Implementation of an eHealth self-management care path for chronic somatic conditions
Introduction: Self-management support for people with chronic somatic conditions can enhance clinical outcomes and patients’ quality of life. Implementing self-management support via eHealth could increase its availability and use. However, the implementation process in a hospital setting has not be...
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doaj-897fc0cb7ebf461984af6b2f7b7a36d32021-04-02T11:44:58ZengKeAi Communications Co., Ltd.Clinical eHealth2588-91412019-01-012311Implementation of an eHealth self-management care path for chronic somatic conditionsY. Ciere0R. van der Vaart1A.E. van der Meulen-De Jong2P.W.J. Maljaars3A.R. van Buul4J.G. Koopmans5J.B. Snoeck-Stroband6N.H. Chavannes7J.K. Sont8A.W.M. Evers9Unit of Health, Medical and Neuropsychology, Faculty of Social and Behavioural Sciences, Leiden University, Wassenaarseweg 52, 2333 AK Leiden, the Netherlands; Department of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsUnit of Health, Medical and Neuropsychology, Faculty of Social and Behavioural Sciences, Leiden University, Wassenaarseweg 52, 2333 AK Leiden, the Netherlands; Corresponding author.Department of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsDepartment of Pulmonology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsDepartment of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsDepartment of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the NetherlandsUnit of Health, Medical and Neuropsychology, Faculty of Social and Behavioural Sciences, Leiden University, Wassenaarseweg 52, 2333 AK Leiden, the NetherlandsIntroduction: Self-management support for people with chronic somatic conditions can enhance clinical outcomes and patients’ quality of life. Implementing self-management support via eHealth could increase its availability and use. However, the implementation process in a hospital setting has not been studied yet. Therefore, we studied factors influencing the implementation process of an eHealth self-management support care path in two departments of an academic hospital. Methods: Semi-structured interviews with healthcare professionals (HCPs) were conducted. Questions were based on the Consolidated Framework for Implementation Research, covering five domains: the implemented intervention, individual characteristics of the users (HCPs and patients), the inner setting of implementation (the two clinics), the outer setting (the hospital and broader health care organization), and the implementation process. Results: In all five domains important facilitators and barriers were found and summarized, using subthemes and citations to illustrate each theme. Conclusion: This study provides practical implications for the implementation of eHealth self-management interventions in hospitals. Main findings suggest that both the content of an intervention and the process of implementation needs to be tailored to the end-users, using co-design. Moreover, successful implementation can be reached if there is readiness to adopt a new way of working, and if sustainability of this adoption is warranted throughout an organization, both on executive and management levels. Keywords: eHealth self-management, Online cognitive behavioural therapy, iCBT, Screening, Implementationhttp://www.sciencedirect.com/science/article/pii/S2588914118300200 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Y. Ciere R. van der Vaart A.E. van der Meulen-De Jong P.W.J. Maljaars A.R. van Buul J.G. Koopmans J.B. Snoeck-Stroband N.H. Chavannes J.K. Sont A.W.M. Evers |
spellingShingle |
Y. Ciere R. van der Vaart A.E. van der Meulen-De Jong P.W.J. Maljaars A.R. van Buul J.G. Koopmans J.B. Snoeck-Stroband N.H. Chavannes J.K. Sont A.W.M. Evers Implementation of an eHealth self-management care path for chronic somatic conditions Clinical eHealth |
author_facet |
Y. Ciere R. van der Vaart A.E. van der Meulen-De Jong P.W.J. Maljaars A.R. van Buul J.G. Koopmans J.B. Snoeck-Stroband N.H. Chavannes J.K. Sont A.W.M. Evers |
author_sort |
Y. Ciere |
title |
Implementation of an eHealth self-management care path for chronic somatic conditions |
title_short |
Implementation of an eHealth self-management care path for chronic somatic conditions |
title_full |
Implementation of an eHealth self-management care path for chronic somatic conditions |
title_fullStr |
Implementation of an eHealth self-management care path for chronic somatic conditions |
title_full_unstemmed |
Implementation of an eHealth self-management care path for chronic somatic conditions |
title_sort |
implementation of an ehealth self-management care path for chronic somatic conditions |
publisher |
KeAi Communications Co., Ltd. |
series |
Clinical eHealth |
issn |
2588-9141 |
publishDate |
2019-01-01 |
description |
Introduction: Self-management support for people with chronic somatic conditions can enhance clinical outcomes and patients’ quality of life. Implementing self-management support via eHealth could increase its availability and use. However, the implementation process in a hospital setting has not been studied yet. Therefore, we studied factors influencing the implementation process of an eHealth self-management support care path in two departments of an academic hospital. Methods: Semi-structured interviews with healthcare professionals (HCPs) were conducted. Questions were based on the Consolidated Framework for Implementation Research, covering five domains: the implemented intervention, individual characteristics of the users (HCPs and patients), the inner setting of implementation (the two clinics), the outer setting (the hospital and broader health care organization), and the implementation process. Results: In all five domains important facilitators and barriers were found and summarized, using subthemes and citations to illustrate each theme. Conclusion: This study provides practical implications for the implementation of eHealth self-management interventions in hospitals. Main findings suggest that both the content of an intervention and the process of implementation needs to be tailored to the end-users, using co-design. Moreover, successful implementation can be reached if there is readiness to adopt a new way of working, and if sustainability of this adoption is warranted throughout an organization, both on executive and management levels. Keywords: eHealth self-management, Online cognitive behavioural therapy, iCBT, Screening, Implementation |
url |
http://www.sciencedirect.com/science/article/pii/S2588914118300200 |
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