Hanneke Kip

Hanneke Kip

My research focuses on the development of eHealth technologies that monitor and coach aggressive behaviour of forensic psychiatric patients. I am a teacher in Health Psychology & Technology as well.

Location University of Twente


  • Thanks, we'll take it into account for the next run!

  • Representativeness is not the most important criteria for usability testing, since the goal is not to generalize the results. Of course, there should be some variety in the participants though.

  • What's going wrong?

  • Dealing with conflicting values/requirements can be tricky, making a decision is often up to the developers. Depends on argumentation and sometimes also practical constraints.

  • Nice example of why the context matters, helpline would be a better fit for African countries but probably not for the Netherlands.
    Posters might be useful as well, maybe also as a way to disseminate the app, as a part of implementation. (more on that in week 5, by the way)

  • Requirements should state what kind of platform should be used, but can also say something about the content of the technology, depends on the type of requirement.

  • Roeland, that was also a step in that research process and we of course conducted a thorough contextual inquiry before diving into the requirements. However, because of the limited scope of this course, we did not include all of that information here as well.

  • Of course the process is a lot more elaborate than described here: we briefly point out some important phases of the development process.
    Since the focus of the MOOC is broader than just human centered design, we chose to not go into depth too much, since that would mean less time to discuss other things that are relevant for eHealth.
    But things like...

  • Thanks for the feedback, we're trying to make the abstract language and terminologie (which is necessary to describe what we want to describe) a bit clearer with examples, so hopefully the next steps made it a bit clearer.

  • Indeed, that's why a thorough analysis of stakeholders is important for both development and implementation.

  • True, that's why a business model and a good implementation - with consideration of the needs and work process of the doctor as well - is very important for eHealth.

  • Using technology as some kind of really basic 'self-monitoring diary' is a really nice idea, it's already being done in the Netherlands as part of a bigger intervention. Clients have to indicate their mood during the day, and can discuss these patterns with their therapist (and also gain more insight themselves, hopefully).

  • Really nice examples of ways to increase his motivation, technology can be really useful for that as well. It overlaps with persuasive features/technology, more on that in week 4.

  • I like how you extracted Dave's priorities and based your idea on that. It's very consistent with what we will do in week 3: finding out what people's values are and basing the technology on those, to make sure that the technology fits the user (in this case: Dave)

  • I agree, but fortunately we can combine the human and the technological touch!

  • Really nice and original ideas, and well-connected! I especially like the VR idea, it's an effective technology, and most people find it fun as well. At this point in time VR is mostly focused on anxiety related disorders, but it has a lot of potential for depression as well.
    Any ideas about how we can use VR in Dave's case?

  • I like the idea of tracking physical activities! In the Netherlands some mental health services are using an app that tracks movement & sleep and provides advice accordingly (site in English: http://www.getgoalie.com/?lang=en).

  • Yes, a really good way to lower the threshold for seeking face-fo-face consultation. eHealth can often be a motivation increasing or threshold-lowering method as well

  • True, it is tricky. But eHealth can also motivate people to search professional health, or lower the threshold a little bit.

  • It's an actor indeed (actually, it's me), and we phrased it like that because we wanted to paint a clear picture of Dave's needs. So don't worry!

  • Interesting discussion, I certainly agree with Jan. I think a possible worrying result should be accompanied by a referral to a doctor, if necessary. We shouldn't of course worry people unneccesarily, but we also should avoid indicating that nothing's wrong, or not referring people who are at risk to professionals. There's a fine line between those two...

  • One example is this site (in Dutch): https://www.alcoholdebaas.nl/default.aspx
    It is aimed to reduce excessive alcohol use, and users can, for example, ask a question about alcohol to a healthcare professional. There's a forum as well, for the social support from peers.

  • I already posted this link before, but these articles on Thuisarts.nl might be interesting: http://bmjopenbeta.bmj.com/content/6/11/e013166 & https://www.lumc.nl/over-het-lumc/nieuws/2016/november/zorggebruik-gedaald-thuisarts/

  • A very common reason to stop using apps! We will provide more info on that in the upcoming weeks. What exactly made the app user unfriendly?

  • Fitbit could have prevented disease on your vacation? Would you perhaps share how?

  • I recently saw this article on Thuisarts (unfortunately in Dutch): http://www.mobiledoctors.nl/2016/11/website-thuisarts-nl-zorgt-afname-huisartsbezoeken/
    It states that the amount of care required of a GP has decreased with 12% after the launch of the website Thuisarts.nl, which means a monthly decrease of 675.000 GP visits!
    Research (in English) on this...

  • Those are really nice goals, technology can really help in reaching people who are difficult to reach in other ways.

  • Thanks! So the marketing of the apps on curing depression was a bit too optimistic? ;)

  • Thanks for your clear answer, so there's definitely room for improvement and a lot of potential!

  • Yes I agree, it is something that we have to keep in mind. Overall, eHealth users are mostly highly educated, middle-aged females. Many people are not reached by eHealth technologies yet, but many initiatives are being undertaken to improve that situation.

  • Interesting perspective! Any ideas about how to achieve that?

  • That is indeed a big barrier, but will hopefully be reduced in the near future, when technology will become more available to more people

  • Thank you, very insightful! eHealth does indeed require a certain amount of customization.

  • Yes, that are some of the issues accompanying the use of technology in general, and especially for sensitive issues like personal health and wellbeing. You might find the video on ethics in Week 4 interesting, since we are addressing those kinds of topics there. They are indeed extremely relevant and might be an important factor that determines the success or...

  • The ethical part of eHealth is indeed very important to consider, but it is not insurmountable. In the Netherlands, we have the rule that companies can not give wearales to their employees, since companies are not allowed to look at the (health) data of their employees. Strict rules & regulations about the use and ownership of data are essential for successful...

  • That's a really good point, and also what we mean by ensuring a fit between the context, person and technology. The kind of technology - and its content - has to fit the user and his or her context. Technology also offers some really exiting possibilities to personalize, to make sure that the content and even design of eHealth are specifically tailored to...

  • Thank you Claire, for your insightful comments! I totally agree with you, as a psychologist myself I know how hard it is to get people to change their behaviour or even opinions. Week 4 is about changing (health) behaviour, and Week 5 about how we can help people and organizations to use eHealth, so those two weeks are especially interesting for these kinds of...

  • Good point, ethics of eHealth are important to consider as well. A bit more on that in Week 4

  • Nice and innovative example, thanks!

  • Interesting! What kind of apps did you include in your thesis? And what were some of the main findings?

  • Week 6 gives a bit more info on evaluation, and week 4 focuses on behaviour change & ensuring that people keep on using technology (persuasive technology to improve adherence and support behaviour change), so that might be interesting with regard to your remarks!

  • Nice! What is the main target group of your first example?