Table 2 Requirements for an eRehabilitation program in stroke care according to patients, informal caregivers and health professionals

Accessibility:

Access:

No internet connection is required to use eHealth interventions (offline use). (1)

X

X

eHealth interventions are accessible without logging on each time. (2)

X

X

Applicable to most commonly possessed ICT-devices (laptop, tablet and smartphone). (3)

X

Access for health professionals to the electronic patient record to stay informed about training results. (4)

X

Applicable on computers at the rehabilitation center and synchronization with programs used for the electronic patient record. (5)

X

Different eHealth interventions should be brought together in one central dashboard. (6)

X

Usability:

Product attributes (visual):

Use of pictograms, symbols and graphics. (1)

X

X

Non-flashing and tranquil interface. (2)

X

X

Adjustable lay-out settings (font style, font size, background and colors). (3)

X

Product attributes (auditory):

Ability to listen to written text. (4)

X

X

Sounds for alert or as feedback. (5)

X

Product attributes (simplicity):

Limited amount of open webpages as a consequence of using a service. (6)

X

X

Limited amount of information on a single screen. (7)

X

Limited options on a single screen to click further to another screen. (8)

X

Service (support):

Menu with frequently asked questions (FAC). (9)

X

X

Videos with instructions on how to use eRehabilitation. (10)

X

X

Helpdesk. (11)

X

X

Direct assistance at home/ workplace. (12)

X

Content

Personalized training facilities:

Physical exercises. (1)

X

X

Exercises for cognitive functioning. (2)

X

X

Speech exercises. (3)

X

X

Tracking:

Monitor activities in daily living (i.e. what activities and for how long). (4)

X

X

A video system to record exercises at home. (5)

X

Monitor a patients’ health status (e.g. body weight, heart rate function, etc.). (6)

X

Agenda and reminders:

Insight in the rehabilitation schedule of a patient. (7)

X

X

A reminder function for scheduled appointments. (8)

X

X

Scheduled time to use eRehabilitation (digital training). (9)

X

X

Scheduling appointments with health professionals on the initiative of patients and their informal caregivers. (10)

X

X

Communication:

Contact with peers (patients) to share experiences on how to cope with having a stroke. (11)

X

X

Contact with peers (care givers) to share experiences on how to cope with having a relative with stroke. (12)

X

X

Communication between patients and their informal caregivers and health professionals from a distance (telecommunication). (13)

X

X

Information:

General information about stroke. (14)

X

X

Hyperlinks to reliable and relevant web pages for patients with stroke and their informal caregivers. (15)

X

X

Information about patient organizations. (16)

X

X

Information on how to cope with consequences of stroke (psycho-education). (17)

X

X

Descriptions on how to perform daily activities (strategy training). (18)

X

Insight in agreements and information discussed during a consult. (19)

X

Insight in final reports of a patients’ rehabilitation process. (20)

X

Goal setting and evaluation:

Setting goals for eRehabilitation. (21)

X

X

Evaluation of goals for eRehabilitation. (22)

X

X

Feedback about training results (i.e. insight in what is trained, the number of completed training sessions and training outcomes). (23)

X

X

Feedback on goals (i.e. when a goal is accomplished). (24)

X

X

Use of clinical assessments for goal setting and goal evaluation. (25)

X

Use of valid questionnaires for goal setting and goal evaluation. (26)

X

Compare training outcomes of a single patient with those of other patients. (27)

X