180 Findings from study 1 (Delphi study) Findings from Study 2 (Attitude profiles study) Associations between study 1 and study 2 Social environment (refers to the social environment of people with a low SEP) (+) Concerned Indifferent Hesitating Encumbered Detached Concerned: 1. Has a low perceived control 2. Benefits from social interaction. Indifferent: Does not see why eHealth is better than traditional approaches and therefore considers it not worth the effort. Hesitating: In this profile, family members or friends have more knowledge about technology compared to people with low SES. Encumbered: Benefits from social interaction. Technology Support (refers to helping people with a low SEP in the use of eHealth interventions to enhance reach) (+) Hesitating Hesitating: Has limited digital skills and therefore experiences difficulties adopting eHealth. Usability (refers to the factors that promote the user-friendliness of eHealth interventions) (+) Disadvantaged Eager Disadvantaged Hesitating Disadvantaged: Becomes motivated by visual information that attracts attention. Disadvantaged: Written materials are too difficult to understand. Eager: Becomes motivated by self-monitoring and feedback. Hesitating: Is not sufficiently aware of eHealth and what it adds, and therefore finds it hard to understand the added benefits of using eHealth. Adherence Knowledge (refers to the understanding that individuals with low (SEP) have about their health) (-) Encumbered Has a difficult life situation, and therefore, thinking about investments for future health has limited priority. Motivation (refers to the level of motivation that individuals with a low SEP have to continue utilizing interventions) (-) Indifferent Does not see why eHealth is better than traditional approaches and therefore considers it not worth the effort. Not involving people with a low SEP (refer to the expectations that individuals of a low SEP have toward eHealth interventions and the needs they have in return) (-) Encumbered Has a difficult life situation, and therefore, thinking about investments for future health has limited priority. Usability (refers to the barriers that prevent individuals with low digital skills and low literacy from effectively using eHealth interventions) (-) Hesitating Has limited digital skills and therefore experiences difficulties adopting eHealth. Appendix 4A – Continued
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