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Table 4 Identified needs for an E = M-tool in the participating hospital departments, resulting from the needs questionnaire, interviews and patient panel (Track 1)

From: Implementing Exercise = Medicine in routine clinical care; needs for an online tool and key decisions for implementation of Exercise = Medicine within two Dutch academic hospitals

Items

Results

User objectives

Able to generate a PA advice

 

Able to select eligible adult patients for referral to PA interventions

 

Usable during consultation by clinicians and patients

 

Usable as research data by researchers

 

Track the use of the tool among clinicians for research purposes

Input

Patients provide information about activity level, concerning

 

  Current PA behavior

 

  BMI

 

  Motivation to change PA behavior

 

  Personal characteristics: age, gender, etc

 

  Diagnosis

 

  Co-morbidity

 

  Intoxication

 

  Health related quality of life

 

Use of international PA guidelines

 

Use of PA levels/guidelines tailored to diagnosis groups

Output

Tool should generate tailored PA advice on patients’ diagnosis indicate

 

  The urgency to be more physically active

 

  Willingness to change

 

  Need for PA coaching

 

Scores are compared to guidelines

 

Predict the personal benefits of PA

 

PA advice is short, simple and visualized with symbols and color coding

 

Generate referral options in/outside hospital

 

PA advice is one-off, stored in EMR, printable and handed out to patient

 

PA advice is not necessarily shared with paramedics outside hospital

 

Feedback is not necessarily given on the patient's progress at follow-up appointments

Technical aspects

A digital tool is required

 

Include an algorithm to compare patient’ scores with PA guidelines

 

Linked to existing hospitals’ EMR

 

Provided by a reliable and safe system

 

Data can be retrieved from EMR

 

All clinicians, with a treatment relation to the patient from the same hospital have tool access

 

Clinicians should be able to add medical information

 

Software providers RoQua/Klik should collaborate

 

Local privacy and security regulations of medical data are applied

User stories

E = M-tool should make implementation of E = M as easy as possible for all entities

 

The tool should show the results and generate advice through the EMR

 

The tool should provide individual tailored PA advice

 

Patients should provide information for their PA advice

 

Researchers should inform patients about the use of the tool and the PA advice

 

Researchers should have access to the data for research (after patient consent)

  1. PA physical activity, BMI Body Mass Index, EMR Electronic Medical Record