Jasper Faber

2 Attitudes toward health, healthcare, and eHealth of people with a low socioeconomic position 43 their lives, resulting from experiencing health complaints or incidents. Therefore, it is challenging to motivate these individuals to engage in preventive behavior when they do not yet perceive complaints. Therefore, following Bukman et al. (2014), we recommend that for people that do not have the concern (yet), feedback should be provided in a visual, meaningful, and directly applicable way that conforms to the beliefs of the target group. According to Orji et al. (2012), self-monitoring, simulation and personalization and tailoring strategies are effective to help individuals develop accurate perceptions of own risk. Nevertheless, we could argue that data recorded by most activity trackers and self-monitoring applications currently is still of little value in facilitating meaningful reflection on lifestyle. In a previous study it was found that the participants from a lowSEP neighborhood rarely analyzed their self-monitoring experiences to derive insight about the meaning of data for their wellbeing (Saksono et al., 2019). One example of providing meaningful data is a smoking app that displays, besides the number of days without cigarettes, also the amount of money the person has saved by not smoking. 2.4.3 Recommendations Based on our results, the reflection with previous literature, and existing recommendations, we propose some final recommendations for improved eHealth alignment to attitudes in low-SEP populations. First, we have identified a large part of our sample embodied an optimistic and engaged general health attitude. According to this attitude, someone is motivated, conscious, satisfied with healthcare, and open toward eHealth. Hence, we expect that for this attitude, healthcare services and interventions are generally appropriate. However, we also identified attitudes that are less in line with our current processes and expectations. We identified profiles that embodied a disinterested, resisting attitude toward healthcare (Detached) and eHealth (Indifferent). We argue that tailoring eHealth interventions toward such attitudes is resource-intensive and would be more effective when directed at attitudes that are positive yet require support. These attitudes, in our study identified under the Doubtfully Disadvantaged general attitude, currently seem to hold the most potential for tailoring efforts. While the Encumbered profile benefits from social and emotional support, the disadvantaged profile benefits from additional support in understanding verbal and written health information and guidance during the healthcare process. The Hesitating profile has an open yet unsure attitude toward eHealth and therefore benefit from supportive and technology promoting healthcare professionals and peers. We recommend professionals to focus on these attitudes specifically, to become aware of the corresponding needs, and subsequently use and

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