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Data-driven technologies can persuade humans to optimize their behavior and context based on objective data. However, current data-driven technologies have limited persuasive powers, because of a misfit between technology, end-users and context. Neglecting end-users in the development process contributes to this misfit and to limited engagement with the to-be-developed technology. This threatens sustainable (long-term) implementation. Therefore, this paper demonstrates how a bottom-up participatory development approach can improve the persuasive design of data-driven technologies and simultaneously increase engagement of end-users to foster sustainable implementation. This is done by describing part of the development of an Audit & Feedback system for healthcare workers at a Dutch regional general hospital. The system intends to contribute to reducing antimicrobial resistance. The rationale for, questions asked at and results of a questionnaire and two focus groups are described.

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The rise of antimicrobial resistance (AMR) is a severe global health problem. Tackling this problem requires the prudent prescribing of antimicrobials. This is promoted through Antimicrobial Stewardship Programs (ASPs). In this position paper we describe i) how a socio-technical multidisciplinary approach (based on the CeHRes Roadmap) can be applied in the development and implementation of Antimicrobial Stewardship technologies and ii) how this approach can be of value to support Antimicrobial Stewardship in practice. The CeHRes Roadmap entails five different phases to explore and test how an eHealth technology can be tailored to the target group and successfully implemented in practice: i) contextual inquiry, ii) value specification, iii) design, iv) operationalization, v) evaluation. In this position paper we describe the lessons learned from research and practice to guide future developments of technology based ASP interventions. Since AMR is a huge wicked problem on a global level, it requires innovative methods and models to empower general public and professionals to be proactive rather than reactive in a digitalized world. We highlight how to combat the dangerous rise of antimicrobial resistance in the future.

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