The Value of Ecoaching in the COVID-19 Pandemic to Promote Adherence to Self-isolation and Quarantine

A Digital electronic Coach (eCoach) app was built and evaluated during the Covid-19 pandemic in The Netherlands. Its aim was to provide support for individuals that had to either quarantine or self-isolate after a positive corona test or an indication of a heightened risk of infection. The coach ("IsolationCoach"), its value and uses were evaluated in 29 semi-structured interviews with individuals who had quarantined or isolated themselves or were part of the general Dutch public. Three main findings emerge. First, participants found value in a digital coach that would help them comply with quarantine or isolation instructions and provided information on the practical challenges of organizing their quarantine or isolation. Second, the usage of the app, which gradually and conditionally provides relevant information as opposed to conventional paper pamphlets/email, was greatly appreciated. Third, participants experienced a need for mental support during their period of isolation or quarantine, and this could at least partially be filled by the eCoach, which provided emotional support through a Socratic method styled form of self-reflection. It was beneficial that the app was implemented rapidly within weeks using a ready-to-use platform and that its content was assessed by experts from various health-related disciplines prior to rollout. Yet, for large-scale implementation, an integrated vision and digital strategy is needed to align forms of support by the health authorities.