Skip to main content
SpringerLink
Log in

Design and Initial Evaluation of Technology-Supported Shared Decision Making for Secondary Prevention in Cardiac Patients in the CoroPrevention Project

  • Conference paper
  • First Online:
Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE 2021, ICT4AWE 2022)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 1856))

  • 178 Accesses

Abstract

Secondary prevention is recommended after a cardiac event to stimulate recovery and reduce the risk of recurrent events. To optimize the results and support the patients to actively play a part in the prevention programme, the European guidelines and EAPC position statements on prevention of cardiovascular diseases suggest a holistic approach and shared decision making (SDM). Up till now, no eHealth solution that offers a holistic approach for secondary prevention that includes SDM has been described. The H2020 project CoroPrevention takes this challenge as one of its research goals, and strives for a technology-supported shared decision making approach for a comprehensive secondary prevention programme for cardiac patients. In this article, we report on the design and initial evaluation of the CoroPrevention-SDM approach. We highlight the stakeholder needs that underpin the design of the technology-supported shared decision making approach, and illustrate the three applications of the CoroPrevention Tool Suite that help patients and the medical staff to bring SDM into practice. How the CoroPrevention-SDM approach and applications underwrite the behavioural goal Medication Adherence, is elaborated as an example. While the overall medical and user experience related benefits can only be assessed in the large scale CoroPrevention randomized clinical trial (RCT), we share the methods and partial results of the initial usability studies and SDM evaluation in this article. In particular, the studies revealed that both patients and caregivers are inclined to use the CoroPrevention-SDM approach to collaboratively set behavioural goals during SDM encounters, and they appreciate the designed supporting applications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    https://www.coroprevention.eu.

References

  1. Ambrosetti, M., et al.: Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology. Eur. J. Prev. Cardiol. (2020)

    Google Scholar 

  2. Bonneux, C., et al.: The CoroPrevention-SDM approach: a technology-supported shared decision making approach for a comprehensive secondary prevention program for cardiac patients. In: Proceedings of the 8th International Conference on Information and Communication Technologies for Ageing Well and e-Health, pp. 59–69. Scitepress, Digital library (2022). https://doi.org/10.5220/0011042300003188. iCT4AWE - 8th International Conference on Information and Communication Technologies for Ageing Well and e-Health

  3. Bonneux, C., Rovelo, G., Dendale, P., Coninx, K.: A comprehensive approach to decision aids supporting shared decision making in cardiac rehabilitation. In: Proceedings of the 13th EAI International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2019, pp. 389–398. Association for Computing Machinery, New York (2019). https://doi.org/10.1145/3329189.3329241

  4. Brørs, G., et al.: Modes of e-Health delivery in secondary prevention programmes for patients with coronary artery disease: a systematic review. BMC Health Serv. Res. 19(1), 364 (2019)

    Article  Google Scholar 

  5. Elmore, N., et al.: Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care. Br. J. Gen. Pract. 66(653), e896–e903 (2016)

    Article  Google Scholar 

  6. Ford, E.S., et al.: Explaining the decrease in U.S. deaths from coronary disease, 1980–2000. N. Engl. J. Med. 356(23), 2388–2398 (2007)

    Article  Google Scholar 

  7. Graham, I., Filippatos, G., Atar, D., Vardas, P.E., Pinto, F.J., Fitzsimons, D.: Patient engagement. Eur. Heart J. 38(42), 3114–3115 (2017)

    Article  Google Scholar 

  8. Hansen, D., Coninx, K., Dendale, P.: The EAPC EXPERT tool. Eur. Heart J. 38(30), 2318–2320 (2017)

    Article  Google Scholar 

  9. Hansen, D., et al.: The European association of preventive cardiology exercise prescription in everyday practice and rehabilitative training (EXPERT) tool: a digital training and decision support system for optimized exercise prescription in cardiovascular disease. Concept, definitions and construction methodology. Eur. J. Prev. Cardiol. 24(10), 1017–1031 (2017)

    Google Scholar 

  10. Jin, K., et al.: Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review and meta-analysis. Eur. J. Cardiovasc. Nurs. 18(4), 260–271 (2019)

    Article  Google Scholar 

  11. Joseph-Williams, N., Elwyn, G., Edwards, A.: Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ. Couns. 94(3), 291–309 (2014)

    Article  Google Scholar 

  12. Kon, A.A.: The shared decision-making continuum. JAMA 304(8), 903–904 (2010)

    Article  Google Scholar 

  13. Mampuya, W.M.: Cardiac rehabilitation past, present and future: an overview. Cardiovasc. Diagn. Ther. 2(1), 38–49 (2012)

    Google Scholar 

  14. Institute of Medicine: Crossing the Quality Chasm: A New Health System for the 21st Century. The National Academies Press, Washington, DC (2001). https://doi.org/10.17226/10027. https://nap.nationalacademies.org/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the

  15. Medynskiy, Y., Yarosh, S., Mynatt, E.: Five strategies for supporting healthy behavior change, pp. 1333–1338 (2011). https://doi.org/10.1145/1979742.1979770

  16. Prochaska, J.O., Velicer, W.F.: The transtheoretical model of health behavior change. Am. J. Health Promot. 12(1), 38–48 (1997)

    Article  Google Scholar 

  17. Salzwedel, A., et al.: Effectiveness of comprehensive cardiac rehabilitation in coronary artery disease patients treated according to contemporary evidence based medicine: update of the Cardiac Rehabilitation Outcome Study (CROS-II). Eur. J. Prev. Cardiol. 27(16), 1756–1774 (2020)

    Article  Google Scholar 

  18. Sankaran, S., Bonneux, C., Dendale, P., Coninx, K.: Bridging patients’ needs and caregivers’ perspectives to tailor information provisioning during cardiac rehabilitation. In: Proceedings of the 32nd International BCS Human Computer Interaction Conference (HCI 2018). The eWiC Series (2018). https://doi.org/10.14236/ewic/HCI2018.49. 2018 British Human Computer Interaction Conference (HCI 2018)

  19. Scobbie, L., Dixon, D., Wyke, S.: Goal setting and action planning in the rehabilitation setting: development of a theoretically informed practice framework. Clin. Rehabil. 25(5), 468–482 (2011)

    Article  Google Scholar 

  20. Stacey, D., et al.: Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst. Rev. 4, CD001431 (2017)

    Google Scholar 

  21. Stiggelbout, A.M., et al.: Shared decision making: really putting patients at the centre of healthcare. BMJ 344, e256 (2012)

    Article  Google Scholar 

  22. Visseren, F.L.J., et al.: 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies With the special contribution of the European Association of Preventive Cardiology (EAPC). Eur. Heart J. 42(34), 3227–3337 (2021). https://doi.org/10.1093/eurheartj/ehab484

  23. Wennberg, J.E., Fisher, E.S., Skinner, J.S.: Geography and the debate over Medicare reform. Health Aff. (Millwood) Suppl. Web Exclusives 96–114 (2002)

    Google Scholar 

Download references

Acknowledgements

The research presented in this paper was supported by grants from the Special Research Fund (BOF) of Hasselt University (BOF18DOC26), and from FWO (FWO-ICA project EXPERT network G0F4220N). The CoroPrevention project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 848056.

Author information

Authors and Affiliations

  1. HCI and eHealth, Faculty of Sciences, UHasselt, 3590, Diepenbeek, Belgium

    Wald Habets, Cindel Bonneux, Wim Ramakers & Karin Coninx

  2. Faculty of Medicine and Life Sciences, UHasselt, 3590, Diepenbeek, Belgium

    Martijn Scherrenberg & Paul Dendale

  3. BIOMED/REVAL, Faculty of Rehabilitation Sciences, UHasselt, 3590, Diepenbeek, Belgium

    Dominique Hansen

  4. Heart Centre Hasselt, Jessa Hospital, 3500, Hasselt, Belgium

    Martijn Scherrenberg, Dominique Hansen & Paul Dendale

Authors
  1. Wald Habets
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Martijn Scherrenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Cindel Bonneux
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Wim Ramakers
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Dominique Hansen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Paul Dendale
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Karin Coninx
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Karin Coninx .

Editor information

Editors and Affiliations

  1. Wrocław University of Economics Institute of Business Informatics and Macquarie University,, Wroclaw, Poland

    Leszek A. Maciaszek

  2. University of Ulster, Newtownabbey, UK

    Maurice D. Mulvenna

  3. RWTH Aachen University, Aachen, Germany

    Martina Ziefle

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Habets, W. et al. (2023). Design and Initial Evaluation of Technology-Supported Shared Decision Making for Secondary Prevention in Cardiac Patients in the CoroPrevention Project. In: Maciaszek, L.A., Mulvenna, M.D., Ziefle, M. (eds) Information and Communication Technologies for Ageing Well and e-Health. ICT4AWE ICT4AWE 2021 2022. Communications in Computer and Information Science, vol 1856. Springer, Cham. https://doi.org/10.1007/978-3-031-37496-8_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-37496-8_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-37495-1

  • Online ISBN: 978-3-031-37496-8

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics

Search

Navigation