Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study
Abstract Background Approximately 30% of patients with atrial fibrillation suffer from depression. Depression in patients with atrial fibrillation is associated with poor health outcomes, reduced health-related quality of life, and elevated societal costs. Preventing depression in this population ma...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-024-01586-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544973319667712 |
|---|---|
| author | Charlotte Helmark Robert Ahm Axel Brandes Søren J. Skovbakke Jens Cosedis Nielsen Lisbeth Frostholm Rod S. Taylor Susanne S. Pedersen |
| author_facet | Charlotte Helmark Robert Ahm Axel Brandes Søren J. Skovbakke Jens Cosedis Nielsen Lisbeth Frostholm Rod S. Taylor Susanne S. Pedersen |
| author_sort | Charlotte Helmark |
| collection | DOAJ |
| description | Abstract Background Approximately 30% of patients with atrial fibrillation suffer from depression. Depression in patients with atrial fibrillation is associated with poor health outcomes, reduced health-related quality of life, and elevated societal costs. Preventing depression in this population may therefore lead to better health outcomes for the individual patient and reduced burden on society. Online psychological interventions are innovative and evidence-based modes of healthcare delivery. The objective was—through a user-centered design—to develop a personalized online psychological intervention aiming at preventing depression in patients with atrial fibrillation. Methods Guided by the Intervention Mapping framework for the development of complex interventions, we used a qualitative design and conducted a series of collaborative workshops with patients (n = 8) with atrial fibrillation. Results Through intensive collaboration, we developed the HOPE-AF intervention targeting nine risk factors for depression that were meaningful to patients. It contains four basic modules that give effective tools to handle daily psychological struggles. Furthermore, patients will receive personal risk factors modules. The evidence-based psychological methodology was applied to all modules. Primary lessons learned were (1) engaging patients from the start to ensure the intervention becomes meaningful; (2) using positive phrasing in all patient-related materials to promote motivation; (3) incorporating patients’ choice of preference where possible to personalize the intervention. Conclusion Based on a user-centered design, the HOPE-AF intervention aiming to prevent depression in patients with AF, was developed. It was confirmed that it is crucial to engage end-users in the development of complex interventions to accommodate their needs and preferences. The Hope-AF intervention will now be tested in a feasibility study. |
| format | Article |
| id | doaj-art-63a937f4b98249c09223418891cf4c79 |
| institution | Kabale University |
| issn | 2055-5784 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj-art-63a937f4b98249c09223418891cf4c792025-01-12T12:08:29ZengBMCPilot and Feasibility Studies2055-57842025-01-0111111010.1186/s40814-024-01586-1Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design studyCharlotte Helmark0Robert Ahm1Axel Brandes2Søren J. Skovbakke3Jens Cosedis Nielsen4Lisbeth Frostholm5Rod S. Taylor6Susanne S. Pedersen7Department of Cardiology, Zealand University HospitalDepartment of Psychology, University of Southern DenmarkDepartment of Cardiology, Department of Regional Health Research, University of Southern DenmarkDepartment of Psychology, University of Southern DenmarkDepartment of Cardiology, Department of Clinical Medicine, Aarhus University Hospitaland, Aarhus University Department of Clinical Medicine, Aarhus UniversityDepartment of Psychology, University of Southern DenmarkDepartment of Psychology, University of Southern DenmarkAbstract Background Approximately 30% of patients with atrial fibrillation suffer from depression. Depression in patients with atrial fibrillation is associated with poor health outcomes, reduced health-related quality of life, and elevated societal costs. Preventing depression in this population may therefore lead to better health outcomes for the individual patient and reduced burden on society. Online psychological interventions are innovative and evidence-based modes of healthcare delivery. The objective was—through a user-centered design—to develop a personalized online psychological intervention aiming at preventing depression in patients with atrial fibrillation. Methods Guided by the Intervention Mapping framework for the development of complex interventions, we used a qualitative design and conducted a series of collaborative workshops with patients (n = 8) with atrial fibrillation. Results Through intensive collaboration, we developed the HOPE-AF intervention targeting nine risk factors for depression that were meaningful to patients. It contains four basic modules that give effective tools to handle daily psychological struggles. Furthermore, patients will receive personal risk factors modules. The evidence-based psychological methodology was applied to all modules. Primary lessons learned were (1) engaging patients from the start to ensure the intervention becomes meaningful; (2) using positive phrasing in all patient-related materials to promote motivation; (3) incorporating patients’ choice of preference where possible to personalize the intervention. Conclusion Based on a user-centered design, the HOPE-AF intervention aiming to prevent depression in patients with AF, was developed. It was confirmed that it is crucial to engage end-users in the development of complex interventions to accommodate their needs and preferences. The Hope-AF intervention will now be tested in a feasibility study.https://doi.org/10.1186/s40814-024-01586-1Atrial fibrillationDepressionEHealthPatient engagementPreventionUser-centered design |
| spellingShingle | Charlotte Helmark Robert Ahm Axel Brandes Søren J. Skovbakke Jens Cosedis Nielsen Lisbeth Frostholm Rod S. Taylor Susanne S. Pedersen Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study Pilot and Feasibility Studies Atrial fibrillation Depression EHealth Patient engagement Prevention User-centered design |
| title | Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study |
| title_full | Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study |
| title_fullStr | Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study |
| title_full_unstemmed | Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study |
| title_short | Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study |
| title_sort | development of an online psychological intervention to prevent depression in patients with atrial fibrillation lessons learned in a user centered design study |
| topic | Atrial fibrillation Depression EHealth Patient engagement Prevention User-centered design |
| url | https://doi.org/10.1186/s40814-024-01586-1 |
| work_keys_str_mv | AT charlottehelmark developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy AT robertahm developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy AT axelbrandes developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy AT sørenjskovbakke developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy AT jenscosedisnielsen developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy AT lisbethfrostholm developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy AT rodstaylor developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy AT susannespedersen developmentofanonlinepsychologicalinterventiontopreventdepressioninpatientswithatrialfibrillationlessonslearnedinausercentereddesignstudy |