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Article

Detecting and Treating Psychosocial and Lifestyle-Related Difficulties in Chronic Disease: Development and Treatment Protocol of the E-GOAL eHealth Care Pathway

1
Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands
2
Department of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
3
Healthy Society, Medical Delta, 2629 JH Delft, The Netherlands
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(6), 3292; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063292
Received: 23 February 2021 / Revised: 18 March 2021 / Accepted: 19 March 2021 / Published: 23 March 2021
(This article belongs to the Special Issue Interventions to Enhance an Active Lifestyle in High-Risk Populations)
Many patients with lifestyle-related chronic diseases find it difficult to adhere to a healthy and active lifestyle, often due to psychosocial difficulties. The aim of the current study was to develop an eHealth care pathway aimed at detecting and treating psychosocial and lifestyle-related difficulties that fits the needs and preferences of individual patients across various lifestyle-related chronic diseases. Each intervention component was developed by (1) developing initial versions based on scientific evidence and/or the Behavior Change Wheel; (2) co-creation: acquiring feedback from patients and health professionals; and (3) refining to address users’ needs. In the final eHealth care pathway, patients complete brief online screening questionnaires to detect psychosocial and lifestyle-related difficulties, i.e., increased-risk profiles. Scores are visualized in personal profile charts. Patients with increased-risk profiles receive complementary questionnaires to tailor a 3-month guided web-based cognitive behavioral therapy intervention to their priorities and goals. Progress is assessed with the screening tool. This systematic development process with a theory-based framework and co-creation methods resulted in a personalized eHealth care pathway that aids patients to overcome psychosocial barriers and adopt a healthy lifestyle. Prior to implementation in healthcare, randomized controlled trials will be conducted to evaluate its cost-effectiveness and effectiveness on psychosocial, lifestyle, and health-related outcomes. View Full-Text
Keywords: lifestyle adherence; psychosocial adjustment; chronic disease management; intervention development; eHealth; screening; web-based cognitive-behavioral therapy; tailored personalized treatment; Behavior Change Wheel; co-creation lifestyle adherence; psychosocial adjustment; chronic disease management; intervention development; eHealth; screening; web-based cognitive-behavioral therapy; tailored personalized treatment; Behavior Change Wheel; co-creation
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MDPI and ACS Style

Cardol, C.K.; Tommel, J.; van Middendorp, H.; Ciere, Y.; Sont, J.K.; Evers, A.W.M.; van Dijk, S. Detecting and Treating Psychosocial and Lifestyle-Related Difficulties in Chronic Disease: Development and Treatment Protocol of the E-GOAL eHealth Care Pathway. Int. J. Environ. Res. Public Health 2021, 18, 3292. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063292

AMA Style

Cardol CK, Tommel J, van Middendorp H, Ciere Y, Sont JK, Evers AWM, van Dijk S. Detecting and Treating Psychosocial and Lifestyle-Related Difficulties in Chronic Disease: Development and Treatment Protocol of the E-GOAL eHealth Care Pathway. International Journal of Environmental Research and Public Health. 2021; 18(6):3292. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063292

Chicago/Turabian Style

Cardol, Cinderella K., Judith Tommel, Henriët van Middendorp, Yvette Ciere, Jacob K. Sont, Andrea W.M. Evers, and Sandra van Dijk. 2021. "Detecting and Treating Psychosocial and Lifestyle-Related Difficulties in Chronic Disease: Development and Treatment Protocol of the E-GOAL eHealth Care Pathway" International Journal of Environmental Research and Public Health 18, no. 6: 3292. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063292

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