title: Do participation and personalization matter? A model-driven evaluation of an Internet-based patient education intervention for fibromyalgia patients.
abstract: OBJECTIVE
  To evaluate the effectiveness of an Internet-based patient education intervention, which was designed upon principles of personalization and participatory design.
  
  
  METHODS
  Fifteen months after the first release of the website, 209 fibromyalgia patients recruited through health professionals completed an online questionnaire to assess patients' use of the website, health knowledge, self-management behavior, and health outcomes. These constructs were combined into an a-priory model that was tested using a structural equation modeling approach.
  
  
  RESULTS
  Results show that the usage of certain tools of the website - designed and personalized involving the end users - impacts patients' health knowledge, which in turn impacts self-management. Improvements in self-management ultimately lower the impact of Fibromyalgia Syndrome leading to better health outcomes.
  
  
  CONCLUSIONS
  This study empirically confirmed that the adoption of a participatory approach to the design of eHealth interventions and the use of personalized contents enhance the overall effectiveness of systems.
  
  
  CONCLUSIONS
  More time and effort should be invested in involving patients in the preliminary phases of the development of Internet-based patient education interventions and in the definition of models that can guide the systems' evaluation beyond technology-related variables such as usability, accessibility or adoption.
authors.affiliation: Institute of Communication and Health, Università della Svizzera italiana, Lugano, Switzerland.
authors.forename: Luca
authors.initials: L
authors.lastname: Camerini
authors.forename: Anne-Linda
authors.initials: AL
authors.lastname: Camerini
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Schulz
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005356:Fibromyalgia / Q000628:therapy*; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D017063:Outcome Assessment, Health Care / Q000379:methods; D010353:Patient Education as Topic; D010358:Patient Participation; D015397:Program Evaluation; D012648:Self Care; D011795:Surveys and Questionnaires; D017216:Telemedicine
keywords: Fibromyalgia Syndrome; Internet; Patient education; Theory-driven evaluation; eHealth