A multi-stakeholder approach to eHealth development: promoting sustained healthy living among cardiovascular patients

Background: Healthy living is key in the prevention and rehabilitation of cardiovascular disease (CVD). Yet, supporting and maintaining a healthy lifestyle is exceptionally difficult and people differ in their needs regarding optimal support for healthy lifestyle interventions.Objective: The goals of this study were threefold: to uncover stakeholders' needs and preferences, to translate these to core values, and develop eHealth technology based on these core values. Our primary research question is: What type of eHealth application to support healthy living among people with (a high risk of) CVD would provide the greatest benefit for all stakeholders? Methods: User-centered design principles from the CeHRes roadmap for eHealth development were followed to guide the uncovering of important stakeholder values. Data were synthesized from various qualitative studies (i. e., literature studies, interviews, think-aloud sessions, focus groups) and usability tests (i.e., heuristic evaluation, cognitive walkthrough, think aloud study). We also developed an innovative application evaluation tool to perform a competitor analysis on 33 eHealth applications. Finally, to make sure to take into account all end-users needs and preferences in eHealth technology development, we created personas and a customer journey.Results: We uncovered 10 universal values to which eHealth-based initiatives to support healthy living in the context of CVD prevention and rehabilitation should adhere to (e.g., providing social support, stimulating intrinsic motivation, offering continuity of care). These values were translated to 14 desired core attributes and then prototype designs. Interestingly, we found that the primary attribute of good eHealth technology was not a single intervention principle, but rather that the technology should be in the form of a digital platform disseminating various interventions, i.e., a 'one-stop-shop'.Conclusion: Various stakeholders in the field of cardiovascular prevention and rehabilitation may benefit most from utilizing one personalized eHealth platform that integrates a variety of evidence-based interventions, rather than a new tool. Instead of a one-size-fits-all approach, this digital platform should aid the matchmaking between patients and specific interventions based on personal characteristics and preferences.Cardiolog

A multi-stakeholder approach to eHealth development: Promoting sustained healthy living among cardiovascular patients

Background: Healthy living is key in the prevention and rehabilitation of cardiovascular disease (CVD). Yet, supporting and maintaining a healthy lifestyle is exceptionally difficult and people differ in their needs regarding optimal support for healthy lifestyle interventions. Objective: The goals of this study were threefold: to uncover stakeholders’ needs and preferences, to translate these to core values, and develop eHealth technology based on these core values. Our primary research question is: What type of eHealth application to support healthy living among people with (a high risk of) CVD would provide the greatest benefit for all stakeholders? Methods: User-centered design principles from the CeHRes roadmap for eHealth development were followed to guide the uncovering of important stakeholder values. Data were synthesized from various qualitative studies (i.e., literature studies, interviews, think-aloud sessions, focus groups) and usability tests (i.e., heuristic evaluation, cognitive walkthrough, think aloud study). We also developed an innovative application evaluation tool to perform a competitor analysis on 33 eHealth applications. Finally, to make sure to take into account all end-users needs and preferences in eHealth technology development, we created personas and a customer journey. Results: We uncovered 10 universal values to which eHealth-based initiatives to support healthy living in the context of CVD prevention and rehabilitation should adhere to (e.g., providing social support, stimulating intrinsic motivation, offering continuity of care). These values were translated to 14 desired core attributes and then prototype designs. Interestingly, we found that the primary attribute of good eHealth technology was not a single intervention principle, but rather that the technology should be in the form of a digital platform disseminating various interventions, i.e., a ‘one-stop-shop’. Conclusion: Various stakeholders in the field of cardiovascular prevention and rehabilitation may benefit most from utilizing one personalized eHealth platform that integrates a variety of evidence-based interventions, rather than a new tool. Instead of a one-size-fits-all approach, this digital platform should aid the matchmaking between patients and specific interventions based on personal characteristics and preferences

Being in control: Policing bodies, emotions and violence

We expect the police to ‘be in control’. At the same time, control is essential to officers’ daily routines, for executing their job of maintaining public order, and ensuring safety for others and themselves. But what does it mean to ‘have’ or to ‘be’ in control? How do officers maintain it? In what ways do they attempt to gain control, and how do they make sure not to lose it; over situations, civilians or suspects, and over themselves? While control is at the heart of many policing studies and analysed from fields of criminology, sociology, law, political science, social- and public policy and other behavioural sciences, control itself is rarely questioned. In this book, I examine what control means in the context of police work. Based on a long-term ethnography of the Dutch police, I answer how control works from three analytical lenses: 1) violence and antagonism, 2) bodies and emotions, and 3) trajectories and anticipations. I develop a phenomenological-interactionist approach to analyse officers’ micro-level behaviours in antagonistic interactions, their embodied and emotional experiences, and meaning-making of control and violence. I show that control is not a matter of ‘to have or to have not’. Rather, police officers enact control; they put it into being. I propose a non-essentialist understanding of control to elucidate in what ways it is enacted. More specifically, I illustrate that police officers enact realities of control on bodily, emotional, discursive and visual levels by constructing particular futures, using certain discourses and applying forms of emotion/body regulation. The feeling of ‘being in control’ is thus also enacted. In short, this book specifies the ways in which police officers ‘do control’

Being in control: Policing bodies, emotions and violence

We expect the police to ‘be in control’. At the same time, control is essential to officers’ daily routines, for executing their job of maintaining public order, and ensuring safety for others and themselves. But what does it mean to ‘have’ or to ‘be’ in control? How do officers maintain it? In what ways do they attempt to gain control, and how do they make sure not to lose it; over situations, civilians or suspects, and over themselves? While control is at the heart of many policing studies and analysed from fields of criminology, sociology, law, political science, social- and public policy and other behavioural sciences, control itself is rarely questioned. In this book, I examine what control means in the context of police work. Based on a long-term ethnography of the Dutch police, I answer how control works from three analytical lenses: 1) violence and antagonism, 2) bodies and emotions, and 3) trajectories and anticipations. I develop a phenomenological-interactionist approach to analyse officers’ micro-level behaviours in antagonistic interactions, their embodied and emotional experiences, and meaning-making of control and violence. I show that control is not a matter of ‘to have or to have not’. Rather, police officers enact control; they put it into being. I propose a non-essentialist understanding of control to elucidate in what ways it is enacted. More specifically, I illustrate that police officers enact realities of control on bodily, emotional, discursive and visual levels by constructing particular futures, using certain discourses and applying forms of emotion/body regulation. The feeling of ‘being in control’ is thus also enacted. In short, this book specifies the ways in which police officers ‘do control’