Developing an ECoach for the BeweegKuur
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Abstract
Background: Following the global trend, in the Netherlands many people are overweight and prone to chronic diseases, such as diabetes. Accordingly, NISB developed the BeweegKuur (BK, “Activity Courseâ€). People who are overweight are assigned a lifestyle coach, for one year, which offers support for self-management (i.e., diet, activity and sport). The BK is under consideration for reimbursement by health insurance plans, which poses two requirements. First, the lifestyle coach needs to attend to an increase in clients. Second, after the BK, the improved health condition needs to be maintained.
Objective: We are developing an eCoach, which performs coaching activities and remains available after the course. We develop in three phases: 1) domain analysis; 2) design specification; 3) prototyping and evaluation. In this paper, we discuss results of phase 1 and 2. From the literature, we elicited coach success-factors and made an eCoach concept. It consists of activities jointly performed by client and eCoach: Pre-diagnosis (i.e., symptoms, medical history, health literacy and preferences); Anamnesis, diagnosis and treatment (by care giver); Patient perspective (i.e., client’s understanding and valuing of diagnosis); Goal and goal path setting through strategy, tactics and operationalization; Goal realization; Habit formation. Parallelly, the eCoach iteratively monitors and provides empathetic, constructive feedback, aiming at self-efficacy and autonomy. This eCoach concept provides guidance for design requirements.
Method: To describe the work setting of the BK, we will study the various protocols and research documents related to the BK. In addition, focus groups will be organized with the clients, life style coaches and specialists. Based on this information, we learn where in the work process of the BK and for whom (client, professional) an eCoach can offer support and which eCoach functions are important. Next step is building a framework that defines the various functions, (e.g., education modules, goal setting, chat rooms, communication) that will constitute the eCoach. Exemplary scenarios of this framework will be discussed with clients and professionals. These activities will be executed Autumn 2010.
Results and Conclusions. Forthcoming. Finally, we will develop and evaluate an eCoach prototype supporting client self-management in the BK setting.
Objective: We are developing an eCoach, which performs coaching activities and remains available after the course. We develop in three phases: 1) domain analysis; 2) design specification; 3) prototyping and evaluation. In this paper, we discuss results of phase 1 and 2. From the literature, we elicited coach success-factors and made an eCoach concept. It consists of activities jointly performed by client and eCoach: Pre-diagnosis (i.e., symptoms, medical history, health literacy and preferences); Anamnesis, diagnosis and treatment (by care giver); Patient perspective (i.e., client’s understanding and valuing of diagnosis); Goal and goal path setting through strategy, tactics and operationalization; Goal realization; Habit formation. Parallelly, the eCoach iteratively monitors and provides empathetic, constructive feedback, aiming at self-efficacy and autonomy. This eCoach concept provides guidance for design requirements.
Method: To describe the work setting of the BK, we will study the various protocols and research documents related to the BK. In addition, focus groups will be organized with the clients, life style coaches and specialists. Based on this information, we learn where in the work process of the BK and for whom (client, professional) an eCoach can offer support and which eCoach functions are important. Next step is building a framework that defines the various functions, (e.g., education modules, goal setting, chat rooms, communication) that will constitute the eCoach. Exemplary scenarios of this framework will be discussed with clients and professionals. These activities will be executed Autumn 2010.
Results and Conclusions. Forthcoming. Finally, we will develop and evaluate an eCoach prototype supporting client self-management in the BK setting.
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