4 Guide development for eHealth interventions targeting people with a low socioeconomic position 73 Figure 4.2 An example of an association made between a facilitator identified through the top-down approach and an attitude profile identified through the bottom-up approach. SEP: socioeconomic position. 4.2.2.2 Phase 2 – Participatory development of the guide The goal of the second phase was to use the findings from phase 1 to create a guide through an iterative process with end users. In this phase, we used a participatory design approach. Participatory design, also known as co-design, is an approach that emphasizes the active involvement of end users in a design or development process to ensure that the result meets their needs (Sanders & Stappers, 2008; Smith et al., 2017). Participatory design is often used in an iterative manner. The iterative process allows for continuous reflection on intermediate results and enables ongoing learning to make improvements. For this reason, we engaged the professionals in 2 rounds of prototype evaluation (simple representation of the final product) of the guide. We aimed to recruit end users that would eventually make use of the guide: professionals working within the development, adaptation, implementation, or evaluation of eHealth. Consequently, we did not involve people with a low SEP to evaluate the guide, primarily because they are not the direct users of the guide. The inclusion criteria for participation were that the professional should have experience with eHealth within their role as well as experience with developing, adapting, evaluating, and implementing eHealth in the context of low-SEP populations. We used scientific literature and input from
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