Criteria for evaluating transferability of health interventions: a systematic review and thematic synthesis

Schloemer, Tamara; Schröder‐Bäck, Peter

doi:10.1186/s13012-018-0751-8

Cited by 105 publications

(133 citation statements)

References 72 publications

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“…Moreover, by basing the design of the intervention programme on the local context, the risk is that the intervention designed may not be reproducible elsewhere. This is a key-aspect for large-scale circulation (49).…”

Section: Discussionmentioning

confidence: 99%

How to Design a Remote Patient Monitoring System A French Case Study

Ferrua

Minvielle

Fourcade

et al. 2020

Preprint

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Background Remote Patient Monitoring Systems (RPMS) based on e-health, Nurse Navigators (NNs) and patient engagement can improve patient follow-up and have a positive impact on quality of care (by limiting adverse events) and costs (by reducing readmissions). However, the extent of this impact depends on effective implementation which is often restricted. This is partly due to the lack of attention paid to the RPMS design phase prior to implementation. The content of the RPMS can be carefully designed at this stage and various obstacles anticipated. Our aim was to report on an RPMS process design to provide an insight into the methodology required in order to manage this phase and the ultimate outcome in terms of RPMS content. Methods This study was carried out at Gustave Roussy, a comprehensive cancer centre in France. A multidisciplinary team comprising hospital managers, healthcare professionals and health service researchers coordinated the CAPRI RPMS design process (2013-2015). It is based on data collected during eight studies conducted in accordance with the principle framework of the UK Medical Research Council (MRC). This project was approved by the French National Data Protection Authorities. Results Based on the study results, the multidisciplinary team defined strategies for resolving obstacles and risks prior to the implementation of CAPRI. Consequently, the final CAPRI design includes a web app with two interfaces (patient and health care professionals) and two NNs. The NNs provide regular follow-up via telephone and/or email to manage patients' symptoms and toxicity, treatment compliance and care packages. Patients contact the NNs via a secure messaging system. Eighty graduation and orientation algorithms enable NNs to prioritise and decide on the course of action to be taken. Conclusion In our experience, the RPMS design process and, more generally, that of any complex intervention programme, is an important phase that requires a sound methodological basis. This study also suggests that an RPMS is more than a technological innovation. Indeed, it is an organisational innovation, the merits of which will depend on the precise definition given to the action taken by NNs and other healthcare professionals as well as patients throughout their interactions.

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Section: Discussionmentioning

confidence: 99%

How to Design a Remote Patient Monitoring System A French Case Study

Ferrua

Minvielle

Fourcade

et al. 2020

Preprint

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“…34 In order to remedy such unsatisfactory tendencies and data insecurity as well as to ensure secure data collection and storage, the European Union (EU) General Data Protection Regulation (GDPR) become effective in all member states on May 25 th 2018, with the repeal of the Protection Directive 95/46/EC. 44 The objective is to standardise the varying levels of data protection and privacy in all member states and establish regulations binding for all member states. Essentially, the tightened rules on data protection give users better control over their personal data and enable companies to benefit from fair conditions of competition.…”

Section: Discussionmentioning

confidence: 99%

“…Conclusively, this regulation is a first and important step to improve users' control over their data and to provide guidance and decision-making through binding rules. 44 Along with the concept of non-maleficence, the question arises whether the application "says" what it should "say" or leads to false or incorrect actions and results. 33 On one hand, health and medical apps can act as a mediator between individuals and health professionals, on the other hand a lack of context information can lead to misdiagnosis or misinterpretation which could be more harmful than beneficial.…”

Section: Discussionmentioning

confidence: 99%

Development and Presentation of an Ethical Framework for Health and Medical Apps

Tokgöz¹,

Eger²,

Funke³

et al. 2019

J Int Soc Telemed eHealth

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The ubiquity of mobile applications makes it difficult to weigh up opportunities and potential risks. One significant aspect of an ethical assessment regarding the development and use of health and medical apps is the lack of clear and consistent guidelines and measures of value. Aim: The aim of this paper was to identify the main ethical determinants associated in the context of health and medical apps and develop a framework for ethical reflection. Methods: A systematic literature search in the database PubMed was undertaken and the journal Biomed Central Medical Ethics was hand searched and 32 met the review criteria. On this basis of the review an interview guide was developed and five purposively selected experts on the field of payers, science, consumers, medical ethics and society were interviewed regarding health and medical apps. Results: There is a lack of consistent and clear guidelines regarding the use of health and medical apps in literature. Indeed, findings refer to established biomedical principles. The interviews identified that several insecurities related to legal and regulatory issues are common. On the other hand, many advantages of the use of health and medical apps have been pointed out by experts. Conclusion: Debates on ethics and the use of health and medical apps should play a significant role in public discussion. Ethical endpoints cannot be considered isolated from each other, and must be regarded as a complex network of aspects connected with each other. Further research should concentrate on the development of consistent guidelines and a framework for reflection of occurring ethical concerns.

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“…The second asked a number of stakeholders in a range of countries their attitudes to a number of child primary care policy issues (Kocken, Vlasblom, de Lijster, & Reijneveld, 2018). And as a collation of all these issues in a policy change context, we looked at theories and practice on transferability of policy and evidence to new settings, and the societal environment featured in this (Schloemer, & Schröder-Bäck, 2018;Zdunek, Schroder-Back, Rigby, & Blair, 2018). All these studies initiated by MOCHA in public consultation were inevitably small, and not statistically significant in quantitative science terms, but our mixed and varied methods and sources should be enough to show the importance of society as the operational context of primary care services.…”

Section: Societal Contextmentioning

confidence: 99%

Evidence to Achieve an Optimal Model for Children’s Health in Europe

Blair¹,

Rigby²,

Alexander³

2019

Issues and Opportunities in Primary Health Care for Children in Europe

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Models of Child Health Appraised (MOCHA) was a wide-ranging, multidisciplinary and multi-method study that aimed to identify the best models of provision of primary care for the children of the European Union. The research has identified two main conclusions: (1) The depth of interdependency of health, economy and society. Primary care needs to be an active partner in public debate about current child health concerns. It should orientate more effectively in addressing wider societal influences on child health through advocacy and collaborative intersectoral public health approaches with those agencies responsible for public and community health if it is to address effectively issues such as childhood obesity, mental health and vaccine hesitancy. As part of this, it needs to address its workforce composition and skills, not least in two-way communication. (2) The European Community has many visions and commitments to children and child health policies, but their effectiveness is largely unfulfilled. The Commission can strengthen its impact on children's health and healthcare services within current remits and resources by focusing on a number of key fields: planned and structured research, providing insight into optimal human resources and skills in child primary care, developing and using ethical means of listening to children's views, remedying the invisibility of children in data, measuring the quality of primary care from a child-centric perspective, understanding the economics of investing in children's health, developing e-health standards and evaluation, collaborative and harmonised use of downloaded research databases, understanding and respecting children's rights and equity, and appreciating and allowing for children's evolving autonomy as they grow up. An optimal model of primary care for children is proactive, inclusive, corporately linked, based on and providing

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Criteria for evaluating transferability of health interventions: a systematic review and thematic synthesis

Cited by 105 publications

References 72 publications

How to Design a Remote Patient Monitoring System A French Case Study

How to Design a Remote Patient Monitoring System A French Case Study

Development and Presentation of an Ethical Framework for Health and Medical Apps

Evidence to Achieve an Optimal Model for Children’s Health in Europe

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