Health, Medical, and Neuropsychology Unit, Faculty of Social and Behavioural Sciences, Leiden University, Leiden, Netherlands.
Department of Human-Centered Design, Faculty of Industrial Design Engineering, Technical University of Delft, Delft, Netherlands.
J Med Internet Res. 2021 Oct 15;23(10):e25646. doi: 10.2196/25646.
Cardiovascular diseases (CVDs) pose a significant health threat and reduce both people's life expectancy and quality of life. Healthy living is a key component in the effective prevention and treatment of CVD. However, health care professionals (HCPs) experience difficulties in supporting lifestyle changes among their patients. eHealth can provide a solution to these barriers.
This study aims to provide insights into the factors HCPs find important in the support of patients with CVD in the uptake of and adherence to a healthy lifestyle and the perceived facilitators of and barriers to using eHealth to provide lifestyle support to patients with CVD.
In-depth interviews were conducted with 16 Dutch HCPs specializing in lifestyle support in cardiac care.
We identified 13 themes, of which the first 12 concerned lifestyle support in general and were related to intervention, patient, or health care. Throughout these themes, the use of eHealth reoccurred as a potential facilitator of or solution to barriers to lifestyle support. Our final theme specifically concerned barriers to the adoption and usability of eHealth.
HCPs do recognize the potential advantages of eHealth while experiencing barriers to using digital tools. Incorporating their needs and values in the development of lifestyle support programs, especially eHealth, could increase their use and lead to a more widespread adoption of eHealth into health care.
心血管疾病（CVDs）对健康构成重大威胁，降低了人们的预期寿命和生活质量。健康生活是 CVD 有效预防和治疗的关键组成部分。然而，医疗保健专业人员（HCPs）在支持患者改变生活方式方面遇到了困难。电子健康（eHealth）可以为这些障碍提供解决方案。
本研究旨在深入了解 HCPs 在支持 CVD 患者采用和坚持健康生活方式方面认为重要的因素，以及他们认为使用电子健康（eHealth）为 CVD 患者提供生活方式支持的促进因素和障碍。
对 16 名专门从事心脏护理生活方式支持的荷兰 HCPs 进行了深入访谈。
我们确定了 13 个主题，其中前 12 个主题与一般的生活方式支持有关，与干预、患者或医疗保健有关。在这些主题中，eHealth 的使用反复出现，作为生活方式支持的促进因素或障碍的解决方案。我们的最后一个主题专门涉及电子健康的采用和可用性障碍。
HCPs 确实认识到 eHealth 的潜在优势，但同时也面临使用数字工具的障碍。在开发生活方式支持计划，特别是电子健康时，纳入他们的需求和价值观，可以增加其使用，并导致更广泛地将电子健康应用于医疗保健。
