Detecting and treating psychosocial and lifestyle-related difficulties in chronic disease: Development and treatment protocol of the e-goal ehealth care pathway
Cinderella K. Cardol (Universiteit Leiden)
Judith Tommel (Universiteit Leiden)
H. van Middendorp (Universiteit Leiden)
Yvette Ciere (Universiteit Leiden, Leiden University Medical Center)
Jacob K. Sont (Leiden University Medical Center)
A.W.M. Evers (Healthy Society, TU Delft - Human Factors)
Sandra van Dijk (Leiden University Medical Center)
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Abstract
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 individual patients across various lifestyle-related chronic diseases. Each intervention component was developed by (1) developing initial versions based on scientific evidence and/or the Behavior Change Wheel; (2) co-creation: acquiring feedback from patients and health professionals; and (3) refining to address users’ needs. In the final eHealth care pathway, patients complete brief online screening questionnaires to detect psychosocial and lifestyle-related difficulties, i.e., increased-risk profiles. Scores are visualized in personal profile charts. Patients with increased-risk profiles receive complementary questionnaires to tailor a 3-month guided web-based cognitive behavioral therapy intervention to their priorities and goals. Progress is assessed with the screening tool. This systematic development process with a theory-based framework and co-creation methods resulted in a personalized eHealth care pathway that aids patients to overcome psychosocial barriers and adopt a healthy lifestyle. Prior to implementation in healthcare, randomized controlled trials will be conducted to evaluate its cost-effectiveness and effectiveness on psychosocial, lifestyle, and health-related outcomes.
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