Confluence of Cultural Context and Technological Innovation to Reduce Cardiovascular Disparities in India

Sinha, Shashank S.; Prabhakaran, Dorairaj; Chopra, Vineet

doi:10.1161/circoutcomes.117.004081

Cited by 2 publications

(2 citation statements)

References 9 publications

(28 reference statements)

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“…Social context influences on intervention uptake or health-related behaviour are often focussed on specific illnesses, [16][17][18] cultural groups, [19][20][21] and organisationlevel innovations [5]. In terms of how health behaviours arise and change, frameworks that advocate integration of behavioural and social sciences tend to emphasise the dominance of social structure over individual characteristics.…”

Section: Framing Contextual Environments As Hierarchies Of Influence mentioning

confidence: 99%

A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease

Coorey

Peiris

Neubeck

et al. 2020

BMC Health Serv Res

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Background: Reduction of cardiovascular disease (CVD) is a worldwide health priority and innovative uses of technology-based interventions may assist patients with improving prevention behaviours. Targeting these interventions to recipients most likely to benefit requires understanding how contexts of use influence responsiveness to the intervention, and how this interaction favours or discourages health behaviour. Using a realist evaluation approach, the aim of this study was to examine the contextual factors influencing behaviour change within a multifeature eHealth intervention with personalised data integration from the primary care electronic health record (EHR). Methods: Realist evaluation of qualitative data from the Consumer Navigation of Electronic Cardiovascular Tools (CONNECT) randomised trial (N = 934). Thirty-six participants from the intervention group (N = 486) who had completed 12 months of study follow-up were interviewed. Coding of transcripts was structured around configurations of contexts, mechanisms, and outcomes of intervention use. Contextual narratives were derived from thematic analysis of the interviews. Results: Mechanisms favouring positive health behaviour occurred when participants responded to four interactive features of the intervention. Facilitating mechanisms included greater cognitive engagement whereby participants perceived value and benefit, and felt motivated, confident and incentivised. Participants moved from being unconcerned (or unaware) to more task-oriented engagement with personal CVD risk profile and prevention. Increased personalisation occurred when modifiable CVD risk factors became relatable to lifestyle behaviour; and experiences of feeling greater agency/self-efficacy emerged. Use and non-use of the intervention were influenced by four overarching narratives within the individual's micro-level and meso-level environments: illness experiences; receptiveness to risk and prevention information; history of the doctor-patient relationship; and relationship with technology.

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Section: Framing Contextual Environments As Hierarchies Of Influence mentioning

confidence: 99%

A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease

Coorey

Peiris

Neubeck

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Two of these discuss the dual roles of digital technology to either alleviate or exacerbate the existing gaps in care between developed and developing countries. 9,10 A third perspective discusses the critical role of health system management in improving outcomes in developing countries-a topic that is rarely discussed but essential to ensuring high-quality care in these resource-constrained settings.…”

Section: Nallamothumentioning

confidence: 99%

Global Health and Circulation: Cardiovascular Quality & Outcomes

Nallamothu

2017

Circ: Cardiovascular Quality and Outcomes

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Confluence of Cultural Context and Technological Innovation to Reduce Cardiovascular Disparities in India

Cited by 2 publications

References 9 publications

A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease

A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease

Global Health and Circulation: Cardiovascular Quality & Outcomes

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