title: Trust in telemedicine portals for rehabilitation care: an exploratory focus group study with patients and healthcare professionals.
abstract: BACKGROUND
  For many eServices, end-user trust is a crucial prerequisite for use. Within the context of Telemedicine, the role of trust has hardly ever been studied. In this study, we explored what determines trust in portals that facilitate rehabilitation therapy, both from the perspective of the patient and the healthcare professional.
  
  
  METHODS
  We held two focus groups with patients (total n = 15) and two with healthcare professionals (total n = 13) in which we discussed when trust matters, what makes up trust in a rehabilitation portal, what effect specific design cues have, and how much the participants trust the use of activity sensor data for informing treatment.
  
  
  RESULTS
  Trust in a rehabilitation portal is the sum of trust in different factors. These factors and what makes up these factors differ for patients and healthcare professionals. For example, trust in technology is made up, for patients, mostly by a perceived level of control and privacy, while for healthcare professionals, a larger and different set of issues play a role, including technical reliability and a transparent data storage policy. Healthcare professionals distrust activity sensor data for informing patient treatment, as they think that sensors are unable to record the whole range of movements that patients make (e.g., walking and ironing clothes).
  
  
  CONCLUSIONS
  The set of factors that affect trust in a rehabilitation portal are different from the sets that have been found for other contexts, like eCommerce. Trust in telemedicine technology should be studied as a separate subject to inform the design of reliable interventions.
authors.affiliation: Telemedicine group, Roessingh Research and Development, P.O. box 310, 7500AH, Enschede, The Netherlands. l.vanvelsen@rrd.nl.|University of Twente, P.O. box 217, 7500AE, Enschede, The Netherlands. l.vanvelsen@rrd.nl.
authors.forename: Lex
authors.initials: L
authors.lastname: Van Velsen
authors.affiliation: Waag Society, Sint Antoniesbreestraat 69, 1011HB, Amsterdam, The Netherlands. sabine@waag.org.|VU University, Talma Institute, De Boelelaan 1081, 1081HV, Amsterdam, The Netherlands. sabine@waag.org.
authors.forename: Sabine
authors.initials: S
authors.lastname: Wildevuur
authors.affiliation: Roessingh Center for Rehabilitation, P.O. box 310, 7500AH, Enschede, The Netherlands. i.flierman@roessingh.nl.
authors.forename: Ina
authors.initials: I
authors.lastname: Flierman
authors.affiliation: Telemedicine group, Roessingh Research and Development, P.O. box 310, 7500AH, Enschede, The Netherlands. b.vanschooten@rrd.nl.
authors.forename: Boris
authors.initials: B
authors.lastname: Van Schooten
authors.affiliation: Telemedicine group, Roessingh Research and Development, P.O. box 310, 7500AH, Enschede, The Netherlands. m.tabak@rrd.nl.|University of Twente, P.O. box 217, 7500AE, Enschede, The Netherlands. m.tabak@rrd.nl.
authors.forename: Monique
authors.initials: M
authors.lastname: Tabak
authors.affiliation: Telemedicine group, Roessingh Research and Development, P.O. box 310, 7500AH, Enschede, The Netherlands. h.hermens@rrd.nl.|University of Twente, P.O. box 217, 7500AE, Enschede, The Netherlands. h.hermens@rrd.nl.
authors.forename: Hermie
authors.initials: H
authors.lastname: Hermens
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012046:Rehabilitation / Q000379:methods*; D017216:Telemedicine / Q000592:standards*; D035502:Trust
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