathway with screening and cognitive-behavioral therapy including self-management support, aimed to treat psychological distress...

journal article 2023

document

How to use participatory design to develop an eHealth intervention to reduce preprocedural stress and anxiety among children visiting the hospital: The Hospital Hero app multi-study and pilot report

Poot, Charlotte C. (author), Meijer, Eline (author), Bruil, Annet (author), Venema, Melanie (author), Vegt, N.J.H. (author), Donkel, Nicole (author), van Noort, Veronique (author), Chavannes, Niels H. (author), Roest, Arno A.W. (author)

Background: Medical procedures can cause considerable stress and anxiety among children. Current interventions mainly diminish stress and anxiety during procedures, while stress and anxiety often build up at home. Moreover, interventions often focus on either distraction or preparation. eHealth can combine multiple strategies and provide a...

journal article 2023

document

Guide Development for eHealth Interventions Targeting People With a Low Socioeconomic Position: Participatory Design Approach

Faber, J.S. (author), Al-Dhahir, Isra (author), Kraal, J.J. (author), Breeman, Linda D. (author), Reijnders, Thomas (author), van Dijk, S. (author), Visch, V.T. (author), Chavannes, N.H. (author), Evers, A.W.M. (author)

BACKGROUND: People with a low socioeconomic position (SEP) are less likely to benefit from eHealth interventions, exacerbating social health inequalities. Professionals developing eHealth interventions for this group face numerous challenges. A comprehensive guide to support these professionals in their work could mitigate these inequalities....

journal article 2023

document

Developing a Digital Medication Adherence Intervention for and With Patients With Asthma and Low Health Literacy: Protocol for a Participatory Design Approach

Faber, J.S. (author), Poot, Charlotte C. (author), Dekkers, Tessa (author), Romero Herrera, N.A. (author), Chavannes, N.H. (author), Meijer, Eline (author), Visch, V.T. (author)

Background: Current eHealth interventions are poorly adopted by people with low health literacy (LHL) as they often fail to meet their needs, skills, and preferences. A major reason for this poor adoption is the generic, one-size-fits-all approach taken by designers of these interventions, without addressing the needs, skills, and preferences...

journal article 2023

document

An overview of facilitators and barriers in the development of eHealth interventions for people of low socioeconomic position: A Delphi study

Al-Dhahir, Isra (author), Breeman, Linda D. (author), Faber, J.S. (author), Reijnders, Thomas (author), JG van den Berg-Emons, Rita (author), Visch, V.T. (author), Chavannes, N.H. (author), Evers, A.W.M. (author)

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...

journal article 2023

document

Users’ needs for a digital smoking cessation application and how to address them: A mixed-methods study

Albers, N. (author), Neerincx, M.A. (author), Penfornis, Kristell M. (author), Brinkman, W.P. (author)

Background<br/>Despite their increasing prevalence and potential, eHealth applications for behavior change suffer from a lack of adherence and from dropout. Advances in virtual coach technology provide new opportunities to improve this. However, these applications still do not always offer what people need. We, therefore, need a better...

journal article 2022

document

Lifestyle support preferences of patients with cardiovascular diseases: What lifestyle support might work best for whom?

Cohen Rodrigues, Talia R. (author), Reijnders, T. (author), de Buisonjé, D.R. (author), Breeman, Linda D. (author), van den Broek, Inge (author), Janssen, Veronica R. (author), Kraaijenhagen, Roderik A. (author), Atsma, D.E. (author), Evers, A.W.M. (author)

Background: Lifestyle support is essential in preventing and treating cardiovascular diseases (CVD), and eHealth may be an easy and affordable solution to provide this support. However, CVD patients vary in their ability and interest to use eHealth. This study investigates demographic characteristics determining CVD patients' online and...

journal article 2022

document

Momentary effects of Temstem, an app for voice-hearing individuals: Results from naturalistic data from 1048 users

Jongeneel, Alyssa (author), Libedinsky, Ilan (author), Reinbergen, Anouk (author), Tromp, N. (author), Delespaul, Philippe (author), Riper, Heleen (author), van der Gaag, Mark (author), van den Berg, D.A. (author)

Background: Temstem is a mobile application developed in cooperation with voice-hearing persons to help them cope with distressing voices. After psychoeducation about voice hearing, Temstem offers two functions: Silencing is a mode designed to inhibit voice activity through the processing of incompatible language; the Challenging mode...

journal article 2022

document

Increasing the Effectiveness of a Physical Activity Smartphone Intervention With Positive Suggestions: Randomized Controlled Trial

Skvortsova, Aleksandrina (author), Cohen Rodrigues, Talia (author), de Buisonjé, David (author), Kowatsch, Tobias (author), Santhanam, Prabhakaran (author), Veldhuijzen, Dieuwke S. (author), van Middendorp, Henriët (author), Evers, A.W.M. (author)

BACKGROUND: eHealth interventions have the potential to increase the physical activity of users. However, their effectiveness varies, and they often have only short-term effects. A possible way of enhancing their effectiveness is to increase the positive outcome expectations of users by giving them positive suggestions regarding the...

journal article 2022

document

Game Design in Mental Health Care: Case Study–Based Framework for Integrating Game Design into Therapeutic Content

Siriaraya, P. (author), Visch, V.T. (author), Boffo, Marilisa (author), Spijkerman, Renske (author), Wiers, Reinout (author), Hendriks, Vincent (author), van Dooren, M.M.M. (author), Bas, Michael (author), Goossens, R.H.M. (author)

While there has been increasing interest in the use of gamification in mental health care, there is a lack of design knowledge on how elements from games could be integrated into existing therapeutic treatment activities in a manner that is balanced and effective. To help address this issue, we propose a design process framework to support...

journal article 2021

document

Detecting and treating psychosocial and lifestyle-related difficulties in chronic disease: Development and treatment protocol of the e-goal ehealth care pathway

Cardol, Cinderella K. (author), Tommel, Judith (author), van Middendorp, Henriët (author), Ciere, Yvette (author), Sont, Jacob K. (author), Evers, A.W.M. (author), van Dijk, Sandra (author)

Many patients with lifestyle-related chronic diseases find it difficult to adhere to a healthy and active lifestyle, often due to psychosocial difficulties. The aim of the current study was to develop an eHealth care pathway aimed at detecting and treating psychosocial and lifestyle-related difficulties that fits the needs and preferences of...

journal article 2021

document

A patient journey map to improve the home isolation experience of persons with mild COVID-19: Design research for service touchpoints of artificial intelligence in eHealth

He, Q. (author), DU, F. (author), Simonse, LWL (author)

Background: In the context of the COVID-19 outbreak, 80% of the persons who are infected have mild symptoms and are required to self-recover at home. They have a strong demand for remote health care that, despite the great potential of artificial intelligence (AI), is not met by the current services of eHealth. Understanding the real needs of...

journal article 2021

document

Factors Affecting User’s Behavioral Intention and Use of a Mobile-Phone-Delivered Cognitive Behavioral Therapy for Insomnia: A Small-Scale UTAUT Analysis

Fitrianie, S. (author), Horsch, C.H.G. (author), Beun, Robbert Jan (author), Griffioen-Both, Fiemke (author), Brinkman, W.P. (author)

A mobile app could be a powerful medium for providing individual support for cognitive behavioral therapy (CBT), as well as facilitating therapy adherence. Little is known about factors that may explain the acceptance and uptake of such applications. This study, therefore, examines factors from an extended version of the Unified Theory of...

journal article 2021

document

A multi-stakeholder approach to eHealth development: Promoting sustained healthy living among cardiovascular patients

Breeman, Linda D. (author), Keesman, Mike (author), Atsma, Douwe E. (author), Chavannes, N.H. (author), Janssen, Veronica (author), van Gemert-Pijnen, Lisette (author), Reijnders, T. (author), Evers, A.W.M. (author), Scholte op Reimer, W. (author)

Background: Healthy living is key in the prevention and rehabilitation of cardiovascular disease (CVD). Yet, supporting and maintaining a healthy lifestyle is exceptionally difficult and people differ in their needs regarding optimal support for healthy lifestyle interventions. Objective: The goals of this study were threefold: to uncover...

journal article 2021

document

Attitudes Toward Health, Healthcare, and eHealth of People With a Low Socioeconomic Status: A Community-Based Participatory Approach

Faber, J.S. (author), Al-Dhahir, Isra (author), Reijnders, T. (author), Chavannes, N.H. (author), Evers, A.W.M. (author), Kraal, J.J. (author), van den Berg-Emons, H. J. G. (author), Visch, V.T. (author)

Low socioeconomic status (SES) is associated with a higher prevalence of unhealthy lifestyles compared to a high SES. Health interventions that promote a healthy lifestyle, like eHealth solutions, face limited adoption in low SES groups. To improve the adoption of eHealth interventions, their alignment with the target group's attitudes is...

journal article 2021

document

Mental health therapy protocols and ehealth design: Focus group study

van Dooren, M.M.M. (author), Visch, V.T. (author), Spijkerman, Renske (author), Goossens, R.H.M. (author), Hendriks, Vincent M. (author)

Background: Electronic health (eHealth) programs are often based on protocols developed for the original face-to-face therapies. However, in practice, therapists and patients may not always follow the original therapy protocols. This form of personalization may also interfere with the intended implementation and effects of eHealth...

journal article 2020

document

EHealth WhatsApp for social support: Design lessons

Simons, L.P.A. (author), van den Heuvel, Wouter A.C. (author), Jonker, C.M. (author)

WhatsApp was evaluated as group support tool for a high impact healthy lifestyle intervention, with 11 young professionals. Users valued the WhatsApp group as an attractive social support addition to the existing eTools and personal coaching. Based on preliminary results: 1) the WhatsApp group generated higher participation than most other...

journal article 2020