E-health relationships diabetes
50 weeks evaluation
L.P.A. Simons (TU Delft - Interactive Intelligence)
Hanno Pijl (Leiden University Medical Center)
John Verhoef (University of Applied Sciences Leiden)
H. J. Lamb (Leiden University Medical Center)
Ben van Ommen (DIANA FEA )
Bas Gerritsen (TU Delft - Health, Safety and Environment)
Maurice B. Bizino (Leiden University Medical Center)
Marieke Snel (Leiden University Medical Center)
R.W. Feenstra (TU Delft - Health, Safety and Environment)
C.M. Jonker (TU Delft - Interactive Intelligence)
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Abstract
Hybrid e-health support was given to 11 insulin-dependent type 2 diabetes mellitus (DM2) patients, with electronic support plus a multi-disciplinary health support team. Challenges were low ICT and health literacy. After 50 weeks, attractiveness and feasibility of the intervention were perceived as high: recommendation 9.5 out of 10 and satisfaction 9.6 out of 10. Technology acceptance model (TAM) surveys showed high usefulness and feasibility. Acceptance and health behaviours were reinforced by the prolonged health results: aerobic and strength capacity levels were improved at 50 weeks, plus health related quality of life (plus biometric benefits and medication reductions, reported elsewhere). Regarding e-health theory, we conclude that iterative skill growth cycles are beneficial for long-term adoption and e-relationships. Next, the design analysis shows opportunities for additional affective and social support, on top of the strong benefits already apparent from the direct progress feedback loops used within the health coach processes.