التفاصيل البيبلوغرافية
| العنوان: |
Investigating shared decisionmaking during the use of a digital health tool for physical activity planning in cardiac rehabilitation. |
| المؤلفون: |
Wurhofer, Daniela, Neunteufel, Julia, Strumegger, Eva-Maria, Höppchen, Isabel, Mayr, Barbara, Egger, Andreas, Sareban, Mahdi, Reich, Bernhard, Neudorfer, Michael, Niebauer, Josef, Smeddinck, Jan David, Kulnik, Stefan Tino |
| المصدر: |
Frontiers in Digital Health; 2024, p1-11, 11p |
| مصطلحات موضوعية: |
DIGITAL health, CARDIAC rehabilitation, DIGITAL technology, PHYSICAL activity, SCHEDULING |
| مستخلص: |
Background: Shared decision making (SDM) between healthcare professionals and persons with CVD can have a positive impact on motivation, adherence, or sustainability regarding long-term goals and integration of cardiovascular disease (CVD) rehabilitation in the everyday lives of persons with CVD. SDM can foster the transition between regular heart-healthy activity at rehabilitation facilities and more independent activity at home, but it is often challenging to implement SDM given limited time and resources, e.g., in the daily practice of rehabilitation. Digital tools can help but must be appropriately tailored for situated use and user needs. Objective: We aimed to (1) describe in how far SDM is manifested in the situated context when using a digital tool developed by our group, and, based on that, (2) reflect on how digital health tools can be designed to facilitate and improve the SDM process. Methods: In the context of a field study, we investigated how SDM is already naturally applied and manifested when using a digital tool for joint physical activity planning in cardiac rehabilitation in clinical practice. In a two-week qualitative study, we collected data on expectations, experiences and interactions during the use of a digital health tool by seven persons with CVD and five healthcare professionals. Data was collected by means of observations, interviews, questionnaires and a self-reported diary, and analysed with a particular focus on episodes related to SDM. Results: We found that SDM was manifested in the situated context to limited extent. For example, we identified high improvement potential for more structured goalsetting and more explicit consideration of preferences and routines. Based on mapping our findings to temporal phases where SDM can be adopted, we highlight implications for design to further support SDM in clinical practice. We consider this as “SDM supportive design in digital health apps,” suggesting for example step-by-step guidance to be used during the actual consultation. Conclusion: This study contributes to further understanding and integration of SDM in digital health tools with a focus on rehabilitation, to empower and support both persons with CVD and healthcare professionals. [ABSTRACT FROM AUTHOR] |
|
Copyright of Frontiers in Digital Health is the property of Frontiers Media S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
