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E-health relationships diabetes: 50 weeks evaluation

International Journal of Biomedical Engineering and Technology, vol. 38, pp. 81

Abstract

Hybrid e-health support was given to 11 insulin-dependent type 2 diabetes mellitus (DM2) patients, with electronic support plus a multi-disciplinary health support team.Challenges were low ICT and health literacy.After 50 weeks, attractiveness and feasibility of the intervention were perceived as high: recommendation 9.5 out of 10 and satisfaction 9.6 out of 10.Technology acceptance model (TAM) surveys showed high usefulness and feasibility.Acceptance and health behaviours were reinforced by the prolonged health results: aerobic and strength capacity levels were improved at 50 weeks, plus health related quality of life (plus biometric benefits and medication reductions, reported elsewhere).Regarding e-health theory, we conclude that iterative skill growth cycles are beneficial for long-term adoption and e-relationships.Next, the design analysis shows opportunities for additional affective and social support, on top of the strong benefits already apparent from the direct progress feedback loops used within the health coach processes.

Authors 10

  1. Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Health Coach Program , Stevinweg 1 , 2628 CN Delft , Netherlands

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

  2. Marieke Snel Aachen

    Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Leiden University Medical Center , Albinusdreef 2 , 2333 ZA Leiden , Netherlands

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

  3. Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Leiden University Medical Center , Albinusdreef 2 , 2333 ZA Leiden , Netherlands

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

  4. Hildo J. Lamb Aachen

    Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

  5. Ben van Ommen Aachen

    Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

  6. Hanno Pijl Aachen

    Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

  7. Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Delft University of Technology , Van Mourik Broekmanweg 6 , 2628 XE Delft , Netherlands

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

  8. John Verhoef Aachen

    Leiden University Medical Center · Delft University of Technology

    Affiliation as printed

    Delft University of Technology, Van Mourik Broekmanweg 6, 2628 XE Delft, Netherlands

    Health Coach Program, Stevinweg 1, 2628 CN Delft, Netherlands

    Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, Netherlands

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References 45