Successful implementation of self-management health innovations

Abstract

Background Literature on self-management innovations has studied their characteristics and position in healthcare systems. However, less attention has been paid to factors that contribute to successful implementation. This paper aims to answer the question: which factors play a role in a successful implementation of self-management health innovations? Methods We conducted a narrative review of academic literature to explore factors related to successful implementation of selfmanagement health innovations. We further investigated the factors in a qualitative multiple case study to analyse their role in implementation success. Data were collected from nine self-management health projects in the Netherlands. Results Nine factors were found in the literature that foster the implementation of self-management health innovations: 1) involvement of end-users, 2) involvement of local and business partners, 3) involvement of stakeholders within the larger system, 4) tailoring of the innovation, 5) utilisation of multiple disciplines, 6) feedback on effectiveness, 7) availability of a feasible business model, 8) adaption to organisational changes, and 9) anticipation of changes required in the healthcare system. In the case studies, on average six of these factors could be identified. Three projects achieved a successful implementation of a selfmanagement health innovation, but only in one case were all factors present. Conclusions For successful implementation of self-management health innovation projects, the factors identified in the literature are neither necessary nor sufficient. Therefore, it might be insightful to study how successful implementation works instead of solely focusing on the factors that could be helpful in this process.

A systematic review of influences on implementation of supported self-management interventions for people with severe mental health problems in secondary mental health care settings

“…The findings of our review, focused on mental health, are similar to systematic reviews examining implementation of self-management interventions in other settings, including physical health care settings. van Beest and colleagues [ 17 ] identified facilitating factors which included a tailored intervention that could adapt to organisational changes, and the involvement of multi-disciplinary teams. Whilst involvement of multi-disciplinary teams was not found to be a facilitator in our review, we did find that the lack of involvement from multiple disciplines was a barrier [ 33 ].…”

“…A recent narrative review [ 17 ] of self-management health interventions across multiple chronic conditions found that factors which can facilitate successful implementation included involving service users, engaging with local and business partners, involving stakeholders within the external system, tailoring the intervention, using multi-disciplinary teams, gathering feedback on effectiveness, having a feasible business model, adapting to organisational changes and anticipating changes that will be required within the healthcare system. An earlier synthesis [ 18 ] of factors influencing the adoption of self-management interventions for long-term illnesses identified factors related to patients, healthcare professionals and managers.…”

The Effect of Patient Education Interventions on Asthma Management in Hail Region

“…They can be considered as a means of punishment rather than giving them power. Therefore, innovation should not only measure results, but also support self-management processes [13][14][15] . The patients' awareness of asthma management techniques was found to be at medium level, showing that there is a need to improve patients' level of awareness about the use of asthma medications and devices in general in order to achieve a higher degree of awareness in the future.…”

A Research Pathway Model for evaluating the implementation of practice-based research: The case of self-management health innovations

“…Several studies about the implementation of self-management health innovations have led to the identification of success factors for innovation, such as the 'involvement of end-users, partners, or stakeholders' (Van Beest et al 2020). The evaluation of self-management health innovations should be extended and tailored to those originating from PBR.…”