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Detecting and Treating Psychosocial and Lifestyle-Related Difficulties in Chronic Disease: Development and Treatment Protocol of the E-GOAL eHealth Care Pathway

Author

Listed:
  • Cinderella K. Cardol

    (Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands)

  • Judith Tommel

    (Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands)

  • Henriët van Middendorp

    (Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands)

  • Yvette Ciere

    (Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands
    Department of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands)

  • Jacob K. Sont

    (Department of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands)

  • Andrea W. M. Evers

    (Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands
    Healthy Society, Medical Delta, 2629 JH Delft, The Netherlands)

  • Sandra van Dijk

    (Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands)

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.

Suggested Citation

  • Cinderella K. Cardol & Judith Tommel & Henriët van Middendorp & Yvette Ciere & Jacob K. Sont & Andrea W. M. Evers & Sandra van Dijk, 2021. "Detecting and Treating Psychosocial and Lifestyle-Related Difficulties in Chronic Disease: Development and Treatment Protocol of the E-GOAL eHealth Care Pathway," IJERPH, MDPI, vol. 18(6), pages 1-23, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3292-:d:522224
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    References listed on IDEAS

    as
    1. Christian Brettschneider & Sebastian Kohlmann & Benjamin Gierk & Bernd Löwe & Hans-Helmut König, 2017. "Depression screening with patient-targeted feedback in cardiology: The cost-effectiveness of DEPSCREEN-INFO," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-15, August.
    2. Hoang, Dan & Kristoffersen, Ingebjørg & Li, Ian W., 2019. "All in the mind? Estimating the effect of mental health on health behaviours," Social Science & Medicine, Elsevier, vol. 225(C), pages 69-84.
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