Chapter 7 146 Another key strength of this research lies in the novel methodology of the commencement of the IeG, which was developed by combining top-down professionals’ insights with bottom-up experiences from people with a low SEP. This approach aimed to address the common misalignment of eHealth interventions with the needs of lowSEP groups, often seen in traditional top-down only approaches. By integrating the broad expertise of professionals and the contextualized experiences of the target group, the IeG emerges as a comprehensive tool to enhance the equity of eHealth interventions. The pragmatic output is another strength of this study. We have developed two practical end-products, the IeG and the first version of an eHealth intervention that could be directly implemented in CR. Moreover, by applying the IeG in a case study and conducting a pilot feasibility trial of the eHealth intervention, we gained important insights into the practical value of the guide and tailoring interventions to people with a low SEP. The practical output is important as it provides a crucial step toward delivering concrete benefits and improvements directly to society. In addition, the developed eHealth intervention provides professionals with a clear, context-specific example to inspire the practical application of theoretical knowledge. Nevertheless, the participatory and pragmatic nature of this dissertation’s studies inevitably also raises several issues, specifically toward the broader generalizability of the findings. In Part A, for example, the resulting attitude profiles were derived from a specific subset of individuals situated in community centers in an urban area of the Netherlands. Consequently, the representativeness of these attitudes may not hold for those outside of this context, such as individuals in rural areas or other countries. It should also be noted that attitudes differ spatially and temporarily. Personal (e.g., values, goals, development), social (e.g., relationships), or sociohistorical (e.g., political events, tech revolutions) factors can change. They thereby might directly influence attitudes related to health, healthcare, and eHealth over time (Albarracin & Shavitt, 2018). Therefore, the findings in this dissertation should be interpreted within their emergent context and carefully translated to other contexts, spatial and temporal. For Part B, the development of the guide was informed by these localized findings and insights from professionals in the Dutch context. Although this was supplemented with broader literature, the applicability of the recommendations may predominantly align with the Dutch context, signaling a need for caution in assuming their relevance internationally. Part C’s application of the guide within a singular case study provided practical insights; however, it is not indicative that the same results or insights would be observed in different case studies. This specificity underlines a limitation in claiming the broader efficacy of the guide across varied applications.
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