IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2021i1p391-d714811.html
   My bibliography  Save this article

Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach

Author

Listed:
  • Mirjam Ekstedt

    (Department Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77 Stockholm, Sweden
    Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, 391 82 Kalmar, Sweden)

  • Marie Kirsebom

    (Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, 351 95 Växjö, Sweden)

  • Gunilla Lindqvist

    (Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, 351 95 Växjö, Sweden)

  • Åsa Kneck

    (Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stigbergsgatan 30, Box 111 89, 100 61 Stockholm, Sweden)

  • Oscar Frykholm

    (Department Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77 Stockholm, Sweden)

  • Maria Flink

    (Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83 Stockholm, Sweden
    Women’s Health and Allied Health Professionals Theme, Karolinska University Hospital, 141 86 Stockholm, Sweden)

  • Carolina Wannheden

    (Department Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77 Stockholm, Sweden)

Abstract

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.

Suggested Citation

  • Mirjam Ekstedt & Marie Kirsebom & Gunilla Lindqvist & Åsa Kneck & Oscar Frykholm & Maria Flink & Carolina Wannheden, 2021. "Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach," IJERPH, MDPI, vol. 19(1), pages 1-19, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:391-:d:714811
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/1/391/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/1/391/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Øvretveit, John & Hansson, Johan & Brommels, Mats, 2010. "An integrated health and social care organisation in Sweden: Creation and structure of a unique local public health and social care system," Health Policy, Elsevier, vol. 97(2-3), pages 113-121, October.
    2. Maria Gabriella Melchiorre & Giovanni Lamura & Francesco Barbabella & on behalf of ICARE4EU Consortium, 2018. "eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-26, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fadumo Noor & Gabriel Gulis & Leena Eklund Karlsson, 2022. "Users’ and Providers’ Perceptions about Integrated Health Care in Southern Denmark," Societies, MDPI, vol. 12(5), pages 1-19, September.
    2. Gianluca Misuraca & Clelia Colombo & Csaba Kucsera & Stephanie Carretero & Margherita Bacigalupo & Raluca Radescu, 2015. "ICT-enabled Social Innovation in support of the Implementation of the Social Investment Package (IESI) - Mapping and Analysis of ICT-enabled Social Innovation Initiatives promoting Social Investment t," JRC Research Reports JRC97467, Joint Research Centre.
    3. Janssen, Bienke M. & Snoeren, Miranda W.C. & Van Regenmortel, Tine & Abma, Tineke A., 2015. "Working towards integrated community care for older people: Empowering organisational features from a professional perspective," Health Policy, Elsevier, vol. 119(1), pages 1-8.
    4. Felix Mühlensiepen & Sandra Kurkowski & Martin Krusche & Johanna Mucke & Robert Prill & Martin Heinze & Martin Welcker & Hendrik Schulze-Koops & Nicolas Vuillerme & Georg Schett & Johannes Knitza, 2021. "Digital Health Transition in Rheumatology: A Qualitative Study," IJERPH, MDPI, vol. 18(5), pages 1-11, March.
    5. Tuomas Korhonen & Virpi Sillanpää & Aki Jääskeläinen, 2023. "Anchor practices that guide horizontal performance measurement: an interventionist case study of the financial aspect of new technology implementation in healthcare," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 27(3), pages 787-816, September.
    6. Anne Mason & Maria Goddard & Helen Weatherly, 2014. "Financial Mechanisms for Integrating Funds for Health and Social Care: An Evidence Review," Working Papers 097cherp, Centre for Health Economics, University of York.
    7. Karatekin, Canan & Hong, Saahoon & Piescher, Kristine & Uecker, Jill & McDonald, Jeff, 2014. "An evaluation of the effects of an integrated services program for multi-service use families on child welfare and educational outcomes of children," Children and Youth Services Review, Elsevier, vol. 41(C), pages 16-26.
    8. Calciolari, Stefano & Ilinca, Stefania, 2016. "Unraveling care integration: Assessing its dimensions and antecedents in the Italian Health System," Health Policy, Elsevier, vol. 120(1), pages 129-138.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:391-:d:714811. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.