Guidelines, “roadmaps,” and “pathways” try to help designers to
understand features that make eLearning more effective and adaptable.
However, in challenging fields, product quality is not always easy to
obtain at once. Applications that need additional refinements are one of
the reasons for complex diffusion (Koppel, 2006). Maturation procedures
may take years. The high dropout rates of self-management eHealth
applications are evidence of this fact (Eysenbach, 2005). Product quality
in eHealth naturally means the innovativeness and advantageousness of
products and their usability or “fitness for use” with adequate user
support. In educational areas, the quality of both information content and
presentation is essential.