Motivations to Evaluate eHealth Services for Older Adults

Motivations to participate in the evaluation of three different eHealth services were inventoried. The first service, Stranded (see Fig. 1), is a web-based, gamified eHealth service for (pre-)frail older adults. Stranded [27 (link)] consists of two parts: a falls prevention programme based on the OTAGO Programme [28 ], and cognitive minigames. The falls prevention programme consists of physical exercise videos that older adults can perform at home. These exercises focus on improving muscle strength, balance, and flexibility. The minigames are different kinds of puzzle games. The duration of the study evaluating Stranded was four weeks. The second eHealth service, Council of Coaches (COUCH) [29 ] (see Fig. 2), is a web-based service designed for adults with Diabetes Mellitus Type 2 or Chronic Pain, and older adults who are dealing with age-related impairments. The goal of COUCH is to encourage a healthy lifestyle via conversations with virtual coaches. Within COUCH six different coaches are available: a physical activity coach, a nutrition coach, a social coach, a cognitive coach, a chronic pain coach (only available for users with chronic pain), and a diabetes coach (only available for users with diabetes). During the summative evaluation of COUCH, participants could use the eHealth service for four weeks. The last eHealth service, the selfBACK app [30 (link)–32 (link)] (see Fig. 3), is a mobile self-management application for adults with neck and/or low back pain. The selfBACK app provides users with a weekly tailored plan to self-manage this pain. The weekly plain focusses on three aspects: Physical activity (i.e., daily step data), physical exercises to strengthen the muscles and increase flexibility, and educational messages to motivate users and to give them advice. This study with the selfBACK app lasted for six weeks.Fig. 1

Screenshot of eHealth service Stranded

Fig. 2

Screenshot of eHealth service Council of Coaches. (Names of the virtual coaches f.l.t.r.: Carlos (peer), Olivia (physical activity coach), Emma (social coach), Katarzyna (diabetes coach), Helen (cognitive coach), Coda (helpdesk robot), François (nutrition coach))

Fig. 3

Screenshot of eHealth service selfBACK app (showing weekly self-management plan)

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Hurmuz M.Z., Jansen-Kosterink S.M, & van Velsen L. (2023). How to Prevent the Drop-Out: Understanding Why Adults Participate in Summative eHealth Evaluations. Journal of Healthcare Informatics Research, 7(1), 125-140.

Publication 2023

Adults Chronic pain Coda Cognitive Diabetes Diabetes mellitus type 2 Ehealth Frail older adults Low back pain Motivations Muscle strength Muscles Names l Neck Older adults Pain Prevention programme Self management

Corresponding Organization : Roessingh Research and Development

Other organizations : University of Twente

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Variable analysis

independent variables

Type of eHealth service (Stranded, COUCH, self-BACK app)

dependent variables

Motivations to participate in the evaluation of the eHealth services

control variables

Not explicitly mentioned

controls

No positive or negative controls specified by the authors

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