4 Guide development for eHealth interventions targeting people with a low socioeconomic position 85 detailed, and extensive descriptions. Initially, we intended to integrate persona-like user representations on our website, as they are popular tools for communicating user scenarios (Adlin & Pruitt, 2010). Nevertheless, because of the need for short, realistic, and visual representations, personas were not considered the most suitable tool for communicating user perspectives. Instead, we opted for user portraits, which describe a certain user perspective briefly and visually through realistic quotes. The inclusion of user perspectives on the website makes the guide more engaging for the professional and can be a valuable way to share information about the low-SEP group, especially when professionals lack familiarity with this target group. It is important to offer user perspectives because professionals can have different views of low-SEP groups that, at times, do not correspond with reality. Moreover, this approach has the potential to facilitate greater empathy toward this target group. 4.4.5 Strengths and limitations In this study, we used a broad definition, extending beyond education level, income, and occupation, to describe the low-SEP group. Defining the SEP group is complex because of the high heterogeneity within it, which is why we aimed for broadness to cover not a specific subgroup but to include the lower-SEP group. However, it is important to ensure that the recommendations are indeed applicable to a specific target audience or context. For example, a recommendation that is highly relevant for groups with low health literacy might not be as applicable to groups facing cultural barriers or adverse life events. The guide’s application may vary not only among different low-SEP subgroups but also across patient groups in diverse health care settings and geographical locations. In addition, an argument might be given that using recommendations of the guide, such as simplicity and user-centered design, could also benefit higher-SEP populations. We, therefore, recommend that professionals take additional precautions and consider their specific situation when taking advantage of the different recommendations offered by the guide. Another important limitation of this research is that we only obtained insights from Dutch professionals. This may decrease the generalizability of the guide to other countries. Hence, the current guide is only available in Dutch. However, it is noteworthy that the challenges faced by, for example, health care professionals in the Netherlands are not unique to this country, as similar barriers are encountered by professionals worldwide (Al-Dhahir et al., 2022; Bonevski et al., 2014; Clarke et al., 2019). Therefore, a future step would be to make the guide also available in English.
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