Jasper Faber

5 Application of the Inclusive eHealth Guide during the development of an eHealth intervention for and with cardiac patients with a low socioeconomic position 95 5.2 Methods 5.2.1 Guide application and evaluation In this study, conducted between June 2021 and June 2023 we used the IeG as a backbone throughout the design process of the CR eHealth intervention. The recommendations provided by the guide were used as guiding principles, informing our choices and approach at every stage of the intervention development. The guide was used as a reference point in selecting appropriate methods and recruitment strategies and making design decisions. Upon concluding the design process and evaluation of our intervention prototype, the first author conducted an evaluation of the recommendations’ application within the intervention design and design process. For this assessment, the recommendations were represented as facilitators into an enumerated recommendation table (Table 5.1). The table was organized according to specific codes that correspond to categories within the IeG: Development (D), Reach (R), Adherence (A), Evaluation (E), and Implementation (I). A documentation followed whether each recommendation was deemed relevant to the project. For instance, recommendations related to improving the reach and implementation of an already existing intervention were deemed not applicable to this specific project. In addition, it was documented whether the recommendation was applied, and if so, whether its application was extended across one or more phases of the design process or within the intervention design itself. Recommendations applied prior to the inception of the design process were classified under “set-up”. This included already made arrangements and planning with the CR facility. Rationale was documented for the decisions pertaining to whether a recommendation was applied or whether it was deemed not applicable to this type of project in the recommendation table. For the recommendations that were put into practice, it was detailed how each one was applied. Furthermore, a reflection was incorporated of the specific challenges encountered during each recommendation’s application and the strategies we employed to address those challenges. Finally, the first author analyzed the challenges and solution strategies using ATLAS.ti (GmbH Scientific Software Development) to develop overarching themes that we used to formulate the lessons learned resulting from applying the IeG in this case study.

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