Table 6 Decisions of E = M-tool prescription tailored to hospital departments in this study

UMC Groningen (Rehabilitation, Orthopedics)

Amsterdam UMC (Rehabilitation)

The collection of patient information

What is the target group?

Patients with complaints on:

Patients diagnosed with

  Shoulder

  Multiple scleroris

  Hand

  Chronic pain

  Hip

  Knee

  Ankle

  Foot

What patient-information assessed?

Personal characteristics

Personal characteristics

PA

PA

BMI

BMI

Motivation

Motivation

Need to discuss PA with a PA expert

Diagnosis

How is patient-information collected?

With a digital questionnaire linked to the EMR

With a digital questionnaire linked to the EMR

How are patients informed and how are login details send out for questionnaires?

Researcher (during pilot)

Medical administration (during pilot and usual care)

Medical administration (during usual care)

The diagnosis

How will the clinician receive the patient-information?

In the EMR file

In the EMR file

What information is used to make a distinction between sufficiently active or not?

ACSM PA norm [13]

ACSM PA norm [13]

What cut-off points are used in the algorithm?

PA < 150 min

 PA < 150 min

BMI norm > 25

BMI norm > 25

Motivational cut-off point

Will the PA advice be discussed with the patient?

Discuss PA advice with clinician/PA expert

Discuss PA advice with clinician

The consultation

How is patient-information obtained for the PA advice?

Automatically generated PA advice visible via the EMR

Automatically generated PA advice visible via the EMR

Where does it fit in the care process?

During intake and follow-ups

During intake and follow-ups

What is the content of the PA advice?

Results of assessed patient information

Results of assessed patient information

Comparison of results with guidelines

Comparison of results with guidelines

Tailored PA advice

Tailored PA advice

Diagnosis specific benefits of PA

Conversation suggestions for physicians to motivate patients

Eligibility for referral

Online referral options

Possibility to adapt advice to personal circumstances

PA referral options in/outside hospital

The PA advice

What are criteria of the output?

Automatically generated PA advice within the EMR

Automatically generated PA advice within the EMR

Visualized with colored symbols

Visualized with colored symbols

Visible in the patient profile of the EMR

Visible in the patient profile of the EMR

Printed PA advice and handed to the patient, optionally sent by email

Verbally during consultation

Saved in de EMR

What are the PA referral criteria?

ACSM PA norm [13] < 150 min, or:

ACSM PA norm [13] < 150 min, or:

BMI norm > 25, or:

BMI norm > 25

Need to discuss PA with a PA expert

Is referral to intermediary person possible?

Yes

No

Is feedback of PA advice/PA intervention given to other medical professionals?

No

No

Extra information and guidance

Handout with websites and Apps

Verbally websites + KLIK page

The PA referral

Is referral to intermediary person within the hospital possible?

Consultation with lifestyle adviser, physiotherapist or sport consultant

Physiotherapist

What is the content of the consultation with an internal intermediary?

PA preferences

Current PA behavior

PA goals

Inform about PA guidelines

Motivation for PA

External referral options

Barriers to PA

Action plan

External referral options

What are the external PA referral options outside the hospital?

PA interventions in patient’s vicinity

PA interventions in patient’s vicinity

Primary care lifestyle interventions

Primary care lifestyle interventions

Regular referral options, e.g.: physiotherapist

Regular referral options, e.g.: physiotherapist

Is feedback given to a physician of the PA advice?

No

Yes, to GP with copy of PA advice in a GP letter