Table 3.

Examples of combinations of effects, a value, and action opportunities for the 3 cases.

Cases and categories			Examples
Case 1: Kookapp for groups—a web application to support healthy cooking for groups of people with intellectual disabilities
	Selected value	Quality of care
	Positive effects	Connectedness through choosing, cooking, and eating together Continuity of meal quality; not being dependent on care professionals’ skills Awareness of the importance of good nutrition More time for the people with intellectual disabilities Equality (differences regarding meals for people with intellectual disabilities between care organizations become small when they use the web application)
	Negative effects	Excessive focus on health compared with enjoying tasty food
	Action opportunities—technology	None mentioned regarding the selected value
	Action opportunities—context (care organization)	Evaluate efficiency, health, and eating pleasure continuously Provide the care professionals with instructions about how to use the web application along with a manual
	Action opportunities—users (care professionals)	Invest in understanding the web application to use it properly Have a backup plan for situations in which the web application does not work Know the dietary preferences and needs of each person with intellectual disability in the group Know what to do when a person with intellectual disability does not want to participate (or experiences less fun) in cooking with the web application
Case 2 : SignaLEREN app—an app to support people with intellectual disabilities in autonomously dealing with stress or anxiety
	Selected value	Autonomy
	Positive effects	The following were the positive effects for the people with intellectual disabilities: More self-direction, independence, and personal autonomy An extra support option besides support from care professionals Increased awareness of own stress and its causes
	Negative effects	Counterproductive effects of the app on stress if it does not work Less autonomy when using the app feels obligatory The app as a barrier to seeking contact with the care professional
	Action opportunities—technology	Enable people with intellectual disabilities to make choices themselves: Set the regularity of question pop-ups in the app Disregard the notifications at unsuitable moments by choosing the response option “I don’t want to answer this question (right now)” Delete data Schedule an appointment with their care professional via the app
	Action opportunities—context	Give people with intellectual disabilities access to the back end of the app, so that they can adjust specific content in the app themselves
	Action opportunities—users	Give people with intellectual disabilities some self-direction regarding the use of the app: Discuss what using the app entails and what happens with the data Give guidance in setting up and using the app at their own pace Evaluate app use and effects frequently during coaching moments Support people with intellectual disabilities in a different way, eg, redirect them to the app first, “Have you completed the app?”
Case 3: Social robot, SARA—a robot to support the physical and social activities for people with intellectual disabilities
	Selected value	Privacy
	Positive effects	None mentioned regarding the selected value
	Negative effects	Risk of privacy infringement owing to storage and sharing of personal data Insufficient insight into what data are collected and stored when the functionalities of the robot are expanded
	Action opportunities—technology	Differentiate between accounts for administrators and care professionals using the robot to restrict access to personal data Establish a maximum storage period for personal data before they are automatically deleted
	Action opportunities—context	Train the care professionals using the robot in accordance with the privacy law Restrict the number of people who have access to personal data Read and reconsider the consent statements annually with people with intellectual disabilities (or their representatives) who use the robot—taking into account any changes in the functionalities of the robot and therefore storage of other data Revise the organization’s privacy policy When people with intellectual disabilities use the robot to have contact with relatives, the privacy of both should be protected: Use headphones during this contact Create a cozy private “corner” in the location
	Action opportunities—users	None mentioned regarding the selected value