72 Chapter 3 3 (62,65). Considering the non-verbal and tangible nature of such activities, these could have yielded fruitful interactions. Conclusion In this study, we demonstrated a participatory design approach for and with people with LHL. We showed how the participatory activities could result in engagement and mutual understanding within the research process. The eHealth intervention concept resulting from this design process was perceived as an acceptable solution that creates awareness about medication adherence through understandable feedback on medication use and asthma symptoms. The participatory methods applied in this study provide a first step and inspiration for succeeding efforts to help overcome common challenges in the involvement of people with LHL in the design of eHealth interventions. Acknowledgments The authors thank all participants and healthcare professionals who participated in the study for their time and for sharing their experiences and thoughts. The authors thank the healthcare centres and their professionals for their expertise and for facilitating the recruitment of patients. We thank Pharos for their expertise and guidance on low health literacy. This work was supported by AstraZeneca with an unrestricted grant. Data Availability The data that support the findings of this study are available from the corresponding author upon reasonable request. All data provided will be anonymised. Conflicts of Interest The authors declare that they have no competing interests
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