Implementation and User Evaluation of an eHealth Technology Platform Supporting Patients With Cardiovascular Disease in Managing Their Health After a Cardiac Event: Mixed Methods Study

eHealth Disease management
DOI: 10.2196/43781 Publication Date: 2023-02-19T10:09:57Z
ABSTRACT
eHealth technology can help patients with cardiovascular disease adopt and maintain a healthy lifestyle by supporting self-management offering guidance, coaching, tailored information. However, to support over time, needs blend in their needs, treatment, daily lives. Just as differ between patients, change within time. To better adapt features patients' it is necessary account for these changes contexts of use.This study aimed identify monitor from web-based health management platform how It answer the following research questions: "How do novice more advanced users experience an online platform?" "What user expectations or hinder adoption platform, perspective?" does actual usage relate experiences adoption?"A mixed methods design was adopted. The first method involved 2 rounds usability testing, followed interviews, 10 at 0 months (round 1) 12 6 2). In second method, log data were collected describe use.After starting cardiac rehabilitation, used frequently. mentioned that they need have incentive, set goals, self-monitor data, feel empowered platform. soon after rehabilitation program stopped, use declined even quit because lack continued personalized advice. reward system motivated them but most participants indicated being should be main focus, not receiving gifts. A flexible, accessible, any obligations; however, implemented addition regular care.Although longer term, quitting did directly indicate functioning well no focused on achieving values. key success adherence habits. Therefore, implementation include transition stage where might independently sustainably adherent This emphasizes importance conducting multi-iterative evaluations continuously whether Future focus this identified monitored insights inform technology.
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