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Identifying Barriers and Facilitators of 13 mHealth Projects in North America and Africa: Protocol for a 5-Year Implementation Science Study.

التفاصيل البيبلوغرافية
العنوان: Identifying Barriers and Facilitators of 13 mHealth Projects in North America and Africa: Protocol for a 5-Year Implementation Science Study.
المؤلفون: Tilahun B; Division of Infectious Disease, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.; Department of Health Informatics and eHealthLab Ethiopia, University of Gondar, Gondar, Ethiopia., Smillie K; Division of Infectious Disease, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Bardosh KL; Department of Anthropology, University of Florida, Gainesville, FL, United States., Murray M; Division of Infectious Disease, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Fitzgerald M; Division of Respiratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Cook V; Department of Tuberculosis Control, British Columbia Centre for Disease Control, Vancouver, BC, Canada., Poureslami I; Division of Respiratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Forrest J; Division of Infectious Disease, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Lester R; Division of Infectious Disease, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
المصدر: JMIR research protocols [JMIR Res Protoc] 2018 Jul 03; Vol. 7 (7), pp. e162. Date of Electronic Publication: 2018 Jul 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101599504 Publication Model: Electronic Cited Medium: Print ISSN: 1929-0748 (Print) Linking ISSN: 19290748 NLM ISO Abbreviation: JMIR Res Protoc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto : JMIR Publications
مستخلص: Background: Although many mHealth interventions have shown efficacy in research, few have been effectively implemented and sustained in real-world health system settings. Despite this programmatic gap, there is limited conclusive evidence identifying the factors that affect the implementation and successful integration of mHealth into a health system.
Objective: The aim of this study is to examine the individual, organizational, and external level factors associated with the effective implementation of WelTel, an mHealth intervention designed to support outpatient medication adherence and engagement in care in Africa and North America.
Methods: We will adopt the Consolidated Framework for Implementation Research (CFIR) constructs for evaluation of mHealth implementation including a scoring and monitoring system. We will apply the adapted tool to identify facilitators and barriers to implementation of the WelTel mHealth intervention in order to determine how the technology platform is perceived, diffused, adapted, and used by different mHealth project teams and health system actors in Africa and North America. We will use a mixed-methods approach to quantitatively test whether the factors identified in the CFIR framework are associated with the successful uptake of the mHealth intervention toward implementation goals. We will triangulate these data through interviews and focus group discussion with project stakeholders, exploring factors associated with successful implementation and sustainment of these interventions.
Results: The development of the customized CFIR is finalized and currently is in pilot testing. The initial results of the use of the tool in those 13 implementations will be available in 2019. Continuous conference and peer- reviewed publications will be published in the coming years.
Conclusions: The results of this study will provide an in-depth understanding of individual, organizational, and external level factors that influence the successful implementation of mHealth in different health systems and geographic contexts over time. Via the tool's unique scoring system connected to qualitative descriptors, these data will inform the most critical implementation targets and contribute to the tailoring of strategies that will assist the health system in overcoming barriers to implementation, and ultimately, improve treatment adherence and engagement in care.
Registered Report Identifier: RR1-10.2196/9633.
(©Binyam Tilahun, Kirsten Smillie, Kevin Louis Bardosh, Melanie Murray, Mark Fitzgerald, Victoria Cook, Iraj Poureslami, Jamie Forrest, Richard Lester. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 03.07.2018.)
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فهرسة مساهمة: Keywords: Africa; North America; digital health; implementation science; mHealth; mobile health; text messaging
تواريخ الأحداث: Date Created: 20180705 Latest Revision: 20201001
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6053607
DOI: 10.2196/resprot.9633
PMID: 29970360
قاعدة البيانات: MEDLINE
الوصف
تدمد:1929-0748
DOI:10.2196/resprot.9633