5 Application of the Inclusive eHealth Guide during the development of an eHealth intervention for and with cardiac patients with a low socioeconomic position 101 (A9), and desired strategies to promote adherence. The sessions lasted approximately 1.5 hours and were audio-recorded. We used the feedback and suggestions gathered in these co-creation sessions to improve the intervention concept. The resulting intervention concept represented a smartphone application aimed at empowering patients with a low SEP during the waiting period, taking on average six weeks, preceding CR (see Figure 5.3). The concept utilizes a metaphor of going on a train journey, represented through a calendar-based progression system, which automatically marks the passage of days. The intervention provides daily messages consisting of introductory videos from different CR disciplines (e.g., cardiology, physiotherapy, dietetics), as well as spoken stories about experiences and successes of other cardiac patients and short textual messages providing actionable advice. Engagement with the messages is optional and not required to make progress in the intervention. By utilizing this playful metaphor, we aimed for a positive tone-of-voice (A.9) and with the daily, optional, manageable chunks of information we aimed to respect possible daily stressors of the target group (A.11). The messages were made comprehensible by avoiding difficult jargon and utilizing multimedia formats (A.12). Figure 5.3 Visualization of the eHealth intervention, presenting the home page with daily messages (left) and the “done pile” indicating completed messages and progress toward the next goal (right).
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