TY  - JOUR
AU  - Cohen Rodrigues, Talia R
AU  - de Buisonjé, David R
AU  - Keesman, Mike
AU  - Reijnders, Thomas
AU  - van der Geer, Jessica E
AU  - Janssen, Veronica R
AU  - Kraaijenhagen, Roderik A
AU  - Atsma, Douwe E
AU  - Evers, Andrea W M
PY  - 2021
DA  - 2021/10/15
TI  - Facilitators of and Barriers to Lifestyle Support and eHealth Solutions: Interview Study Among Health Care Professionals Working in Cardiac Care
JO  - J Med Internet Res
SP  - e25646
VL  - 23
IS  - 10
KW  - eHealth
KW  - digital health
KW  - cardiovascular disease
KW  - cardiac care
KW  - lifestyle change
KW  - lifestyle support
KW  - intervention
KW  - health care professionals
KW  - implementation
KW  - interview
KW  - facilitators
KW  - barriers
AB  - Background: Cardiovascular diseases (CVDs) pose a significant health threat and reduce both people’s life expectancy and quality of life. Healthy living is a key component in the effective prevention and treatment of CVD. However, health care professionals (HCPs) experience difficulties in supporting lifestyle changes among their patients. eHealth can provide a solution to these barriers. Objective: This study aims to provide insights into the factors HCPs find important in the support of patients with CVD in the uptake of and adherence to a healthy lifestyle and the perceived facilitators of and barriers to using eHealth to provide lifestyle support to patients with CVD. Methods: In-depth interviews were conducted with 16 Dutch HCPs specializing in lifestyle support in cardiac care. Results: We identified 13 themes, of which the first 12 concerned lifestyle support in general and were related to intervention, patient, or health care. Throughout these themes, the use of eHealth reoccurred as a potential facilitator of or solution to barriers to lifestyle support. Our final theme specifically concerned barriers to the adoption and usability of eHealth. Conclusions: HCPs do recognize the potential advantages of eHealth while experiencing barriers to using digital tools. Incorporating their needs and values in the development of lifestyle support programs, especially eHealth, could increase their use and lead to a more widespread adoption of eHealth into health care. 
SN  - 1438-8871
UR  - https://www.jmir.org/2021/10/e25646
UR  - https://doi.org/10.2196/25646
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34652280
DO  - 10.2196/25646
ID  - info:doi/10.2196/25646
ER  -