Detecting and treating psychosocial and lifestyle-related difficulties in chronic disease: development and treatment protocol of the E-GOAL eHealth care pathway

Autor: Yvette Ciere, Sandra van Dijk, Jacob K. Sont, Henriët van Middendorp, Andrea W M Evers, Cinderella K. Cardol, Judith Tommel
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
020205 medical informatics
Health
Toxicology and Mutagenesis
medicine.medical_treatment
lcsh:Medicine
02 engineering and technology
Behavior Change Wheel
Article
law.invention
Scientific evidence
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Clinical Protocols
law
Psychosocial adjustment
Intervention (counseling)
Health care
0202 electrical engineering
electronic engineering
information engineering
eHealth
medicine
Humans
Chronic disease management
030212 general & internal medicine
Life Style
EHealth
Intervention development
business.industry
Co-creation
Behavior change
lcsh:R
Public Health
Environmental and Occupational Health
Tailored personalized treatment
Telemedicine
Cognitive behavioral therapy
Lifestyle adherence
Family medicine
Web-based cognitive-behavioral therapy
Chronic Disease
Screening
business
Psychosocial
Goals
Zdroj: International Journal of Environmental Research and Public Health, 18(6). MDPI AG
International Journal of Environmental Research and Public Health, 18(6)
International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health, 18(6). MDPI
Volume 18
Issue 6
International Journal of Environmental Research and Public Health, Vol 18, Iss 3292, p 3292 (2021)
ISSN: 1661-7827
Popis: 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.
Databáze: OpenAIRE
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