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The development of eHealth applications requires a new methodological approach, departing from the more conventional methods dedicated to designing health information systems. There is a gap between theories to design persuasive eHealth applications and practices. We consequently advocate an integrated, systematic and practical but scientifically based methodology to design effective persuasive eHealth applications. This approach is being successfully embedded in our educational health informatics program.
Uitgave, onder verantwoordelijkheid van het Lectoraat New Business & ICT, met bijdragen van onder andere lector Hugo Velthuijsen (onder andere voorwoord) en Franz Josef Gellert. Tekst van Bureau Brouwers. Dit boekje biedt een overzicht van de projecten die het lectoraat New Business & ICT gedurende de eerste vijf jaar van zijn bestaan heeft uitgevoerd. Het geeft een beeld van de ruime kennis en ervaring die door praktijkgericht onderzoek en samenwerking met de beroepspraktijk is opgebouwd. Het boekje is ook een inspiratiebron voor het bedenken van nieuwe toepassingen van e-health.
Bij exergaming wordt oefenen (exercise) gecombineerd met serious gaming. Binnen de geriatrische revalidatie, het vakgebied van Marije Holstege, wordt hiermee de revalidant op een leuke manier uitgedaagd tot (meer of langer) bewegen. Ook Tanja Nijboer houdt zich bezig met exergaming, zowel op motorisch als cognitief vlak. De master Advanced Health Informatics Practice (AHIP)1 was benieuwd naar de waarde van exergaming en ging het gesprek aan.
Inleiding Het doel van dit vragenlijstonderzoek was om in kaart te brengen op welke manieren en op welke momenten mensen met diabetes mellitus type 2 willen participeren bij de ontwikkeling en toepassing van e-health, en welke factoren daarop van invloed zijn. Methode Via verschillende online platforms en de nieuwsbrief van de Diabetesvereniging Nederland is een digitale vragenlijst verspreid met zowel gesloten als open vragen. Informatie werd verzameld over: 1) bereidheid tot participatie; 2) voorkeuren over de vorm van participatie; 3) beïnvloedbare factoren voor participatie, zoals motivatie, competentie, middelen, sociale invloed en uitkomstverwachtingen; 4) achtergrondkenmerken. Resultaten Er zijn 160 vragenlijsten geanalyseerd. Ruim 75% van de respondenten heeft interesse in patiëntparticipatie. De meeste respondenten prefereren solistische participatiemethoden boven groepsparticipatie, respectievelijk 93% en 46%. De helft denkt voldoende kennis te hebben om mee te kunnen doen aan patiëntparticipatie en 40% denkt een waardevolle inbreng te kunnen hebben. Als vergoeding wensen deelnemers vooral het gratis gebruik van nieuwe technologie. Conclusie Omdat mensen verschillen in hun voorkeuren voor momenten en manieren van participatie, is het aan te bevelen daarvoor verschillende vormen van participatie en vergoedingen aan te bieden tijdens het gehele proces van ontwikkeling tot toepassing van e-health.
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Background: Early childhood caries is considered one of the most prevalent diseases in childhood, affecting almost half of preschool-age children globally. In the Netherlands, approximately one-third of children aged 5 years already have dental caries, and dental care providers experience problems reaching out to these children. Objective: Within the proposed trial, we aim to test the hypothesis that, compared to children who receive usual care, children who receive the Toddler Oral Health Intervention as add-on care will have a reduced cumulative caries incidence and caries incidence density at the age of 48 months. Methods: This pragmatic, 2-arm, individually randomized controlled trial is being conducted in the Netherlands and has been approved by the Medical Ethics Research Board of University Medical Center Utrecht. Parents with children aged 6 to 12 months attending 1 of the 9 selected well-baby clinics are invited to participate. Only healthy children (ie, not requiring any form of specialized health care) with parents that have sufficient command of the Dutch language and have no plans to move outside the well-baby clinic region are eligible. Both groups receive conventional oral health education in well-baby clinics during regular well-baby clinic visits between the ages of 6 to 48 months. After concealed random allocation of interventions, the intervention group also receives the Toddler Oral Health Intervention from an oral health coach. The Toddler Oral Health Intervention combines behavioral interventions of proven effectiveness in caries prevention. Data are collected at baseline, at 24 months, and at 48 months. The primary study endpoint is cumulative caries incidence for children aged 48 months, and will be analyzed according to the intention-to-treat principle. For children aged 48 months, the balance between costs and effects of the Toddler Oral Health Intervention will be evaluated, and for children aged 24 months, the effects of the Toddler Oral Health Intervention on behavioral determinants, alongside cumulative caries incidence, will be compared. Results: The first parent-child dyads were enrolled in June 2017, and recruitment was finished in June 2019. We enrolled 402 parent-child dyads. Conclusions: All follow-up interventions and data collection will be completed by the end of 2022, and the trial results are expected soon thereafter. Results will be shared at international conferences and via peer-reviewed publication.
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From the article: Abstract—By using agent technology, a versatile and modular monitoring system can be built. In this paper, such a multiagentbased monitoring system will be described. The system can be trained to detect several conditions in combination and react accordingly. Because of the distributed nature of the system, the concept can be used in many situations, especially when combinations of different sensor inputs are used. Another advantage of the approach presented in this paper is the fact that every monitoring system can be adapted to specific situations. As a case-study, a health monitoring system will be presented.
BackgroundPeople from lower and middle socioeconomic classes and vulnerable populations are among the worst affected by the COVID-19 pandemic, thus exacerbating disparities and the digital divide.ObjectiveTo draw a portrait of e-services as a digital approach to support digital health literacy in vulnerable populations amid the COVID-19 infodemic, and identify the barriers and facilitators for their implementation.MethodsA scoping review was performed to gather published literature with a broad range of study designs and grey literature without exclusions based on country of publication. A search was created in Medline (Ovid) in March 2021 and translated to Medline, PsycINFO, Scopus and CINAHL with Full Text (EBSCOhost). The combined literature search generated 819 manuscripts. To be included, manuscripts had to be written in English, and present information on digital intervention(s) (e.g. social media) used to enable or increase digital health literacy among vulnerable populations during the COVID-19 pandemic (e.g. older adults, Indigenous people living on reserve).ResultsFive articles were included in the study. Various digital health literacy-enabling e-services have been implemented in different vulnerable populations. Identified e-services aimed to increase disease knowledge, digital health literacy and social media usage, help in coping with changes in routines and practices, decrease fear and anxiety, increase digital knowledge and skills, decrease health literacy barriers and increase technology acceptance in specific groups. Many facilitators of digital health literacy-enabling e-services implementation were identified in expectant mothers and their families, older adults and people with low-income. Barriers such as low literacy limited to no knowledge about the viruses, medium of contamination, treatment options played an important role in distracting and believing in misinformation and disinformation. Poor health literacy was the only barrier found, which may hinder the understanding of individual health needs, illness processes and treatments for people with HIV/AIDS.ConclusionsThe literature on the topic is scarce, sparse and immature. We did not find any literature on digital health literacy in Indigenous people, though we targeted this vulnerable population. Although only a few papers were included, two types of health conditions were covered by the literature on digital health literacy-enabling e-services, namely chronic conditions and conditions that are new to the patients. Digital health literacy can help improve prevention and adherence to a healthy lifestyle, improve capacity building and enable users to take the best advantage of the options available, thus strengthening the patient’s involvement in health decisions and empowerment, and finally improving health outcomes. Therefore, there is an urgent need to pursue research on digital health literacy and develop digital platforms to help solve current and future COVID-19-related health needs.
