Transitions in Technology-Mediated Cardiac Rehabilitation and Self-management: Qualitative Study Using the Theoretical Domains Framework

Tadas, Shreya; Pretorius, Claudette; Foster, Emma; Gorely, Trish; Leslie, Stephen J; Coyle, David

doi:10.2196/30428

Cited by 4 publications

(1 citation statement)

References 62 publications

(68 reference statements)

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“…The guidelines provided by Atkins et al [79] and Michie et al [77] on applying the COM-B and TDF in research processes and example interview questions to assess each domain of the COM-B and TDF were reviewed. In addition, published examples by other researchers on how to phrase questions to assess all the domains in the COM-B or TDF were reviewed [98][99][100]. Through this review, adaptations were made to our interview guide to better fit our research context.…”

Section: Data Collectionmentioning

confidence: 99%

Designing Implementation Strategies for a Digital Suicide Safety Planning Intervention in a Psychiatric Emergency Department: Protocol for a Multimethod Research Project

Shin,

Zaheer,

Torous

et al. 2023

JMIR Res Protoc

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Background Suicide prevention is currently a national health priority in Canada. Emergency departments (EDs) are critical settings for suicide prevention, and in our local psychiatric ED at the Centre for Addiction and Mental Health, we plan to embed an app-based tool called the Hope app to support suicide safety planning intervention. The app is free and available on app stores, and usability tests have been completed. As a next step to embed this new tool into the routine clinical workflow, research is needed to assess determinants of and design strategies for implementation with the end goal of routinization. Objective The purpose of this 2-phased research is to implement the app in the routine clinical workflow in our local psychiatric ED. The specific objectives are as follows: (1) understanding ED clinicians’ perceptions and experience of implementing the app in routine practice and identifying barriers to and facilitators of implementation (phase 1) and (2) using findings and outputs from phase 1 and collaborating with service users, families, and ED clinicians to co-design implementation strategies for the app (phase 2). Methods We will use an integrated knowledge translation approach throughout this project. In phase 1, we will conduct interviews with ED clinicians to identify implementation determinants using a behavior change framework. In phase 2, a co-design team comprising clinicians, ED service users, and families will design implementation strategies that align with the determinants identified in phase 1. Results This protocol presents detailed information about the entire structure of the 2-phased research project. Ethics approval for conducting the qualitative descriptive study (phase 1) has been obtained, and the recruitment and data collection processes will be completed no later than December 2023. Ethics approval for phase 2 is underway. Conclusions Involving multiple knowledge user groups early in the research and decision-making process is crucial for successful implementation. Although co-designing is commonly practiced during innovation development, there is often a misconception that the responsibility for implementing what has been designed falls on others. This research aims to fill this methodological gap in the health informatics literature. By the end of this project, we will have developed theory-informed implementation strategies to support Centre for Addiction and Mental Health ED clinicians in adopting the Hope app to complete safety planning intervention. These strategies, guided by a behavior change framework, will target clinicians’ behavior change and seamlessly integrate the app into the routine clinical workflow. In addition, this research project will provide recommendations on how to involve multiple knowledge user groups and offer insights into how the methodology used can be adapted to other areas within the health informatics literature. International Registered Report Identifier (IRRID) PRR1-10.2196/50643

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Section: Data Collectionmentioning

confidence: 99%

Designing Implementation Strategies for a Digital Suicide Safety Planning Intervention in a Psychiatric Emergency Department: Protocol for a Multimethod Research Project

Shin,

Zaheer,

Torous

et al. 2023

JMIR Res Protoc

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Advances in Technology Promote Patient-Centered Care in Cardiac Rehabilitation

Ben-Tzur,

Sabovich,

Hutzler

et al. 2023

Cardiology in Review

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Patient-centered health care (PCC) is a framework of clinical care focused on the patient’s individual health care needs. In particular, it emphasizes the development of a partnership between the patient, physician, and healthcare workers to actively involve and empower the patient in their health care decisions. Additionally, PCC goals include ensuring access to care, emotional support, engaging patient support systems, physical comfort, and continuity of care. Technology also provides a platform to engage patients and their families in their care and can be a useful tool to gauge their level of interest, knowledge, and motivations to adequately educate them on the many factors that contribute to their disease, including diet, exercise, medication adherence, psychological support, and early symptom detection. In this article, we summarize the importance of technology in promoting PCC in cardiac rehabilitation and the impact technology may have on the different aspects of patient and physician relationships. Modern technological devices including smartphones, tablets, wearables, and other internet-enabled devices have been shown to help patient-staff communication, cater to patients’ individual needs, increase access to health care, and implement aspects of PCC domains.

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Using Patient-Generated Data to Support Cardiac Rehabilitation and the Transition to Self-Care

Tadas

Dickson²,

Coyle

2023

Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems

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Transitions in Technology-Mediated Cardiac Rehabilitation and Self-management: Qualitative Study Using the Theoretical Domains Framework

Cited by 4 publications

References 62 publications

Designing Implementation Strategies for a Digital Suicide Safety Planning Intervention in a Psychiatric Emergency Department: Protocol for a Multimethod Research Project

Designing Implementation Strategies for a Digital Suicide Safety Planning Intervention in a Psychiatric Emergency Department: Protocol for a Multimethod Research Project

Advances in Technology Promote Patient-Centered Care in Cardiac Rehabilitation

Using Patient-Generated Data to Support Cardiac Rehabilitation and the Transition to Self-Care

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