Understanding factors critical to the implementation of ehealth in chronic disease management: a realist review protocol.

chronic airways disease diabetes & endocrinology heart failure kidney & urinary tract disorders telemedicine

Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
12 07 2021
Historique:
entrez: 13 7 2021
pubmed: 14 7 2021
medline: 5 8 2021
Statut: epublish

Résumé

Canadians are living longer, many with multiple chronic conditions. This population of older, frail Canadians continues to grow in size as do concurrent demands for community-based, outpatient and ambulatory models of care. Ideally, a multifaceted, proactive, planned and integrated care model includes ehealth. Although several factors are known to facilitate the implementation of ehealth in chronic disease management (CDM), for example, adequate support, usability, alignment of programme objectives, there is a growing body of inconclusive evidence on what is critical for implementation. We aim to achieve a fulsome understanding of factors critical to implementation by conducting a realist review-an approach suitable for understanding complex interventions. Our proposed review will identify factors critical to the implementation of ehealth in CDM (heart failure, chronic obstructive pulmonary disease, chronic kidney disease and/or diabetes (type 1 or 2)) without limitations to care setting, language, publication year or geography. Findings will be presented in configurations of contexts, mechanisms and outcomes (CMOs). A search strategy will be iteratively developed based on the concepts of 'implementation' and 'adoption' of 'ehealth' interventions used within 'CDM' to identify the peer-reviewed and grey literature published before 31 March 2021 from five databases (Medline, Embase, Cochrane, CINAHL and PsychInfo) on ehealth interventions actively involving a healthcare provider for CDM among adults. Data extraction and synthesis will be guided by Realist and Meta-review Evidence Synthesis: Evolving Standards (RAMESES) guidelines informing core concepts of CMOs, and a study output will include a middle-range-theory describing the implementation of ehealth in CDM. Findings will be published in an open-access peer-reviewed journal and presented at relevant conferences. A multistakeholder (patients, caregivers, healthcare providers and practitioners, decision-makers and policy-makers) perspective will be used in our dissemination approach. No formal ethics approval is required for this review. CRD42020208275.

Identifiants

pubmed: 34253670
pii: bmjopen-2020-048250
doi: 10.1136/bmjopen-2020-048250
pmc: PMC8276298
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e048250

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

BMC Health Serv Res. 2015 Dec 09;15:544
pubmed: 26645639
BMC Health Serv Res. 2013 Jan 12;13:19
pubmed: 23311452
BMC Med. 2017 Feb 6;15(1):24
pubmed: 28162090
J Health Serv Res Policy. 2005 Jul;10 Suppl 1:21-34
pubmed: 16053581
J Autism Dev Disord. 2011 May;41(5):597-609
pubmed: 20717714
Lancet. 2020 Apr 11;395(10231):1180-1181
pubmed: 32278374
J Med Internet Res. 2012 Feb 17;14(1):e34
pubmed: 22343270
Health Care Manag Sci. 2020 Jun;23(2):185-202
pubmed: 30382448
BMC Med. 2013 Jan 29;11:21
pubmed: 23360677
Appl Clin Inform. 2010 May 05;1(2):132-41
pubmed: 23616832
BMC Health Serv Res. 2018 Apr 13;18(1):285
pubmed: 29653537
Telemed J E Health. 2014 Sep;20(9):769-800
pubmed: 24968105
BMJ Open. 2020 Jun 15;10(6):e036221
pubmed: 32546492
BMC Nurs. 2020 Feb 4;19:9
pubmed: 32042264
JMIR Hum Factors. 2018 Oct 26;5(4):e10801
pubmed: 30368440
Eur J Prev Cardiol. 2016 Oct;23(2 suppl):3-4
pubmed: 27892419
BMC Health Serv Res. 2020 Aug 18;20(1):764
pubmed: 32811480
Res Synth Methods. 2021 Mar;12(2):239-247
pubmed: 32985074
Int J Behav Med. 2020 Feb;27(1):3-20
pubmed: 32060805
Am J Prev Med. 2016 Nov;51(5):843-851
pubmed: 27745684
J Telemed Telecare. 2013 Oct;19(7):372-5
pubmed: 24218347
J Telemed Telecare. 2018 Jan;24(1):4-12
pubmed: 29320966
BMJ Open. 2018 Aug 29;8(8):e019192
pubmed: 30158214
PLoS One. 2016 May 19;11(5):e0155738
pubmed: 27195764
Telemed J E Health. 2020 May;26(5):571-573
pubmed: 32275485
J Med Internet Res. 2019 Sep 27;21(9):e14255
pubmed: 31573934
MMWR Morb Mortal Wkly Rep. 2020 Oct 30;69(43):1595-1599
pubmed: 33119561
Can J Kidney Health Dis. 2019 Apr 04;6:2054358119835521
pubmed: 31057803
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
Implement Sci. 2015 Apr 24;10:59
pubmed: 25906822
J Med Internet Res. 2014 Jul 16;16(7):e172
pubmed: 25048379
Implement Sci. 2016 Oct 26;11(1):146
pubmed: 27782832
Kidney Int Rep. 2019 Jan 21;4(4):561-570
pubmed: 30993231
Qual Health Res. 2018 Dec;28(14):2250-2266
pubmed: 29676217
CMAJ. 2021 Feb 8;193(6):E200-E210
pubmed: 33558406
BMJ Open. 2019 Jan 24;9(1):e022084
pubmed: 30679286
Telemed J E Health. 2017 Jan;23(1):3-17
pubmed: 27116181
BMJ Health Care Inform. 2020 Mar;27(1):
pubmed: 32156751
Pain. 2020 May;161(5):889-893
pubmed: 32251203
Health Promot Chronic Dis Prev Can. 2017 Feb;37(2):49-53
pubmed: 28273040
Implement Sci. 2013 Sep 05;8:103
pubmed: 24007206
J Med Internet Res. 2005 Mar 31;7(1):e9
pubmed: 15829481
BMJ Open. 2016 Apr 06;6(4):e010173
pubmed: 27053268
Res Synth Methods. 2014 Jun;5(2):131-41
pubmed: 26052652
BMC Health Serv Res. 2011 May 27;11:131
pubmed: 21619596
JMIR Mhealth Uhealth. 2018 Jul 31;6(7):e10768
pubmed: 30064970
Annu Rev Public Health. 2019 Apr 1;40:361-372
pubmed: 30633712

Auteurs

Nida Shahid (N)

Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada nida.shahid@mail.utoronto.ca.

Valeria E Rac (VE)

Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Program for Health System and Technology Evaluation, Ted Rogers Centre for Heart Research at Peter Munk Cardiac Centre, Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.

Joanna Bielecki (J)

Program for Health System and Technology Evaluation, Ted Rogers Centre for Heart Research at Peter Munk Cardiac Centre, Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.

Whitney Berta (W)

Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

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