title: An interactive-technology health behavior promotion program for heart failure patients: a pilot study of experiences and needs of patients and nurses in the hospital setting.
abstract: BACKGROUND
  Heart failure (HF) is a chronic condition, prevalent especially among older people, characterized by acute episodes leading to hospitalization. To promote HF patients' engagement in physical activity (PA) and adherence to medication, we developed Motivate4Change: a new interactive, information and communication technology (ICT)-based health promotion program for delivery in the hospital. The development of this program was guided by the Intervention Mapping protocol for the planning of health promotion programs. The users of Motivate4Change were defined as hospitalized HF patients and hospital nurses involved in HF patient education.
  
  
  OBJECTIVE
  Two aims were addressed. First, to explore the use of interactive technology in the hospital setting and second, to evaluate user needs in order to incorporate them in Motivate4Change.
  
  
  METHODS
  Participant observations at a hospital in the United Kingdom and semistructured interviews were conducted with hospitalized HF patients and HF nurses following their completion of Motivate4Change. Interviews were recorded, transcribed, and analyzed according to a thematic coding approach.
  
  
  RESULTS
  Seven patients and 3 nurses completed Motivate4Change and were interviewed. Results demonstrated that patient needs included empathic and contextual content, interactive learning, and support from others, including nurses and family members. The nurse needs included integration in current educational practices and finding opportunities for provision of the program.
  
  
  CONCLUSIONS
  The current work provides insight into user needs regarding an interactive-technology health promotion program for implementation in the hospital setting, such as Motivate4Change.
authors.affiliation: Philips Research, Briarcliff Manor, NY, United States. rony.calo@philips.com.
authors.forename: Rony
authors.initials: R
authors.lastname: Oosterom-Calo
authors.forename: Tineke A
authors.initials: TA
authors.lastname: Abma
authors.forename: Merel A
authors.initials: MA
authors.lastname: Visse
authors.forename: Wim
authors.initials: W
authors.lastname: Stut
authors.forename: Saskia J
authors.initials: SJ
authors.lastname: Te Velde
authors.forename: Johannes
authors.initials: J
authors.lastname: Brug
keywords: health promotion; heart failure; hospital; interactive-technology; medication adherence; nurses; patients; physical activity; user needs