Evaluation of e-health apps
Co-creation is recommended
The researchers in the IROHLA project recommend close collaboration between developers and public health professionals in order to formulate clear effectiveness indicators based on the IROHLA model and the Six steps for improving health literacy.
The following aspects are important in evaluating e-health:
- The levels of perceived effectiveness may be very different for ICT professionals, public health professionals, policy makers and end users. A consensus between all stakeholders regarding effectiveness must be reached prior to implementation
- Think and plan for cost-effectiveness analysis both long and short term. This information is important for policy makers, future funders and the private sector
- Set clear objectives against which results can be measured. Objectives relate to what the application will achieve. A specific reduction in hospital re-admissions or a specific reduction in weight, for example.
- Conduct in depth needs assessment and if possible build the application with the participation of the end users. The IROHLA group piloting ICT applications used the following needs assessment questionnaire.
- Set clear effectiveness indicators related to the main objectives of the application.
- Measure improvement of health literacy outcomes.
- Clearly link expected outcomes to clinical and medical protocols, including therapy protocols and guidelines. Clinical improvement should be linked to the outcomes which the application is expected to achieve.