EPortal for Self-Management; Critical Factors for Implementation
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Abstract
Background
eHealth will play an important role in disease management, e.g. in providing online support for self-management, in improving information exchange among professionals and with patients, as well as in monitoring the performance of the disease management program. One of the largest challenges that researchers, policy-makers, and healthcare professionals face is identifying and measuring in precise terms the added-value of eHealth technologies to support healthcare provision and disease management. Moreover, while the number of eHealth technologies in health care is growing, there is insufficient understanding of how and why such interventions do or do not work. In the light of the lack of evidence in relation to improvements in health-related outcomes, as well as the lack of evidence on their cost-effectiveness, it is vital that future eHealth technologies are evaluated against a comprehensive set of measures with careful attention to socio-economic and technical factors.
The overall objective of this proposal is to implement the interactive and integrated eHealth platform effectively in healthcare practice and to assess its impact on self-management health care utilization.
Methods
The Portal is based on a 2 year comprehensive evaluation of a prior portal, Diabetes coach, including real-time usage, adherence and effects. The results are discussed with stakeholders and end-users (caregivers, patients). The discussions were translated into requirements for the redesign of the prior portal into an interactive integrated portal for chronic diseases (COPD, CF, DM) with functionalities for education, monitoring, motivation and communication. This portal (My care Portal) is released and functions in primary care settings in the Netherlands.
The research design of the redesigned Portal consists of a process analysis on the actual usage, user profiles, user satisfaction (net benefits) and healthcare utilization of the portal.
In a 3 year evaluation period, the real time usage, adherence and effects on self-management will be evaluated using the CeHRes Roadmap developed at our center for eHealth Research. The first year of evaluation period includes the usage since September 2012. The methods include a periodic and continuous evaluation ( after 3 weeks of usage, 3 months, 5 months etc) and advanced analytics focusing on examining process variables (usage/dropouts of eHealth technologies) in combination with methods measuring outcome variables (costs, health condition, or adherence to technology and interventions). A secondary objective is to investigate whether the portal is consistent with international standards for chronic care. This proposal will assess the added value of the Portal using Health technology Assessment.
Results
In this presentation the results from the first year evaluation will be presented, showing the usage , user-profiles, drop out and adherence rates and effects on self-management. The evaluation data include logfiles to identify user patterns, several usability tests, self-management surveys that assess ability and motivation to use a portal, need to belong scale, and a survey to assess the persuasiveness of the portal. Besides a cost/benefits analysis on the utilization of Healthcare (HTA). The evaluation toolkit is already used in prior evaluation projects of chronic care applications.
eHealth will play an important role in disease management, e.g. in providing online support for self-management, in improving information exchange among professionals and with patients, as well as in monitoring the performance of the disease management program. One of the largest challenges that researchers, policy-makers, and healthcare professionals face is identifying and measuring in precise terms the added-value of eHealth technologies to support healthcare provision and disease management. Moreover, while the number of eHealth technologies in health care is growing, there is insufficient understanding of how and why such interventions do or do not work. In the light of the lack of evidence in relation to improvements in health-related outcomes, as well as the lack of evidence on their cost-effectiveness, it is vital that future eHealth technologies are evaluated against a comprehensive set of measures with careful attention to socio-economic and technical factors.
The overall objective of this proposal is to implement the interactive and integrated eHealth platform effectively in healthcare practice and to assess its impact on self-management health care utilization.
Methods
The Portal is based on a 2 year comprehensive evaluation of a prior portal, Diabetes coach, including real-time usage, adherence and effects. The results are discussed with stakeholders and end-users (caregivers, patients). The discussions were translated into requirements for the redesign of the prior portal into an interactive integrated portal for chronic diseases (COPD, CF, DM) with functionalities for education, monitoring, motivation and communication. This portal (My care Portal) is released and functions in primary care settings in the Netherlands.
The research design of the redesigned Portal consists of a process analysis on the actual usage, user profiles, user satisfaction (net benefits) and healthcare utilization of the portal.
In a 3 year evaluation period, the real time usage, adherence and effects on self-management will be evaluated using the CeHRes Roadmap developed at our center for eHealth Research. The first year of evaluation period includes the usage since September 2012. The methods include a periodic and continuous evaluation ( after 3 weeks of usage, 3 months, 5 months etc) and advanced analytics focusing on examining process variables (usage/dropouts of eHealth technologies) in combination with methods measuring outcome variables (costs, health condition, or adherence to technology and interventions). A secondary objective is to investigate whether the portal is consistent with international standards for chronic care. This proposal will assess the added value of the Portal using Health technology Assessment.
Results
In this presentation the results from the first year evaluation will be presented, showing the usage , user-profiles, drop out and adherence rates and effects on self-management. The evaluation data include logfiles to identify user patterns, several usability tests, self-management surveys that assess ability and motivation to use a portal, need to belong scale, and a survey to assess the persuasiveness of the portal. Besides a cost/benefits analysis on the utilization of Healthcare (HTA). The evaluation toolkit is already used in prior evaluation projects of chronic care applications.
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