Chapter 2 42 example by using visual aids and plain language. Besides, according to studies related to other low- SEP and literacy populations, medical advice should be tailored to increase its relevance. For example, by using lab results to select the appropriate advice given in a patient portal (Latulipe et al., 2015). The participants within the Hesitating profile reported being unsure about using eHealth because they were unaware of how it could be of personal value. A previous study found that people who have a poor understanding of what eHealth can do for them have little interest in signing up and using it (O’Connor et al., 2016). It also seems that healthcare providers do not actively promote such interventions and provide little encouragement to use them, as they expect the intervention will not be adopted (Coupe et al., 2018). In addition, this subgroup of participants expressed concerns about not being capable enough to use eHealth. This finding is also reflected by Latulipe et al. (2015), where most usage concerns of low-income older adults relate to the difficulty of initially logging on to a system. Therefore, we recommend professionals to consider the perceived usefulness and usability of the eHealth intervention. Past studies have shown that this can be achieved through supportive healthcare providers and peers who can promote the eHealth interventions and provide technical assistance during usage (Hendrikx et al., 2013; Latulipe et al., 2015; O’Connor et al., 2016). One upcoming medium through which these interactions can take place is through social media. Social media is used as an effective recruitment and engagement medium for eHealth applications (O’Connor et al., 2016) and for people with lower income and education (Kontos et al., 2014). Another possibility to improve perceived usability is by offering primary task support through selfmonitoring wearable devices (e.g., activity trackers) (Patel et al., 2015), reduction (e.g., list with food choices) or tunneling (e.g., offer treatment opportunities after an interactive test about tobacco addiction) (Oinas-Kukkonen & Harjumaa, 2009). 2.4.2.3 The Concerned profile The participants represented by the Concerned profile indicated being motivated and conscious because they were living with medical limitations or have recently experienced a health-related incident. This concerned attitude could serve as potential entry point for researchers and designers to motivate healthy behavior. While people might already be aware of the susceptibility and severity of getting a disease, they might benefit from convenient cues to action such as reminders and suggestions provided either by a peer, professional or system (Orji et al., 2012). According to Bukman et al. (2014), people with a low SEP are especially motivated by the feedback they receive from their bodies. This conforms to some participants mentioning that their attitude had changed throughout
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