Diffusion of innovations: a guiding framework for public health

Iqbal, Meesha; Zahidie, Aysha

doi:10.1177/14034948211014104

Cited by 10 publications

(6 citation statements)

References 14 publications

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“…DOI theory is considered relevant for social network interventions [ 16 ] since it is helpful to explain how new ideas and practices spread within the social network [ 41 , 42 ]. Likewise, integrating the theory of social networks with DOI theory has been suggested to improve the implementation of interventions, achieving a comprehensive approach [ 43 ]. In the present scoping review, two interventions applied a combination of SDT and DOI theory [ 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Implementation processes of social network interventions for physical activity and sedentary behavior among children and adolescents: a scoping review

Petro-Petro,

Arango-Paternina,

Patiño-Villada

et al. 2024

BMC Public Health

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Background The characteristics of the implementation process of interventions are essential for bridging the gap between research and practice. This scoping review aims to identify the implementation process of social network interventions (SNI) to address physical activity and sedentary behaviors in children and adolescents. Methods The scoping review was conducted adhering to the established guidelines. The search was carried out in the ERIC, EBSCO, EMBASE, SCOPUS, and Lilacs databases in April 2023. Social network intervention studies in children and adolescents were included, addressing physical activity or sedentary behaviors. Replicability (TIDieR), applicability (PRECIS-2), and generalizability (RE-AIM) were the explored components of the implementation process. Each component was quantitatively and separately analyzed. Then, a qualitative integration was carried out using a narrative method. Results Most SNI were theoretically framed on the self-determination theory, used social influence as a social mechanism, and used the individual typology of network intervention. Overall, SNI had strong replicability, tended to be pragmatic, and three RE-AIM domains (reach, adoption (staff), and implementation) showed an acceptable level of the generalizability of findings. Conclusions The analyzed SNI for physical activity and sedentary behaviors in adolescents tended to be reported with high replicability and were conducted pragmatically, i.e., with very similar conditions to real settings. The RE-AIM domains of reach, adoption (staff), and implementation support the generalizability of SNI. Some domains of the principles of implementation strategies of SNI had acceptable external validity (actor, action targets, temporality, dose, and theoretical justification).

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Section: Discussionmentioning

confidence: 99%

Implementation processes of social network interventions for physical activity and sedentary behavior among children and adolescents: a scoping review

Petro-Petro,

Arango-Paternina,

Patiño-Villada

et al. 2024

BMC Public Health

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“…The Technology Acceptance Model is a theoretical model that explains users’ acceptance of new technologies and systems [ 46 ]. The Diffusion of Innovations model is about persuading people to accept new products, concepts, and things through the media, focusing on the impact of mass communication on society and culture [ 47 ]. Compared to other conceptual frameworks, our findings prefer to support the self-efficacy theory to develop the DHL interventions.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Digital Health Literacy Interventions in Older Adults: Single-Arm Meta-Analysis

Dong¹,

Liu²,

Liu³

et al. 2023

J Med Internet Res

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Background In a world of rapid digital technology development, the lack of digital health literacy (DHL) among older people cannot be ignored. DHL is becoming an essential competency that can facilitate the health status and health management of older adults. DHL interventions that are feasible and appropriate can be implemented on a large scale through the health care system for older people. Objective The purpose of this meta-analysis was to assess the effectiveness of DHL interventions for older adults. Methods English publications in PubMed, Web of Science, Embase, and the Cochrane Library were searched from inception to November 20, 2022. Two reviewers independently completed the data extraction and quality assessment. Review Manager (version 5.4; Cochrane Informatics & Technology Services) software was used for all meta-analyses. Results A total of 7 studies, including 2 randomized controlled trials and 5 quasi-experimental studies, involving 710 older adults were considered eligible. The main outcome was scores on the eHealth Literacy Scale, and secondary outcomes were knowledge, self-efficacy, and skills. Quasi-experimental studies compared baseline and postintervention outcomes, while randomized controlled trials compared pre- and postintervention outcomes in the intervention group. Of the 7 studies, 3 used face-to-face instruction, while 4 adopted web-based interventions. Among them, 4 of the interventions were conducted using theoretical guidance, while 3 were not. Intervention duration varied from 2 to 8 weeks. In addition, the studies included were all conducted in developed countries, mainly in the United States. Pooled analysis presented that DHL interventions had positive effects on eHealth literacy efficacy (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001). Subgroup analysis revealed that DHL interventions that chose face-to-face teaching (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001), were guided by a conceptual framework (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001), and were sustained over 4 weeks (standardized mean difference 1.1, 95% CI 0.46 to 1.84; P=.001) had a more significant effect. Moreover, the outcomes showed considerable gains in knowledge (standardized mean difference 0.93, 95% CI 0.54 to 1.31; P<.001) and self-efficacy (standardized mean difference 0.96, 95% CI 0.16 to 1.77; P=.02). No statistically significant effect was found for skills (standardized mean difference 0.77, 95% CI –0.30 to 1.85; P=.16). The small number of studies, variable study quality, and heterogeneity are some limitations of this review. Conclusions DHL interventions have positive effects on the health status and health management of older adults. Practical and effective DHL interventions are crucial for the use of modern digital information technology in managing the health of older people. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42023410204; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=410204

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“…The remaining minority of people (11%), known as “laggards,” are skeptical of change. They are the most challenging group to adopt new changes ( 29 ). While the media publicity tends to target the general population, an active personal and targeted approach, like the COVE program, was needed to get the buy-in from this subgroup ( 22 ).…”

Section: Discussionmentioning

confidence: 99%

A multidisciplinary effort to increase COVID-19 vaccination among the older adults

Moosa

Wee

Jaw

et al. 2022

Front. Public Health

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BackgroundCOVID-19 vaccination significantly reduces the risk of infection and its associated morbidity and mortality. However, poor uptake of the COVID-19 vaccination was reported among the high-risk group of older people amidst emerging variants of concern. This community case study reports an outreach program in Singapore, COVE (COVID-19 Vaccination for the Elderly) initiated by healthcare workers in a cluster of primary care clinics. They assessed the vaccine hesitancy among these older persons, addressed their concerns and facilitated their vaccination appointment during a brief phone conversation.MethodTwenty one thousand six hundred and sixty three unvaccinated adults aged ≥60 years were contacted by healthcare worker volunteers over two phases from June to October 2021. In phase I, they contacted adults aged above 70 years over 2 weeks. Adults who were uncontactable in phase I and those aged 60–69 years were sent SMS in phase II. Data were analyzed via descriptive data analysis.ResultsAfter phase 1, 65.5% (n = 5,646/8,617) of older adults had received at least one dose of the COVID-19 vaccine. The respondents expressed intention to vaccinate (39%, n = 3,390), requested to seek further information (25%, n = 2,138), reported access barrier (8%, n = 715), or were concerned of the vaccine adverse effects (3%, n = 288). Vaccination was refused by 24% (n = 2,086) of the respondents. Eventually 60.4% (n = 13,082/21,663) of them were vaccinated 3 months after COVE implementation.ConclusionThe COVE program increased the COVID-19 vaccination uptake of older adults from 84.6 to 96.3%. A person-centric proactive approach by healthcare workers addressed vaccine hesitancy and optimized vaccination. The outreach scheduling of vaccination appointments is key in promoting vaccination uptake among older adults.

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Diffusion of innovations: a guiding framework for public health

Cited by 10 publications

References 14 publications

Implementation processes of social network interventions for physical activity and sedentary behavior among children and adolescents: a scoping review

Implementation processes of social network interventions for physical activity and sedentary behavior among children and adolescents: a scoping review

Effectiveness of Digital Health Literacy Interventions in Older Adults: Single-Arm Meta-Analysis

A multidisciplinary effort to increase COVID-19 vaccination among the older adults

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