Chapter 5 92 Abstract Background | Despite the growing body of knowledge on designing eHealth for low-SEP groups, the practical application of this knowledge remains difficult, partly due to a lack of detailed descriptions of design processes and limited use of practical guidance. Objective | In this study, we aimed to refine the Inclusive eHealth Guide (IeG) through a case study in cardiac rehabilitation (CR), exploring its application, describing the design process, and evaluating the developed eHealth intervention’s acceptance. Methods | We used the IeG as a reference throughout the design process, involving 16 cardiac patients with a low SEP and seven healthcare professionals. The outcome was a tailored digital intervention aimed at empowering patients during the pre-CR waiting period. Results | We applied 64% of the IeG’s recommendations, with some exceptions due to inapplicability or resource constraints. Key lessons learned emphasized flexibility, stakeholder engagement through participatory methods, personalization features, and a focus on core functionalities for resource allocation and user acceptance. The resulting prototype received positive acceptance from the target group, with median scores (out of 5) for usability (4.5), experience (5), and perceived impact (4.5). Conclusion | In conclusion, this study provides practical insights into enhancing the IeG’s applicability and inform future researchers and practitioners undertaking similar design studies.
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