< Terug naar vorige pagina

Publicatie

HeartHab: From Persuasion to Self-management in Cardiac Tele-rehabilitation

Boek - Dissertatie

Cardiovascular disease (CVD) is the leading cause of morbidity and influences mortality globally. Cardiac rehabilitation and secondary prevention have proven to be effective in minimizing risk and recurrence of disease. The penetration of e-health and mobile health (mHealth) technologies over recent years offers great potential for enabling remote healthcare delivery. In the context of cardiac rehabilitation, such technologies play a pivotal role in supporting telemonitoring and tele-rehabilitation of patients. Nonetheless, there lacks a deeper understanding of patient and caregiver needs in order to provide tailored and comprehensive solutions. Furthermore, during tele-rehabilitation, there is lack of support to motivate patients in gradually changing their unhealthy lifestyle habits and foster sustained health behavior change. This dissertation investigates the challenges in the uptake of and adherence to cardiac rehabilitation programs. On one hand, it integrates persuasive technology alongside user-centered approaches to motivate patients and increase adherence to rehabilitation goals. On the other hand, it bridges the needs of patients and caregivers’ perspectives to deliver a tailored and comprehensive rehabilitation solution. To this end, I present 3 key contributions in this dissertation and add to the existing knowledge in domains of Human-Computer Interaction (HCI) and cardiac tele-rehabilitation. I present the patient-centered HeartHab application supported by a caregiver-centered dashboard application that forms a tailored comprehensive tele-rehabilitation solution. I delve into how we translated theories on behavior change and persuasion into the design of the HeartHab app. Finally, I present the impact of the comprehensive tele-rehabilitation solution on patients’ motivation, health and quality of life. The work presented in this dissertation aims to address most of the current problems in the uptake of cardiac tele-rehabilitation and adherence to rehabilitation goals. While the systems presented in this dissertation are specific to cardiac rehabilitation, the overarching methods and concepts can be leveraged by other researchers working in similar health domains targeting patient motivation and health behavior change.
Aantal pagina's: 231
Jaar van publicatie:2018
Toegankelijkheid:Closed