Abstract:
BACKGROUND:Telemonitoring has shown promise for alleviating the burden of heart failure on individuals and health systems. However, real-world implementation of sustained programs is rare. OBJECTIVE:The objective of this study was to evaluate the implementation of a mobile phone-based telemonitoring program, which has been implemented as part of standard care in a specialty heart function clinic by answering two research questions: (1) To what extent was the telemonitoring program successfully implemented? (2) What were the barriers and facilitators to implementing the telemonitoring program? METHODS:We conducted a longitudinal single case study. The implementation success was evaluated using the following four implementation outcomes: adoption, penetration, feasibility, and fidelity. Semistructured interviews based on the Consolidated Framework for Implementation Research (CFIR) were conducted at 0, 4, and 12 months with 12 program staff members to identify the barriers and facilitators of the implementation. RESULTS:One year after the implementation, 98 patients and 8 clinicians were enrolled in the program. Despite minor technical issues, the intervention was used as intended. We obtained qualitative data from clinicians (n=8) and implementation staff members (n=4) for 24 CFIR constructs. A total of 12 constructs were facilitators clustered in the CFIR domains of inner setting (culture, tension for change, compatibility, relative priority, learning climate, leadership engagement, and available resources), characteristics of individuals (knowledge and beliefs about the intervention and self-efficacy), and process (engaging and reflecting and evaluating). In addition, we identified other notable facilitators from the characteristics of the intervention domain (relative advantage and adaptability) and the outer setting (patient needs and resources). Four constructs were perceived as minor barriers- the complexity of the intervention, cost, inadequate communication among high-level stakeholders, and the absence of a formal implementation plan. The remaining CFIR constructs had a neutral impact on the overall implementation. CONCLUSIONS:This is the first comprehensive evaluation of the implementation of a mobile phone-based telemonitoring program. Although the acceptability of the telemonitoring system was high, the strongest facilitators to the implementation success were related to the implementation context. By identifying what works and what does not in a real-world clinical context using a framework-guided approach, this work will inform the design of telemonitoring services and implementation strategies of similar telemonitoring interventions.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Ware P,Ross HJ,Cafazzo JA,Laporte A,Gordon K,Seto Edoi
10.2196/10768subject
Has Abstractpub_date
2018-07-31 00:00:00pages
e10768issue
7issn
2291-5222pii
v6i7e10768journal_volume
6pub_type
杂志文章abstract:BACKGROUND:Mobile health (mHealth) apps have the potential to be a useful mode of delivering HIV prevention information, particularly for young men (13-24 years) who account for 21% of new HIV diagnoses in the United States. We translated an existing evidence-based, face-to-face HIV prevention curriculum into a portabl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2018-09-07 00:00:00
abstract:BACKGROUND:In India, men who have sex with men (MSM) often face physical violence and harassment from police and the general society. Many MSM may not openly disclose their sexual identity, especially if they are married to women and have families. Due to pervasive stigma and discrimination, human immunodeficiency viru...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3978
更新日期:2015-02-11 00:00:00
abstract:BACKGROUND:Pharmacotherapy remains one of the major interventional strategies in medicine. However, patients from all age groups and conditions face challenges when taking medications, such as integrating them into the daily routine, understanding their effects and side effects, and monitoring outcomes. In this context...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/13608
更新日期:2019-09-11 00:00:00
abstract:BACKGROUND:Mobile health apps for diabetes self-management have different functions. However, the efficacy and safety of each function are not well studied, and no classification is available for these functions. OBJECTIVE:The aims of this study were to (1) develop and validate a taxonomy of apps for diabetes self-man...
journal_title:JMIR mHealth and uHealth
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更新日期:2017-03-14 00:00:00
abstract:BACKGROUND:Despite being an important cardiovascular risk factor, hypertension has low control levels worldwide. Computerized clinical decision support systems (CDSSs) might be effective in reducing blood pressure with a potential impact in reducing cardiovascular risk. OBJECTIVE:The goal of the research was to evalua...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-03-25 00:00:00
abstract:BACKGROUND:Up to 70% of lung cancer survivors are affected by chronic obstructive pulmonary disease (COPD), a common, debilitating, comorbid disease. Lung cancer and COPD are both characterized by symptoms such as breathlessness, fatigue, and psychological distress. These distressing chronic symptoms are exacerbated by...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9831
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:The use of mHealth methods for capturing illicit drug use and associated behaviors have become more widely used in research settings, yet there is little research as to how valid these methods are compared to known measures of capturing and quantifying drug use. OBJECTIVE:We examined the concordance of ecol...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.4470
更新日期:2016-03-15 00:00:00
abstract:BACKGROUND:Unprecedented lockdown measures have been introduced in countries worldwide to mitigate the spread and consequences of COVID-19. Although attention has been focused on the effects of these measures on epidemiological indicators relating directly to the infection, there is increased recognition of their broad...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-10-09 00:00:00
abstract:BACKGROUND:The remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response). OBJEC...
journal_title:JMIR mHealth and uHealth
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更新日期:2020-07-14 00:00:00
abstract:BACKGROUND:Research suggests that variability in attention and working memory scores, as seen across time points, may be a sensitive indicator of impairment compared with a singular score at one point in time. Given that fluctuation in cognitive performance is a meaningful metric of real-world function and trajectory, ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Within the new digital health landscape, the rise of health apps creates novel prospects for health promotion. The market is saturated with apps that aim to increase physical activity (PA). Despite the wide distribution and popularity of PA apps, there are limited data on their effectiveness, user experience...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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更新日期:2018-03-21 00:00:00
abstract:BACKGROUND:Breastfeeding is proven to have lasting health benefits for both mothers and infants; however, 6-month exclusive breastfeeding rate remains below 20% in Thailand. Although the number of research literature and commercial apps for breastfeeding women is significantly growing, they are country-specific and res...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2018-01-26 00:00:00
abstract::Recently, companies such as Apple Inc, Fitbit Inc, and Garmin Ltd have released new wearable blood oxygenation measurement technologies. Although the release of these technologies has great potential for generating health-related information, it is important to acknowledge the repercussions of consumer-targeted biomet...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:Despite the existence of adequate technological infrastructure and clearer policies, there are situations where users, mainly physicians, resist mobile health (mHealth) solutions. This is of particular concern, bearing in mind that several studies, both in developed and developing countries, showed that clin...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-05-03 00:00:00
abstract:BACKGROUND:Most adults do not engage in sufficient physical activity to maintain good health. Smartphone apps are increasingly used to support physical activity but typically focus on tracking behaviors with no support for the complex process of behavior change. Tracking features do not engage all users, and apps could...
journal_title:JMIR mHealth and uHealth
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更新日期:2020-01-30 00:00:00
abstract:BACKGROUND:Pure-tone screening (PTS) is considered as the gold standard for hearing screening programs in school-age children. Mobile devices, such as mobile phones, have the potential for audiometric testing. OBJECTIVE:This study aimed to demonstrate a new approach to rapidly screen hearing status and provide stratif...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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更新日期:2020-10-05 00:00:00
abstract:BACKGROUND:Smart speaker-based voice assistants promise support for the aging population, with the advantages of hands-free and eyes-free interaction modalities to handle requests. However, little is known about how older adults perceive the benefits of this type of device. OBJECTIVE:This study investigates how older ...
journal_title:JMIR mHealth and uHealth
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更新日期:2021-01-13 00:00:00
abstract:BACKGROUND:Sport watches and fitness trackers provide a feasible way of obtaining energy expenditure (EE) estimations in daily life as well as during exercise. However, today's popular wrist-worn technologies show only poor-to-moderate EE accuracy. Recently, the invention of optical heart rate measurement and the furth...
journal_title:JMIR mHealth and uHealth
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更新日期:2019-10-02 00:00:00
abstract:BACKGROUND:Evidence that physical activity can curb smoking urges is limited in scope to acute effects and largely reliant on retrospective self-reported measures. Mobile health technologies offer novel mechanisms for capturing real-time data of behaviors in the natural environment. OBJECTIVE:This study aimed to explo...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2018-05-11 00:00:00
abstract:BACKGROUND:Wearables for monitoring physical activity (PA) are increasingly popular. These devices are not only used by consumers to monitor their own levels of PA but also by researchers to track the behavior of large samples. Consequently, it is important to explore how accurately PA can be tracked via these devices....
journal_title:JMIR mHealth and uHealth
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更新日期:2018-12-13 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2019-05-29 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2019-12-20 00:00:00
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更新日期:2020-06-24 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2020-11-13 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2019-09-06 00:00:00
abstract:BACKGROUND:The 40-item Quality of Recovery (QoR-40) questionnaire is well validated for measuring self-assessed postoperative recovery. The Swedish version of the 40-item Quality of Recovery (QoR-40) has been developed into a Web-based questionnaire, the Swedish Web version of the Quality of Recovery (SwQoR) questionna...
journal_title:JMIR mHealth and uHealth
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更新日期:2017-12-03 00:00:00
abstract:BACKGROUND:Nonadherence among patients with chronic disease continues to be a significant concern, and the use of text message refill reminders has been effective in improving adherence. However, questions remain about how differences in patient characteristics and demographics might influence the likelihood of refill ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-11-18 00:00:00
abstract:BACKGROUND:Disparities in cervical cancer incidence and mortality signify the need for intervention efforts targeting Korean American immigrant women. OBJECTIVE:The purpose of this study was to demonstrate how a culturally targeted and tailored mobile text messaging intervention, mobile screening (mScreening), was dev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13256
更新日期:2019-06-06 00:00:00
abstract:BACKGROUND:Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9054
更新日期:2018-03-23 00:00:00