UvA-DARE (Digital Academic Optimizing eHealth tools for older patients: Collaborative redesign of a hospital website

Most hospital websites have not been developed in collaboration with patients and, therefore, rarely take into account the preferences and abilities of older patients. This study describes the systematic redesign of an existing hospital website in a co-design process with patients and professional stakeholders (e.g. researchers, physicians, nurses, department heads, policymakers, website designers), with the aim to make it more user- friendly for older patients with colorectal cancer (CRC). The redesign process consisted of three phases, where (I) both existing content and design were evaluated among CRC patients; (II) a prototype website was developed based on these insights; which (III) was evaluated again before making final adjustments. Mixed research methods were used for the redesign process. Specifically, insights from existing literature, outcomes from qualitative and quantitative empirical studies conducted by our team, and expert knowledge from relevant stakeholders, were collected and discussed in multidisciplinary consensus meetings, and served as input for the redesigned website. While the existing website was evaluated poorly, the qualitative evaluation of the prototype website in phase 3 showed that the newly redesigned website was usable for older CRC patients. A practical roadmap on how to collaboratively redesign and optimise existing eHealth tools to make them suitable for and operational in clinical settings is provided.

[1]  E. Smets,et al.  Optimising eHealth tools for older patients: Collaborative redesign of a hospital website , 2018, European journal of cancer care.

[2]  E. Smets,et al.  Anxiety during cancer diagnosis: Examining the influence of monitoring coping style and treatment plan , 2018, Psycho-oncology.

[3]  E. Smets,et al.  How Tailoring the Mode of Information Presentation Influences Younger and Older Adults’ Satisfaction with Health Websites , 2018, Journal of health communication.

[4]  Vineet Chopra,et al.  Internet-Delivered Health Interventions That Work: Systematic Review of Meta-Analyses and Evaluation of Website Availability , 2017, Journal of medical Internet research.

[5]  Martin White,et al.  Integrating Evidence From Systematic Reviews, Qualitative Research, and Expert Knowledge Using Co-Design Techniques to Develop a Web-Based Intervention for People in the Retirement Transition , 2016, Journal of medical Internet research.

[6]  J. V. van Weert,et al.  Older Cancer Patients’ User Experiences With Web-Based Health Information Tools: A Think-Aloud Study , 2016, Journal of medical Internet research.

[7]  J. V. Weert,et al.  Lack of Development and Usability Descriptions in Evaluation Reports on Online Health Information Tools for Older Patients , 2015, HCI.

[8]  Nadine Bol,et al.  The Effect of Modality and Narration Style on Recall of Online Health Information: Results From a Web-Based Experiment , 2015, Journal of medical Internet research.

[9]  E. Smets,et al.  Illustrations enhance older colorectal cancer patients' website satisfaction and recall of online cancer information. , 2015, European journal of cancer care.

[10]  S. van Dulmen,et al.  Active Patient Participation in the Development of an Online Intervention , 2014, JMIR research protocols.

[11]  E. Smets,et al.  Using Cognitive and Affective Illustrations to Enhance Older Adults’ Website Satisfaction and Recall of Online Cancer-Related Information , 2014, Health communication.

[12]  Julia C M van Weert,et al.  1+1=3? The systematic development of a theoretical and evidence-based tailored multimedia intervention to improve medication adherence. , 2013, Patient education and counseling.

[13]  Nadine Bol,et al.  Do videos improve website satisfaction and recall of online cancer-related information in older lung cancer patients? , 2013, Patient education and counseling.

[14]  S. Noar,et al.  A Meta-Analysis of Web-Delivered Tailored Health Behavior Change Interventions , 2013, Journal of health communication.

[15]  Nadine Bol,et al.  Senior Patients Online: Which Functions Should a Good Patient Website Offer? , 2013, HCI.

[16]  E. Smets,et al.  Developing and administering scripted video vignettes for experimental research of patient-provider communication. , 2013, Patient education and counseling.

[17]  S. van Dulmen,et al.  A pre-visit tailored website enhances counselees’ realistic expectations and knowledge and fulfils information needs for breast cancer genetic counselling , 2011, Familial Cancer.

[18]  Rik Crutzen,et al.  Investigating Predictors of Visiting, Using, and Revisiting an Online Health-Communication Program: A Longitudinal Study , 2010, Journal of medical Internet research.

[19]  Gary L. Kreps,et al.  New directions in eHealth communication: opportunities and challenges. , 2010, Patient education and counseling.

[20]  M. Petticrew,et al.  Developing and evaluating complex interventions: the new Medical Research Council guidance , 2008, BMJ : British Medical Journal.

[21]  Thea Heeren,et al.  Recall in older cancer patients: measuring memory for medical information. , 2008, The Gerontologist.

[22]  C. Dube,et al.  Untangling the Web--the impact of Internet use on health care and the physician-patient relationship. , 2007, Patient education and counseling.

[23]  D.T. Pham,et al.  User Choices for Modalities of Instructional Information , 2006, 2006 4th IEEE International Conference on Industrial Informatics.

[24]  Lee Priest,et al.  Website design attributes for retrieving health information by older adults: an application of architectural criteria , 2006, Universal Access in the Information Society.

[25]  G. Eysenbach The Law of Attrition , 2005, Journal of medical Internet research.

[26]  Shirley Ann Becker,et al.  A study of web usability for older adults seeking online health resources , 2004, TCHI.

[27]  N. Oudshoorn,et al.  Configuring the User as Everybody: Gender and Design Cultures in Information and Communication Technologies , 2004 .

[28]  R. Kessels,et al.  Patients’ Memory for Medical Information , 2003, Journal of the Royal Society of Medicine.

[29]  B. Gerber,et al.  The Patient-Physician Relationship in the Internet Age: Future Prospects and the Research Agenda , 2001, Journal of medical Internet research.

[30]  Kasper Hornbæk,et al.  Measuring usability: are effectiveness, efficiency, and satisfaction really correlated? , 2000, CHI.

[31]  L. K. Bartholomew,et al.  Intervention Mapping: A Process for Developing Theory and Evidence-Based Health Education Programs , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[32]  J. S. Stevenson In older adults , 1980 .

[33]  E. Smets,et al.  Tailoring the Mode of Information Presentation: Effects on Younger and Older Adults' Attention and Recall of Online Information , 2017 .

[34]  Annemiek J. Linn,et al.  Taking online computer-tailoring forward: The potential of tailoring the message frame and delivery mode of online health behaviour change interventions , 2015 .

[35]  N. Bol,et al.  How to present online information to older cancer patients , 2015 .

[36]  Aaron C. T. Smith Older adults and technology use , 2014 .

[37]  Sarah Bauerle Bass,et al.  Relationships among Internet health information use, patient behavior and self efficacy in newly diagnosed cancer patients who contact the National Cancer Institute's NCI Atlantic Region Cancer Information Service (CIS) , 2002, AMIA.

[38]  D. Shapiro,et al.  The effect of varied physician affect on recall, anxiety, and perceptions in women at risk for breast cancer: an analogue study. , 1992, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[39]  U. G. Dailey Cancer,Facts and Figures about. , 2022, Journal of the National Medical Association.