Chapter 4 70 more readily recalled (Michie et al., 2009). Despite the potential benefits of eHealth for people with a low SEP, there is a significant lack of clarity in this area (Al-Dhahir et al., 2022). The available information on the effective components of eHealth interventions for such groups is limited, leaving room for doubt and uncertainty. For example, a scoping review highlighted variations in the components of eHealth interventions and the barriers and facilitators involved in their development and implementation (Al-Dhahir et al., 2022). Sufficient practical guidance that can be directly applied by professionals (e.g., eHealth developers, researchers, health care providers, and policy makers) in the field is missing. What does exist are some basic approaches to making eHealth more accessible to people with a low SEP. These include adapting the content of the interventions by avoiding medical terminology, using more pictures, and using simple user interfaces (Choi & Dinitto, 2013). However, while improving the readability of and accessibility to information is important, achieving successful behavior change requires tailoring interventions that extend beyond focusing on simplicity and understandability and improve the deeper factors related to motivation on social, cultural, and economic levels (Davis et al., 2015). Moreover, there are challenges in designing interventions for this target group. First, professionals often see eHealth as a one-size-fits-all solution, but this approach can exclude lower-SEP groups (Braveman et al., 2005). While there is knowledge available about involving these groups, for example, through participatory methods (Cheng et al., 2020; Faber et al., 2023b; Lee et al., 2022), they are often not implemented due to the limited availability of resources, expertise, knowledge, and awareness about lower-SEP groups within a project or team (Al-Dhahir et al., 2023). Second, although there is abundant knowledge on barriers to and facilitators for including the target group in interventions, there are still difficulties faced by professionals in the field, including eHealth developers, researchers, and health professionals, in reaching people with a low SEP and ensuring their adherence to eHealth interventions. Interventions that are not tailored toward the needs, skills, and preferences of the target group can and will be less effective (Bull et al., 2015; Busch & van der Lucht, 2012; Busch & Schrijvers, 2010; Latulipe et al., 2015; Michie et al., 2009; Reiners et al., 2019). To enhance the development and adaptation of eHealth interventions for people with a low SEP, it is essential to acknowledge the current challenges faced by professionals in using informational resources and tools. These difficulties include information overload and comprehension difficulties (Brajnik & Gabrielli, 2010; Swallow et al., 2014), difficulties in aligning theory with practice (Gagliardi et al., 2016; Greenhalgh et al., 2014; Hekler et al., 2013; Lavis et al., 2006), and the lack of a human-centered approach leading
RkJQdWJsaXNoZXIy MTk4NDMw