Chapter 1 16 Part A: Knowledge inquiry: Attitudes and participatory design In the research described in Chapter 2, we investigated whether people with a low SEP are willing to improve their health through technology by exploring their attitudes toward health, healthcare, and eHealth through a community-based participatory research approach. Nine individual attitude profiles and two general attitudes regarding health, healthcare, and eHealth are described. In Chapter 3, we describe a participatory design process within a case study aimed to develop an eHealth intervention to improve medication adherence of asthma patients with low health literacy. We demonstrate the challenges of performing participatory design with hard-to-reach groups and propose three participatory design strategies that could facilitate such a participatory process. Part B: Development of the knowledge tool: The Inclusive eHealth Guide In Chapter 4 we describe the development of the knowledge tool: The Inclusive eHealth Guide. We describe how the research of part A and the work performed by Isra Al-Dhahir is synthesized into a practical guide to support the development of eHealth interventions for people with a low SEP. We describe how we developed the guide with professionals working with eHealth and people with a low SEP through participatory design to ensure the guide matches their practical needs. We identified 16 requirements the guide needed to comply with and developed the guide accordingly. The result is an open-ended website with recommendations, user portraits, practical knowledge, examples, and references. Part C: Application cycle: Applying the Inclusive eHealth Guide during the design of an eHealth intervention for CR patients with a low SEP. In Chapter 5 we demonstrate how the Inclusive eHealth Guide was applied in a participatory design process of an eHealth intervention for patients with a low SEP through a specific case study within the context of CR. This case study allowed us to explore specific use cases and challenges that provided insight into the application of the guide. CR provided a valuable setting for this study as it often focuses on lifestyle changes and involves a range of interventions that could be delivered effectively through eHealth. In Chapter 6, we evaluate the feasibility of the resulting intervention using a mixedmethod randomized controlled feasibility study. This chapter sheds light on the potential
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