دورية أكاديمية

Investigating shared decision-making during the use of a digital health tool for physical activity planning in cardiac rehabilitation

التفاصيل البيبلوغرافية
العنوان: Investigating shared decision-making 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 ; volume 5 ; ISSN 2673-253X
بيانات النشر: Frontiers Media SA
سنة النشر: 2024
المجموعة: Frontiers (Publisher - via CrossRef)
مصطلحات موضوعية: Health Informatics, Medicine (miscellaneous), Biomedical Engineering, Computer Science Applications
الوصف: 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 goal-setting 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 ...
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
DOI: 10.3389/fdgth.2023.1324488
DOI: 10.3389/fdgth.2023.1324488/full
الإتاحة: https://doi.org/10.3389/fdgth.2023.1324488Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.84F708D2
قاعدة البيانات: BASE