Lynn Leppla1, Sandra Hobelsberger2, Dennis Rockstein3, Viktor Werlitz3, Stefan Pschenitza3, Phillip Heidegger4, Sabina De Geest5, Sabine Valenta6, Alexandra Teynor4. 1. Research Assistant, Institute of Nursing Science, Department Public Health, University of Basel, Switzerland & Advanced Practice Nurse, Department of Medicine I, Medical Center, Faculty of Medicine, University of Freiburg, Germany. 2. Research Assistant, Designer, Faculty of Computer Science, Augsburg University of Applied Sciences, Germany. 3. Research Assistant, Software Engineer, Faculty of Computer Science, Augsburg University of Applied Sciences, Germany. 4. Professor of Software Engineering, Faculty of Computer Science, Augsburg University of Applied Sciences, Germany. 5. Professor of Nursing, Director and Department Chair Institute of Nursing Science, Department Public Health, University of Basel, Switzerland & Professor of Nursing, Academic Centre for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, Belgium. 6. Postdoctoral Research Fellow, Institute of Nursing Science, Department Public Health, University of Basel, Switzerland & Advanced Practice Nurse, Department of Hematology, University Hospital Basel, Switzerland.
Abstract
PURPOSE: To describe a process of creating eHealth components for an integrated care model using an agile software development approach, user-centered design and, via the Behavior Change Wheel, behavior theory-guided content development. Following the principles of implementation science and using the SMILe project (integrated care model for allogeneic stem cell transplantation facilitated by eHealth) as an example, this study demonstrates how to narrow the research-to-practice gap often encountered in eHealth projects. METHODS: We followed a four-step process: (a) formation of an interdisciplinary team; (b) a contextual analysis to drive the development process via behavioral theory; (c) transfer of content to software following agile software development principles; and (d) frequent stakeholder and end user involvement following user-centered design principles. FINDINGS: Our newly developed comprehensive development approach allowed us to create a running eHealth component and embed it in an integrated care model. An interdisciplinary team's collaboration at specified interaction points supported clear, timely communication and interactions between the specialists. Because behavioral theory drove the content development process, we formulated user stories to define the software features, which were prioritized and iteratively developed using agile software development principles. A prototype intervention module has now been developed and received high ratings on the System Usability Scale after two rounds of usability testing. CONCLUSIONS: Following an agile software development process, structured collaboration between nursing scientists and software specialists allowed our interdisciplinary team to develop meaningful, theory-based eHealth components adapted to context-specific needs. CLINICAL RELEVANCE: The creation of high-quality, accurately fitting eHealth components specifically to be embedded in integrated care models should increase the chances of uptake, adoption, and sustainable implementation in clinical practice.
PURPOSE: To describe a process of creating eHealth components for an integrated care model using an agile software development approach, user-centered design and, via the Behavior Change Wheel, behavior theory-guided content development. Following the principles of implementation science and using the SMILe project (integrated care model for allogeneic stem cell transplantation facilitated by eHealth) as an example, this study demonstrates how to narrow the research-to-practice gap often encountered in eHealth projects. METHODS: We followed a four-step process: (a) formation of an interdisciplinary team; (b) a contextual analysis to drive the development process via behavioral theory; (c) transfer of content to software following agile software development principles; and (d) frequent stakeholder and end user involvement following user-centered design principles. FINDINGS: Our newly developed comprehensive development approach allowed us to create a running eHealth component and embed it in an integrated care model. An interdisciplinary team's collaboration at specified interaction points supported clear, timely communication and interactions between the specialists. Because behavioral theory drove the content development process, we formulated user stories to define the software features, which were prioritized and iteratively developed using agile software development principles. A prototype intervention module has now been developed and received high ratings on the System Usability Scale after two rounds of usability testing. CONCLUSIONS: Following an agile software development process, structured collaboration between nursing scientists and software specialists allowed our interdisciplinary team to develop meaningful, theory-based eHealth components adapted to context-specific needs. CLINICAL RELEVANCE: The creation of high-quality, accurately fitting eHealth components specifically to be embedded in integrated care models should increase the chances of uptake, adoption, and sustainable implementation in clinical practice.
Authors: Susanne Stampf; Nicolas J Mueller; Christian van Delden; Manuel Pascual; Oriol Manuel; Vanessa Banz; Isabelle Binet; Sabina De Geest; Pierre-Yves Bochud; Alexander Leichtle; Stefan Schaub; Jürg Steiger; Michael Koller Journal: BMJ Open Date: 2021-12-15 Impact factor: 2.692
Authors: Sabina De Geest; Sabine Valenta; Lynn Leppla; Alexandra Teynor; Janette Ribaut; Sabine Gerull; Juliane Mielke; Michael Simon; Jana Bartakova; Klaus Kaier; Jens Eckstein Journal: BMC Health Serv Res Date: 2022-08-20 Impact factor: 2.908
Authors: Mira Parisek; Julika Loss; Ernst Holler; Anna Barata; Daniela Weber; Matthias Edinger; Daniel Wolff; Helene Schoemans; Anne Herrmann Journal: Front Public Health Date: 2021-07-01