Evidence-Based Evaluation of eHealth Interventions: Systematic Literature Review

Enam, Amia; Torres-Bonilla, Johanna; Eriksson, Henrik

doi:10.2196/10971

Cited by 127 publications

(125 citation statements)

References 62 publications

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“…Although useful work has been performed by these previous authors, no single source is able to provide clear guidance in selecting appropriate evaluation approaches in relation to the specific evaluation phases of eHealth. Therefore, to enhance quality and safety, and to facilitate long-term implementation of eHealth solutions into daily practice, raising the awareness of eHealth evaluators about the wide array of eHealth evaluation approaches and thereby enhancing the completeness of evidence is sorely needed [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Online Guide for Electronic Health Evaluation Approaches: Systematic Scoping Review and Concept Mapping Study

et al. 2020

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Background Despite the increase in use and high expectations of digital health solutions, scientific evidence about the effectiveness of electronic health (eHealth) and other aspects such as usability and accuracy is lagging behind. eHealth solutions are complex interventions, which require a wide array of evaluation approaches that are capable of answering the many different questions that arise during the consecutive study phases of eHealth development and implementation. However, evaluators seem to struggle in choosing suitable evaluation approaches in relation to a specific study phase. Objective The objective of this project was to provide a structured overview of the existing eHealth evaluation approaches, with the aim of assisting eHealth evaluators in selecting a suitable approach for evaluating their eHealth solution at a specific evaluation study phase. Methods Three consecutive steps were followed. Step 1 was a systematic scoping review, summarizing existing eHealth evaluation approaches. Step 2 was a concept mapping study asking eHealth researchers about approaches for evaluating eHealth. In step 3, the results of step 1 and 2 were used to develop an “eHealth evaluation cycle” and subsequently compose the online “eHealth methodology guide.” Results The scoping review yielded 57 articles describing 50 unique evaluation approaches. The concept mapping study questioned 43 eHealth researchers, resulting in 48 unique approaches. After removing duplicates, 75 unique evaluation approaches remained. Thereafter, an “eHealth evaluation cycle” was developed, consisting of six evaluation study phases: conceptual and planning, design, development and usability, pilot (feasibility), effectiveness (impact), uptake (implementation), and all phases. Finally, the “eHealth methodology guide” was composed by assigning the 75 evaluation approaches to the specific study phases of the “eHealth evaluation cycle.” Conclusions Seventy-five unique evaluation approaches were found in the literature and suggested by eHealth researchers, which served as content for the online “eHealth methodology guide.” By assisting evaluators in selecting a suitable evaluation approach in relation to a specific study phase of the “eHealth evaluation cycle,” the guide aims to enhance the quality, safety, and successful long-term implementation of novel eHealth solutions.

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Section: Introductionmentioning

confidence: 99%

Online Guide for Electronic Health Evaluation Approaches: Systematic Scoping Review and Concept Mapping Study

et al. 2020

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“…This study tried to minimize these limitations by using a scoping review of available literature including consultation exercise. [ 5 20 ]…”

Section: Discussionmentioning

confidence: 99%

“…The pieces of evidence for assessing the actual benefits of e-health programs are lacking and, moreover, for which there is no standard framework for assessing the actual benefit of these digital health ventures. [ 5 ] A large number of e-health system which is being deployed give rise to the importance of the new pragmatic framework to demonstrate the benefits of these program and guide adaptation decision. There are plethora of different kinds of literature that have been proposed to assess the e-health system but pieces of evidence about their actual implementation in a real-world scenario are lacking.…”

Section: Introductionmentioning

confidence: 99%

Assessment of monitoring and online payment system (Asha Soft) in Rajasthan using benefit evaluation (BE) framework

Joshi

Bhardwaj

Suthar

et al. 2020

J Family Med Prim Care

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Context: e-Health programs are implemented assuming that e-health/digital health can prove beneficial but pieces of evidence for assessing the actual benefits of e-health programs are lacking. Aims: To utilize the benefit evaluation (BE) framework to assess Asha Soft, which is an online payment and performance monitoring system initiative taken by Rajasthan. Settings and Design: BE of Asha Soft in Rajasthan. Methods and Materials: BE of ASHA Soft was done using scoping review with consultation exercise. The rationale behind using this methodological framework is to contextualize knowledge of the current state of understanding within BE framework practice contexts. The themes used for data compilation and analysis were based on three broad dimensions of BE framework namely, health information technology quality, use, and net benefits. Results: The state of Rajasthan has been the first in the country to start an online system of payment and monitoring of ASHA workers, through Asha Soft. It has administrative and supportive functions. Its simple and easy to use graphical user interference helps users to make accurate data entries and obtain desired monitoring and analytical reports. It has attributed to the availability of data on various parameters which help decision-maker to decide about the performance of ASHA worker and has brought a positive impact on the work performance of ASHAs. This online payment and monitoring mechanism has argumented motivational level and intention of use. The program has optimally utilized available human resources and no apparent monetary cost was involved in developing this software. Conclusions: This scoping study using the BE framework has provided evidence on the potential benefits of Asha Soft adoption in Rajasthan. It is recommended that future in-depth assessment of other e-health initiatives could be undertaken to guide the decision making.

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“…The question is which level of evidence is necessary prior to widespread use of digital health apps[ 89 ]. A systematic literature review of the evidence-based evaluations, conducted by Enam et al[ 90 ], revealed that a lack of standardization of eHealth interventions is a substantial barrier to assessing the full potential of eHealth interventions. Standardization could significantly improve the quality of intervention studies and, furthermore, could also ease the implementation of eHealth interventions.…”

Section: Challengesmentioning

confidence: 99%

Impact of mobile health and medical applications on clinical practice in gastroenterology

Kernebeck¹,

Busse²,

Böttcher³

et al. 2020

WJG

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Mobile health apps (MHAs) and medical apps (MAs) are becoming increasingly popular as digital interventions in a wide range of health-related applications in almost all sectors of healthcare. The surge in demand for digital medical solutions has been accelerated by the need for new diagnostic and therapeutic methods in the current coronavirus disease 2019 pandemic. This also applies to clinical practice in gastroenterology, which has, in many respects, undergone a recent digital transformation with numerous consequences that will impact patients and health care professionals in the near future. MHAs and MAs are considered to have great potential, especially for chronic diseases, as they can support the self-management of patients in many ways. Despite the great potential associated with the application of MHAs and MAs in gastroenterology and health care in general, there are numerous challenges to be met in the future, including both the ethical and legal aspects of applying this technology. The aim of this article is to provide an overview of the current status of MHA and MA use in the field of gastroenterology, describe the future perspectives in this field and point out some of the challenges that need to be addressed.

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Evidence-Based Evaluation of eHealth Interventions: Systematic Literature Review

Cited by 127 publications

References 62 publications

Online Guide for Electronic Health Evaluation Approaches: Systematic Scoping Review and Concept Mapping Study

Online Guide for Electronic Health Evaluation Approaches: Systematic Scoping Review and Concept Mapping Study

Assessment of monitoring and online payment system (Asha Soft) in Rajasthan using benefit evaluation (BE) framework

Impact of mobile health and medical applications on clinical practice in gastroenterology

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