Chapter 1 14 gaps about the attitudes of individuals with a low SEP toward health, healthcare, and eHealth and how participatory design can better engage these groups in research and design processes. Second, we engaged in an action cycle representing a design process of an eHealth intervention in the specific context of cardiac rehabilitation (CR). This involves adapting and applying the knowledge tool in a real-world setting to assess the applicability of the knowledge and evaluate the outcomes of the resulting intervention. These outcomes serve to refine and improve the knowledge tool’s applicability in specific settings, acting as an initial step in the iterative refinement needed to sustain knowledge use in future studies to develop eHealth interventions for low-SEP populations. Figure 1.1 Visualization of the thesis approach modified from KTA framework presented in Field et al. (2014). 1.4 Project background This project was a collaborative effort funded by the Medical Delta as part of the theme “eHealth and self-management for a healthy society” and Capri Cardiac Rehabilitation. It involved multiple institutions, including Delft University of Technology, Erasmus University Medical Center, Leiden University, Leiden University Medical Center, and Capri Cardiac Rehabilitation. The project’s primary objective was to develop and evaluate a knowledge tool designed to support professionals developing eHealth interventions together with
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