ESR10: Developing persuasive and adaptive ICT solutions that encourage carers’ willingness to care in real time, tailored to contexts

Work package 2
ESR Shweta Premanandan
Supervisor Prof. Pär Ågerfalk
Co-supervisor Prof. Lisette van Gemert-Pijnen & Dr. Jonas Sjöström
Host institution Uppsala Universitet, Sweden
Contact ESR coming soon
Contact supervisor

Objectives: To investigate context drive, dynamic and persuasive technologies adaptive to needs of end-users and stakeholders, to provide a real-time unobtrusive eCoaching strategy to intervene at the right moment, given the “vulnerability” and dynamic demands of the target group (carers and relatives)

eHealth Technology is considered as a challenge to resist future problems with ageing, expected limited budgets in healthcare and diversity in needs and demands of people. However, the return on investment of eHealth is too low due to high cost, low impact of technologies and obtrusive designs of ICT solutions. The context of our ESR project is willingness to care and vulnerability to receive support by providing persuasive eCoaching strategies to encourage dyadic interactions (carers and relatives). Agile development (CeHRres-Roadmap) will be used to iteratively develop and evaluate the coaching system with stakeholders (companies, healthcare management, those with an interest in ICT-solutions) and end-users. A Mixed methods design will be applied to support process and outcome evaluations testing prototypes and models. We will use usability tests, logdata in combination with ecological monitoring, and factorial designs (SMART, MOST) to assess what specific technology features contributes to outcomes (engagement, adherence, willingness to care), and machine (unsupervised, supervised) learning techniques.

Expected Results:

This ESR results in 1) products: prototypes to support eCoaching to encourage willingness to care in dyadic settings; results in 2) ICT services: we will deliver a multidisciplinary methodology toolkit to develop unobtrusive and persuasive ICT solutions across countries, and incorporating cultural diversities and differences in infrastructures to implement ICT solutions. We create a multidisciplinary roadmap with involved companies to agile develop the products and services.


Premanandan, S., Ahmad, A., Cajander, Å., Ågerfalk, P., Dolezel, M., & van Gemert-Pijnen, L. (2023). Designing a Mobile e-Coaching App for Immigrant Informal Caregivers: Qualitative Study Using the Persuasive System Design Model. JMIR mHealth and uHealth, 11, e50038.DOI:

Premanandan, S., Ahmad, A., Cajander, Å., Ågerfalk, P., & van Gemert-Pijnen, L. (2023). Designing and Evaluating IT Applications for Informal Caregivers: Protocol for a Scoping Review. JMIR Research Protocols, 12 (1) DOI:

Ahmad, A., Premanandan, S., Langegård, U., Cajander, Å., Johansson, B., Carlsson, M., & Ehrsson, Y. T. (2023). Positive Design Framework for Carer eSupport: Qualitative Study to Support Informal Caregivers of Patients With Head and Neck Cancer in Sweden. JMIR cancer, 9(1), e45748.

Premanandan, S., Ahmad, A., Cajander, Å., & Ågerfalk, P. (2023). Designing a Persuasive E-Coaching Application for Informal Caregivers. In Caring is Sharing–Exploiting the Value in Data for Health and Innovation (pp. 922-926). In Medical Informatics Europe. IOS Press. DOI: 10.3233/SHTI230310

Premanandan, S., Ahmad, A., Cajander, Å., Ågerfalk, P., & van Gemert-Pijnen, L. (2023) Design Suggestions for a Persuasive E-Coaching Application: A Study on Informal Caregivers’ Needs. Digital Health


Host Secondment supervisor Aim Duration
University of Twente, the Netherlands Prof. Lisette van Gemert-Pijnen To learn about persuasive profiling 3 months
University of Oulu, Finland Prof. Harri Oinas Kukkonen To analyze data and collaborate with the team of the persuasive system design lab 3 months