Detecting and treating psychosocial and lifestyle-related difficulties in chronic disease: Development and treatment protocol of the e-goal ehealth care pathway

Cinderella K. Cardol, Judith Tommel, Henriët van Middendorp, Yvette Ciere, Jacob K. Sont, Andrea W.M. Evers, Sandra van Dijk

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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.
Original languageEnglish
Article number3292
Number of pages17
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number6
DOIs
Publication statusPublished - 2021

Keywords

  • Behavior Change Wheel
  • Chronic disease management
  • Co-creation
  • EHealth
  • Intervention development
  • Lifestyle adherence
  • Psychosocial adjustment
  • Screening
  • Tailored personalized treatment
  • Web-based cognitive-behavioral therapy

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