Facilitators of and Barriers to Lifestyle Support and eHealth Solutions: Interview Study Among Health Care Professionals Working in Cardiac Care

Rodrigues, Talia Cohen; Keesman, Mike; Reijnders, Thomas; Geer, Jessica Van der; Janssen, Veronica R.; Kraaijenhagen, Roderik A.; Atsma, Douwe E.; Evers, Andrea

doi:10.2196/25646

Cited by 7 publications

(3 citation statements)

References 42 publications

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“…However, to our knowledge, this study is among only a few that has explored the experiences of using eHealth tools among health care professionals involved in COPD management [ 29 , 40 ]. Our results support previous research that claims that eHealth fosters collaborative interactions between patients and health care professionals, which explains why eHealth is a valuable means of encouraging well-informed and autonomous patients [ 41 , 42 ]. For example, in the category “improving the quality of care,” health care workers repeatedly expressed that using the COPD Web with their patients had resulted in better and more qualitative visits and more well-informed patients that were better equipped to handle their disease and adhered better to their treatment—increasing the patient’s ability to self-manage their disease.…”

Section: Discussionsupporting

confidence: 90%

Experiences of Using an Electronic Health Tool Among Health Care Professionals Involved in Chronic Obstructive Pulmonary Disease Management: Qualitative Analysis

Nyberg¹,

Sondell²,

Lundell³

et al. 2023

JMIR Hum Factors

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Background Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases of the 21st century. eHealth tools are seen as a promising way of supporting health care professionals in providing evidence-based COPD care, for example, by reinforcing information and interventions provided to the patients and providing easier access and support to the health care professional themselves. Still, knowledge is scarce on the experience of using eHealth tools from the perspective of the health care professional involved in COPD management. Objective The study explored the experiences of using an eHealth tool among health care professionals that worked with patients with COPD in their daily clinical practice. Methods This exploratory qualitative study is part of a process evaluation in a parallel group, controlled, pragmatic pilot trial. Semistructured interviews were performed with 10 health care professionals 3 and 12 months after getting access to an eHealth tool, the COPD Web. The COPD Web, developed using cocreation, is an interactive web-based platform that aims to help health care professionals provide health-promoting strategies. Data from the interviews were analyzed using qualitative content analysis with an inductive approach. Results The main results reflected health care professionals’ experiences in 3 categories: receiving competence support and adjusting practice, improving quality of care, and efforts required for implementation. These categories highlighted that using an eHealth tool such as the COPD Web was experienced to provide knowledge support for health care professionals that led to adaptation and facilitation of working procedures and person-centered care. Taken together, these changes were perceived to improve the quality of care through enhanced patient contact and encouragement of interprofessional collaboration. In addition, health care professionals expressed that patients using the COPD Web were better equipped to tackle their disease and adhered better to provided treatment, increasing their self-management ability. However, structural and external barriers bar the successful implementation of an eHealth tool in daily praxis. Conclusions This study is among the first to explore experiences of using an eHealth tool among health care professionals involved in COPD management. Our novel findings highlight that using an eHealth tool such as the COPD Web may improve the quality of care for patients with COPD (eg, by providing knowledge support for health care professionals and adapting and facilitating working procedures). Our results also indicate that an eHealth tool fosters collaborative interactions between patients and health care professionals, which explains why eHealth is a valuable means of encouraging well-informed and autonomous patients. However, structural and external barriers requiring time, support, and education must be addressed to ensure that an eHealth tool can be successfully implemented in daily praxis. Trial Registration ClinicalTrials.gov NCT02696187; https://clinicaltrials.gov/ct2/show/NCT02696187

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Section: Discussionsupporting

confidence: 90%

Experiences of Using an Electronic Health Tool Among Health Care Professionals Involved in Chronic Obstructive Pulmonary Disease Management: Qualitative Analysis

Nyberg¹,

Sondell²,

Lundell³

et al. 2023

JMIR Hum Factors

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show abstract

“… 38 46–48 The visibility and sustained provision of behavioural lifestyle interventions is an additional factor that affects GPs’ willingness to use them in their daily care. 49 This appears to be strengthened by GPs’ mention of their unfamiliarity with the CLI-programme’s content and lifestyle coaches’ new and unknown role as important barriers to its implementation. There is some evidence that education and early involvement of key stakeholders (e.g., those needed to implement the innovation) increase the adoption of healthcare innovations.…”

Section: Discussionmentioning

confidence: 99%

“…Sufficient awareness and knowledge among GPs on content and effectiveness of new programmes appear to be important requirements for a positive attitude towards healthcare innovations 38 46–48. The visibility and sustained provision of behavioural lifestyle interventions is an additional factor that affects GPs’ willingness to use them in their daily care 49. This appears to be strengthened by GPs’ mention of their unfamiliarity with the CLI-programme’s content and lifestyle coaches’ new and unknown role as important barriers to its implementation.…”

Section: Discussionmentioning

confidence: 99%

GPs’ views on the implementation of combined lifestyle interventions in primary care in the Netherlands: a qualitative study

et al. 2022

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ObjectivesPrevention and lifestyle support are emerging topics in general practice. Healthcare insurance companies reimburse combined lifestyle interventions (CLIs) in the Netherlands since January 2019. CLIs support people with overweight (body mass index, BMI 25–30) or obesity (BMI >30) to reduce weight in peer groups. General practitioners (GPs) are key in the successful implementation of lifestyle interventions in primary care. This study explored GPs’ experiences and views on the implementation of CLIs to identify barriers and facilitators to the successful implementation in primary care.DesignQualitative study using semistructured interviews. Content analysis consisted of thematic coding and mapping a first stage of predefined and second stage of iterative evolving set of themes.SettingGPs were interviewed in a variety of primary care practices between February and April 2019.ParticipantsFifteen GPs were purposively recruited for semi-structured interviews through snowballing.ResultsExperiences with lifestyle support among GPs ranged from referring patients to other healthcare professionals to taking a proactive role in lifestyle support themselves. Whether or not GPs took an active role in lifestyle support was related to their belief in the effect of lifestyle interventions. Overall, GPs had little experience with CLI in every day practice. Perceived barriers were a lack of availability of CLIs in the region and the potential lack of added value of CLIs on top of existing lifestyle support. Perceived facilitators were coordination of care provision by GP cooperatives and monitoring of the CLI implementation and their results. Reimbursement of CLIs without any costs for participants enabled application.ConclusionThe importance of lifestyle interventions in primary care was acknowledged by all GPs, but they differed in their level of experience with providing lifestyle support and awareness of CLIs. Successful integration of CLIs with primary care requires a solid promotion, a well-coordinated implementation strategy and structural evaluation of long-term effectiveness.

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Patient and healthcare professionals' perceived barriers and facilitators to the implementation of psychosocial screening in cardiac practice: A Delphi study

van den Houdt,

Widdershoven,

Kupper

2023

General Hospital Psychiatry

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Facilitators of and Barriers to Lifestyle Support and eHealth Solutions: Interview Study Among Health Care Professionals Working in Cardiac Care

Cited by 7 publications

References 42 publications

Experiences of Using an Electronic Health Tool Among Health Care Professionals Involved in Chronic Obstructive Pulmonary Disease Management: Qualitative Analysis

Experiences of Using an Electronic Health Tool Among Health Care Professionals Involved in Chronic Obstructive Pulmonary Disease Management: Qualitative Analysis

GPs’ views on the implementation of combined lifestyle interventions in primary care in the Netherlands: a qualitative study

Patient and healthcare professionals' perceived barriers and facilitators to the implementation of psychosocial screening in cardiac practice: A Delphi study

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