Creating value with eHealth: identification of the value proposition with key stakeholders for the resilience navigator app

Aniek Lentferink, Louis Polstra, Austin D'Souza, Hilbrand Oldenhuis, Hugo Velthuijsen, Lisette van Gemert-Pijnen

Research output: Contribution to journalArticleAcademicpeer-review


Background: For a stress-management app to be persuasive and impactful, designers and developers should
obtain a clear perspective of the value proposition according to key stakeholders before development. However,
this is often not the case. In order to increase the chance of creating an impact by means of the Resilience
Navigator app, this study aims to identify key stakeholders and work with them to gain an in-depth understanding
of the value proposition of this stress-management app.
Methods: The approach used in this study builds on the approaches taken by Van Limburg et al. and Van Woezik
et al. An initial list of stakeholders was identified by means of a literature scan. Stakeholders on this initial list took
an online survey to identify key stakeholders with a ranking system. Semi-structured interviews were conducted
with a subset of key stakeholders to identify the value proposition using the value proposition canvas as a
framework for data collection. Finally, the value proposition was validated by key stakeholders during focus groups.
Results: The key stakeholders identified included employees, employers, participation councils within organisations,
HR advisors, product owners, company doctors, and business analysts. The interviews produced a list of
approximately one hundred values from which fifteen core values were distilled. One example is to take into
account time constraints experienced by users during stress periods. In general, the Resilience Navigator app’s main
goal is to increase awareness of personal stress levels and causes of stress. In addition, the sub-goal is to increase
skills for effective stress management. The focus groups validated the idea that the most important values were
reflected in the value proposition and had been appropriately translated into design elements, according to key
Conclusions: A thorough, bottom-up identification and validation of the value proposition for the Resilience
Navigator app was obtained, reflecting key stakeholders’ varying ideas on this piece of eHealth technology. The
results will facilitate the continued development of the Resilience Navigator app from the value specification phase
to the design phase. In the design phase, the remaining assumptions regarding the app’s value proposition should
be tested using rapid prototyping.
Original languageEnglish
Article number76
Pages (from-to)76
Number of pages1
JournalBMC Medical Informatics and Decision Making
Issue number1
Publication statusPublished - 27 Apr 2020


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