Table 1.

Evaluation activities performed between 2015 and 2017.

Activity	Aim	Place and participants	Data collection	Outcomes
Field studies, Primo 2015	Gaining knowledge of contexts and daily practice, creating collaboration, and identifying key stakeholders.	Outpatient clinic at the 3 clinical sites. Actors involved in the work at the clinics.	Observations and informal interviews with health care professionals and clinic management.	Descriptions of daily clinical practices as input for identifying stakeholders and further evaluation.
Intervention theories, Medio 2015	Developing intervention theories for key stakeholder groups.	At the 3 clinical sites. 16 patients (aged 25-75 years, 11 females) and 22 health care professionals (16 females), including 3 clinic managers.	Semistructured interviews (individual and group).	Descriptions and comparisons of intervention theories across stakeholder groups. Report served as input to the ongoing development of the digital health solution.
Workshops, Medio 2015	Insights into patient and health care professionals’ perceptions of the digital health solution and overall usability of the graphical user interface.	At the 3 clinical sites. 10 patients (aged 26-69 years, 6 females) and 18 health care professionals (13 females).	“Hands-on” sessions and “think aloud” exercises in small groups of patients and health care professionals. Group and plenary discussions of pros and cons of the digital health solution.	Presence of developers enabled immediate adaptations. Reports served as input to the technical and the organizational development as well as the clinical value creation.
Design laboratory, Ultimo 2015	Testing how patients handled different lancets and cartridges for blood sampling.	At the design laboratory. 2 patients (1 female).	Patients drew a drop of blood and filled a cartridge. Sessions included observation, dialogue, drawing, and generation of ideas.	Recommendations and optimizations in a fast turnover. Provided valuable input to the design and development of point-of-care devices and related test cartridges.
Site user tests, Primo 2016	Testing the “lifecycle management” of the technology.	At the 3 clinical sites and the patient’s home. 15 patients (aged 25-83 years, 9 females) and 3 health care professionals (3 females).	Home monitoring for 1 week. Log data from the information and communication technology (ICT) platform, notes from health care professionals, diary, and photos from patients.	Descriptive analysis reported for each site, resulting in revisions of the technical and organizational setup of the digital health solution and the related briefing and communication material.
Design laboratory, Medio 2016	Test of different scenarios for blood testing.	At the design laboratory. 4 patients (3 females).	Following a short introduction, patients performed a blood test. Sessions included observation, dialogue, drawing and generation of ideas, and interviews.	Descriptive analysis reported. Served as input to the organizational development.
Pilot study, Ultimo 2016	To test real-life functionality of the digital health solution.	At the clinical site in Copenhagen and the patient’s home. 5 patients (aged 55-83 years, 4 females) and 1 health care professional (female).	Home monitoring for 3 weeks. Log data from the ICT platform, notes from health care professionals, diaries, and photos from patients. Subsequently, interviews with the 5 participating patients.	Interim analysis reported. Indicated a “tipping point” and a need for further development.