4 Guide development for eHealth interventions targeting people with a low socioeconomic position 71 to generalized information (Greenhalgh et al., 2014). The World Health Organization provides guidelines for digital interventions aimed at enhancing health systems (WHO, 2019). However, despite guidelines being comprehensive and credible, professionals often struggle with the practical implementation of these guidelines. The guidelines by the United Nations (Vosloo, 2018) provide more applicable guidance, yet they focus mainly on skills and literacy barriers faced by end users without assisting professionals during the development process. To the best of our knowledge, there is currently no accessible and applicable guidance available to assist professionals throughout the process of developing eHealth interventions for people with a low SEP. The objective of this study was to address the challenges faced by professionals in developing, adapting, evaluating, and implementing eHealth interventions (e.g., lifestyle interventions) for people with a low SEP. To overcome these challenges, our aim was to develop a comprehensive guide that supports professionals throughout this process. This guide is intended to provide guidance and assistance to professionals working in the field of eHealth (e.g., lifestyle interventions) across a wide range of settings, such as health care facilities (e.g., hospitals and cardiac rehabilitation) and individual selfmanagement for chronic disease. We aimed to ensure that the guide is user-friendly and accessible by identifying and incorporating design requirements derived from the needs and preferences of professionals in relation to such a guide. 4.2 Methods 4.2.1 Study design This study uses a 2-phase qualitative research approach that includes a secondary analysis of existing data and a participatory design process (Figure 4.1). In the first phase, we performed a secondary analysis of data from 2 existing qualitative and quantitative studies. In the second phase, we adopted a participatory design process, involving the prospective end users (professionals who would be using the guide) directly in the development process. Figure 4.1 Schematic overview of phases, methods, and iterations.
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