Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases

The increasing prevalence of chronic conditions and multimorbidity poses great challenges to healthcare systems. As patients' engagement in self-managing their chronic conditions becomes increasingly important, eHealth interventions are a promising resource for the provision of adequate and timely support. However, there is inconclusive evidence about how to design eHealth services to meet the complex needs of patients. This study applied an evidence-based and theory-informed user-centered design approach in three phases to identify the needs of older adults and healthcare professionals in the collaborative management of multimorbidity (phase 1), develop an eHealth service to address these needs (phase 2), and test the feasibility and acceptance of the eHealth service in a clinical setting (phase 3). Twenty-two user needs were identified and a web-based application-ePATH (electronic Patient Activation in Treatment at Home)-with separate user interfaces for patients and healthcare professionals was developed. The feasibility study with two nurses and five patients led to a redesign and highlighted the importance of adequately addressing not only varying user needs but also the complex nature of healthcare organizations when implementing new services and processes in chronic care management

Business · Chronic care · Chronic disease · eHealth · Family medicine · Health care · Human–computer interaction · Knowledge management · Patient portal · Psychological intervention · Self-management · Service (business · Telemedicine · User-Centered Design · Chronic Disease Management Strategies · Computer Science · Diabetes Management and Education · Medicine · Mobile Health and mHealth Applications · Nursing

• Exploring e-health literacy levels among Turkish women diagnosed with breast cancer

  Open Access•Anıl Tosun, Duygu Aktar Reyhanioğlu et al.•BMC Public Health•2026

  Incluir item

• Routledge International Handbook of Participatory Design

  Jesper Simonsen, Toni Robertson•Routledge international handbook…•2012

  Incluir item

• Self-Determination Theory

  Richard M Ryan, Edward L Deci•Self-Determination Theory•2017

  Incluir item

• Evaluating barriers to adopting telemedicine worldwide

  Open Access•Clemens Scott Kruse, Priyanka Karem et al.•Journal of Telemedicine and…•2018

  Incluir item

• Improving Primary Care for Patients With Chronic Illness

  Thomas Bodenheimer, Edward H Wagner et al.•JAMA•2002

  Incluir item

• A meta-analysis of self-determination theory-informed intervention studies in the health domain

  Open Access•Nikos Ntoumanis, Johan Y Y Ng et al.•Health Psychology Review•2021

  Incluir item

• Beyond Adoption

  Open Access•Trisha Greenhalgh, Joseph Wherton et al.•Journal of Medical Internet…•2017

  Incluir item

• Supporting Autonomy to Motivate Patients With Diabetes for Glucose Control

  George C Williams, Geoffrey C Williams et al.•Diabetes Care•1998

  Incluir item

• Persuasive Systems Design

  Harri Oinas‐Kukkonen, Harri Oinas-Kukkonen et al.•Communications of the Association…•2009

  Incluir item

• Rethinking the patient

  Open Access•C May, Carl R May et al.•BMC Health Services Research•2014

  Incluir item

• Organizing Care for Patients with Chronic Illness

  Edward H Wagner, Brian T Austin et al.•Milbank Quarterly•1996

  Incluir item

• The Care Transitions Intervention

  Open Access•Eric A Coleman, Carla Parry et al.•A.M.A. Archives of Internal…•2006

  Incluir item

• Designing for Motivation, Engagement and Wellbeing in Digital Experience

  Open Access•Dorian Peters, Rafael A Calvo et al.•Frontiers in Psychology•2018

  Incluir item

• The challenge of complexity in health care

  Open Access•Paul E Plsek, Trisha Greenhalgh•BMJ•2001

  Incluir item

• What is e-health?

  Open Access•Gunther Eysenbach•Journal of Medical Internet…•2001

  Incluir item

• Uncovering the Benefits of Participatory Research

  Open Access•Justin Jagosh, Ann C Macaulay et al.•Milbank Quarterly•2012

  Incluir item

• Self-Determination Theory Applied to Health Contexts

  Open Access•Johan Y Y Ng, Nikos Ntoumanis et al.•Perspectives on Psychological…•2012

  Incluir item

• Epidemiology of multimorbidity and implications for health care, research, and medical education

  Open Access•Karen Barnett, Stewart W Mercer et al.•The Lancet•2012

  Incluir item

• Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013

  Open Access•Theo Vos, Ryan M Barber et al.•The Lancet•2015

  Incluir item

• A new framework for developing and evaluating complex interventions

  Open Access•Kathryn Skivington, Lynsay Matthews et al.•BMJ•2021

  Incluir item

• Developing and evaluating complex interventions

  Open Access•Peter Craig, Paul Dieppe et al.•BMJ•2008

  Incluir item

• Satisfied or Frustrated? A Qualitative Analysis of Need Satisfying and Need Frustrating Experiences of Engaging With Digital Health Technology in Chronic Care

  Open Access•Carolina Wannheden, Terese Stenfors et al.•Frontiers in Public Health•2021

  Incluir item

• Development and testing of a measure designed to assess the quality of care transitions

  Open Access•Eric A Coleman, Jodi D Smith et al.•International Journal of…•2002

  Incluir item

• Planning for the Discharge, not for Patient Self-Management at Home – An Observational and Interview Study of Hospital Discharge

  Open Access•Maria Flink, Mirjam Ekstedt•International Journal of…•2017

  Incluir item

• The Information Flow in a Healthcare Organisation with Integrated Units

  Open Access•Åsa Kneck, Maria Flink et al.•International Journal of…•2019

  Incluir item

• Using thematic analysis in psychology

  Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

  Incluir item