{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:46:48Z","timestamp":1787672808234,"version":"build-2736575974"},"reference-count":74,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n People with a low socioeconomic position (SEP) are less likely to benefit from eHealth interventions, exacerbating social health inequalities. Professionals developing eHealth interventions for this group face numerous challenges. A comprehensive guide to support these professionals in their work could mitigate these inequalities.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We aimed to develop a web-based guide to support professionals in the development, adaptation, evaluation, and implementation of eHealth interventions for people with a low SEP.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This study consisted of 2 phases. The first phase involved a secondary analysis of 2 previous qualitative and quantitative studies. In this phase, we synthesized insights from the previous studies to develop the guide\u2019s content and information structure. In the second phase, we used a participatory design process. This process included iterative development and evaluation of the guide\u2019s design with 11 professionals who had experience with both eHealth and the target group. We used test versions (prototypes) and think-aloud testing combined with semistructured interviews and a questionnaire to identify design requirements and develop and adapt the guide accordingly.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The secondary analysis resulted in a framework of recommendations for developing the guide, which was categorized under 5 themes: development, reach, adherence, evaluation, and implementation. The participatory design process resulted in 16 requirements on system, content, and service aspects for the design of the guide. For the system category, the guide was required to have an open navigation strategy leading to more specific information and short pages with visual elements. Content requirements included providing comprehensible information, scientific evidence, a user perspective, information on practical applications, and a personal and informal tone of voice. Service requirements involved improving suitability for different professionals, ensuring long-term viability, and a focus on implementation. Based on these requirements, we developed the final version of \u201cthe inclusive eHealth guide.\u201d<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The inclusive eHealth guide provides a practical, user-centric tool for professionals aiming to develop, adapt, evaluate, and implement eHealth interventions for people with a low SEP, with the aim of reducing health disparities in this population. Future research should investigate its suitability for different end-user goals, its external validity, its applicability in specific contexts, and its real-world impact on social health inequality.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/48461","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T02:38:17Z","timestamp":1695695897000},"page":"e48461","source":"Crossref","is-referenced-by-count":25,"title":["Guide Development for eHealth Interventions Targeting People With a Low Socioeconomic Position: Participatory Design Approach"],"prefix":"10.2196","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0380-0989","authenticated-orcid":false,"given":"Jasper S","family":"Faber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8510-3313","authenticated-orcid":false,"given":"Isra","family":"Al-Dhahir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9667-6926","authenticated-orcid":false,"given":"Jos J","family":"Kraal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4441-2731","authenticated-orcid":false,"given":"Linda D","family":"Breeman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6433-3398","authenticated-orcid":false,"given":"Rita J G","family":"van den Berg-Emons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2184-8727","authenticated-orcid":false,"given":"Thomas","family":"Reijnders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5083-8421","authenticated-orcid":false,"given":"Sandra","family":"van Dijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4113-6716","authenticated-orcid":false,"given":"Veronica R","family":"Janssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5102-0197","authenticated-orcid":false,"given":"Roderik A","family":"Kraaijenhagen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5502-1691","authenticated-orcid":false,"given":"Valentijn T","family":"Visch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8607-9199","authenticated-orcid":false,"given":"Niels H","family":"Chavannes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0090-5091","authenticated-orcid":false,"given":"Andrea W M","family":"Evers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,12,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2013.97"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0707519"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2009.05337.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.7.784"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1145\/2702123.2702392"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.297"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.029652"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.soc.012809.102529"},{"key":"ref9","unstructured":"The Netherlands in numbers: infographics inspired by 36 questionsStatistics Netherlands20212023-10-20https:\/\/longreads.cbs.nl\/the-netherlands-in-numbers-2021\/"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080\/09581596.2014.962013"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/BF03089524"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2104"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1672"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.8287"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(14)70195-X"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6731"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2196\/25419"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1159\/000358309"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2008.00516.x"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00231"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.06.015"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2008.078725"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.2196\/34229"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2645"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2014.941722"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.22.2879"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.2196\/35112"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.604401"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2023.105160"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006046"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16040645"},{"key":"ref32","unstructured":"BuschMCMvan der LuchtFEffecten van preventieve interventies: zijn er verschillen tussen mensen met een lage en een hoge sociaaleconomische status?Rijksinstituut voor Volksgezondheid en Milieu20122023-10-20https:\/\/rivm.openrepository.com\/bitstream\/handle\/10029\/259795\/270171004.pdf?sequence=3&isAllowed=y"},{"key":"ref33","unstructured":"BuschMCMSchrijversCTMSchrijvers, effecten van leefstijlinterventies gericht op lagere sociaaleconomische groepenRijksinstituut voor Volksgezondheid en Milieu20102023-10-20https:\/\/rivm.openrepository.com\/handle\/10029\/256865"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1007\/978-3-319-08596-8_54","author":"Swallow, D","year":"2014","journal-title":"Computers Helping People with Special Needs: 14th International Conference, ICCHP 2014, Paris, France, July 9-11, 2014, Proceedings, Part I, LNCS 8547"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1080\/10447318.2010.502100"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0399-1"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1145\/2470654.2466452"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g3725"},{"issue":"2","key":"ref39","first-page":"21","volume":"1","author":"Lavis, JN","year":"2006","journal-title":"Healthc Policy"},{"key":"ref40","unstructured":"WHO guideline: recommendations on digital interventions for health system strengtheningWorld Health Organization20192023-10-20https:\/\/www.who.int\/publications\/i\/item\/9789241550505"},{"key":"ref41","unstructured":"VoslooSDesigning inclusive digital solutions and developing digital skills guidelinesUNESCO20182023-10-20https:\/\/unesdoc.unesco.org\/ark:\/48223\/pf0000265537"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2021.690182"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"506","DOI":"10.4135\/9781446212165.n30","author":"Heaton, J","year":"2008","journal-title":"The Sage Handbook of Social Research Methods"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.1080\/15710880701875068"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1080\/15710882.2017.1310466"},{"key":"ref46","unstructured":"NielsenJWhy you only need to test with 5 usersNielsen Norman Group20002023-10-20https:\/\/www.nngroup.com\/articles\/why-you-only-need-to-test-with-5-users\/"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.1145\/765891.765936"},{"key":"ref48","unstructured":"RealtimeBoardMiro20222023-10-20https:\/\/miro.com\/"},{"key":"ref49","unstructured":"Wix20222023-10-20https:\/\/www.wix.com\/"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2008.10.002"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.1006\/ijhc.2001.0503"},{"issue":"2","key":"ref52","first-page":"3","volume":"8","author":"Lund, AM","year":"2001","journal-title":"Usability interface"},{"key":"ref53","doi-asserted-by":"publisher","DOI":"10.2307\/30036540"},{"key":"ref54","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1081"},{"key":"ref55","doi-asserted-by":"publisher","DOI":"10.7790\/ejap.v4i2.133"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9925"},{"issue":"7","key":"ref57","first-page":"64","volume":"40","author":"Allen, IE","year":"2007","journal-title":"Qual Prog"},{"key":"ref58","doi-asserted-by":"publisher","DOI":"10.2196\/28416"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-020-1088-1"},{"key":"ref60","doi-asserted-by":"publisher","DOI":"10.2196\/10474"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-14-45"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"ref63","unstructured":"ATLAS.ti2023-10-20https:\/\/atlasti.com\/"},{"key":"ref64","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-26"},{"key":"ref65","unstructured":"IBM SPSS statisticsIBM2023-10-20https:\/\/www.ibm.com\/products\/spss-statistics"},{"key":"ref66","first-page":"133","author":"van Gemert-Pijnen, L","year":"2018","journal-title":"eHealth Research, Theory and Development"},{"key":"ref67","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9110"},{"key":"ref68","doi-asserted-by":"publisher","DOI":"10.1016\/j.acalib.2011.04.003"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4505-4-26"},{"key":"ref70","doi-asserted-by":"publisher","DOI":"10.2196\/humanfactors.3696"},{"key":"ref71","unstructured":"van VelsenLSvan Gemert-PijnenJEWCNijlandNBeaujeanDvan SteenbergenJPersonas: the linking pin in holistic design for eHealth2012eTELEMED 2012 : The Fourth International Conference on eHealth, Telemedicine, and Social MedicineJanuary 30-February 4, 2012Valencia, Spain128133"},{"key":"ref72","author":"Adlin, T","year":"2010","journal-title":"The Essential Persona Lifecycle: Your Guide to Building and Using Personas"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-42"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018003117"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jmir.org\/2023\/1\/e48461","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:29:09Z","timestamp":1782840549000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmir.org\/2023\/1\/e48461"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,4]]},"references-count":74,"URL":"https:\/\/doi.org\/10.2196\/48461","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.48461","asserted-by":"object"}]},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,4]]}}}