Zonneveld Michael Bernardus Gustaaf, Pol Margriet Christine, Achterberg Wilco Pieter, Françoise van Dam van Isselt Eléonore
Leiden University Medical Center, The Netherlands.
Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, The Netherlands.
Inquiry. 2025 Jan-Dec;62:469580251347139. doi: 10.1177/00469580251347139. Epub 2025 Jul 11.
Despite the existing need for an integrated eHealth intervention for home-based geriatric rehabilitation, it has never, to our knowledge, been developed through co-creation with the stakeholders. This study aims to identify values (based on stakeholders' needs and preferences) regarding an eHealth intervention that fits the context of home-based geriatric rehabilitation. The multi-method qualitative design of this study comprised multiple qualitative methods (focus groups, interviews, and brainstorming sessions) and a survey. An agile science approach allowed for iterative data collection and analysis until an optimal fit was achieved. Recommendations from The Center of eHealth Research and Disease Management (CeHRes) Roadmap were used. Fourteen key stakeholders were identified, seven of which were represented in a project team that co-created the steps of this research. Based on the results of the qualitative methods, 15 eHealth attributes were formulated that captured the needs or preferences of the stakeholders. These resulted in the formulation of seven stakeholder values: (1) Fit with the patient's digital skills and needs, (2) Blended care, (3) Personalized, (4) Safety at home, (5) Affordability, (6) Support, and (7) Privacy. Co-creation with stakeholders is necessary for the development of eHealth interventions in home-based geriatric rehabilitation. The most prominent key stakeholder is the patient. eHealth should match with the digital skills of the patient and preferably be delivered as blended care. The formulated values should be incorporated in future development of eHealth interventions.
尽管目前需要一种用于居家老年康复的综合电子健康干预措施，但据我们所知，它从未通过与利益相关者共同创造而得以开发。本研究旨在确定与适合居家老年康复背景的电子健康干预措施相关的价值观（基于利益相关者的需求和偏好）。本研究的多方法定性设计包括多种定性方法（焦点小组、访谈和头脑风暴会议）以及一项调查。敏捷科学方法允许进行迭代数据收集和分析，直至实现最佳匹配。使用了电子健康研究与疾病管理中心（CeHRes）路线图的建议。确定了14个关键利益相关者，其中7个在共同制定本研究步骤的项目团队中得到了代表。基于定性方法的结果，制定了15个电子健康属性，这些属性体现了利益相关者的需求或偏好。由此得出了7个利益相关者价值观：（1）与患者数字技能和需求相匹配，（2）混合式护理，（3）个性化，（4）居家安全，（5）可承受性，（6）支持，以及（7）隐私。在居家老年康复的电子健康干预措施开发中，与利益相关者共同创造是必要的。最突出的关键利益相关者是患者。电子健康应与患者的数字技能相匹配，并且最好以混合式护理的形式提供。所制定的价值观应纳入电子健康干预措施的未来开发中。
