Formative Evaluation to Determine Facilitators and Barriers to Nurse-driven Implementation: Designing an Inpatient mHealth Intervention to Support Smoking Cessation

Win, Khin Than; Oinas-Kukkonen, Harri; Iyengar, M. Sriram

doi:10.24251/hicss.2017.401

Cited by 3 publications

(4 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…TIPS included 30 weeks of active implementation and 30 weeks of sustainability monitoring for a total 60-week duration (Figure 1). Stakeholders including leaders, managers, and staff participated in a formative assessment leading to the final design of the TIPS program [24]. Weekly contact with nurse managers allowed feedback collection.…”

Section: Methodsmentioning

confidence: 99%

“…All clinical units received promotional posters for use at the discretion of nurse unit managers. Poster content was created using health belief model concepts [24,25]. Posters were designed to motivate smokers to sign up for the texting system using their mobile phones.…”

Section: Methodsmentioning

confidence: 99%

“…Barriers to patient adoption of the mHealth program were collected before and after active implementation by survey of the nurse staff. The question posed to nurses was, “Do you think any of the below reasons could be a barrier to introducing mobile messages to patients?” Responses were a checklist of potential barriers from a previously developed questionnaire [32] and those identified during the formative assessment [24].…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Nurse-Driven mHealth Implementation Using the Technology Inpatient Program for Smokers (TIPS): Mixed Methods Study

Blok

Sadasivam

Hogan

et al. 2019

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

BackgroundSmoking is the leading cause of preventable death and disease, yet implementation of smoking cessation in inpatient settings is inconsistent. The Technology Inpatient Program for Smokers (TIPS) is an implementation program designed to reach smokers with a mobile health (mHealth) intervention using stakeholder-supported strategies.ObjectiveThe purpose of this study was to determine the impact of the TIPS implementation strategies on smoker-level engagement of the mHealth intervention during care transition.MethodsWe examined varying intensities (passive motivational posters only and posters + active nurse-led facilitation) of TIPS strategies on four hospital units located in two sites. Unit-level and smoker-level adoption was monitored during active implementation (30 weeks) and sustainability follow-up (30 weeks). Process measures reflecting the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework, stakeholder reported adaptations of strategies, and formative evaluation data were collected and analyzed.ResultsFor our smoker-level reach, 103 smokers signed up for the mHealth intervention in-hospital, with minimal decline during sustainability follow-up. While posters + nurse facilitation did not lead to higher reach than posters alone during active implementation (27 vs 30 signed up), it did lead to higher engagement of smokers (85.2% vs 73.3% completion of the full 2-week intervention). TIPS strategy adoption and fidelity varied by unit, including adoption of motivational posters (range: weeks 1 and 5), fidelity of posters (0.4% to 16.2% of posters missing per unit weekly) and internal facilitation of nurse training sessions (average of 2 vs 7.5 by site). Variable maintenance costs of the program totaled US $6.63 (US $683.28/103) per smoker reached. Reported family-member facilitation of mHealth sign-up was an observation of unintended behavior.ConclusionsTIPS is a feasible and low-cost implementation program that successfully engages smokers in an mHealth intervention and sustains engagement after discharge. Further testing of nurse facilitation and expanding reach to patient family and friends as an implementation strategy is needed.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Nurse-Driven mHealth Implementation Using the Technology Inpatient Program for Smokers (TIPS): Mixed Methods Study

Blok

Sadasivam

Hogan

et al. 2019

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…Health behavior change support systems (HBCSS) assist in disease prevention, health promotion and healthcare management [1]. To date, many studies have presented HBCSS perspectives [2].…”

mentioning

confidence: 99%

Evaluating the Impact of Retiring Synchronous Fossil Fuel Generators on Inter-Area Oscillations in the U.S. Western Interconnection

Biswas,

Nguyen,

Lyu

et al. 2024

Proceedings of the Annual Hawaii International Conference on System Sciences

View full text Add to dashboard Cite

The Trajectory of IT in Healthcare at HICSS: A Literature Review, Analysis, and Future Directions

Samhan¹,

Crampton²,

Ruane³

2018

CAIS

View full text Add to dashboard Cite

Research has extensively demonstrated that healthcare industry has rapidly implemented and adopted information technology in recent years. Research in health information technology (HIT), which represents a major component of the Hawaii International Conference on System Sciences, demonstrates similar findings. In this paper, review the literature to better understand the work on HIT that researchers have conducted in HICSS from 2008 to 2017. In doing so, we identify themes, methods, technology types, research populations, context, and emerged research gaps from the reviewed literature. With much change and development in the HIT field and varying levels of adoption, this review uncovers, catalogs, and analyzes the research in HIT at HICSS in this ten-year period and provides future directions for research in the field.

show abstract

Formative Evaluation to Determine Facilitators and Barriers to Nurse-driven Implementation: Designing an Inpatient mHealth Intervention to Support Smoking Cessation

Abstract: Abstract

Cited by 3 publications

References 27 publications

Nurse-Driven mHealth Implementation Using the Technology Inpatient Program for Smokers (TIPS): Mixed Methods Study

Nurse-Driven mHealth Implementation Using the Technology Inpatient Program for Smokers (TIPS): Mixed Methods Study

Evaluating the Impact of Retiring Synchronous Fossil Fuel Generators on Inter-Area Oscillations in the U.S. Western Interconnection

The Trajectory of IT in Healthcare at HICSS: A Literature Review, Analysis, and Future Directions

Contact Info

Product

Resources

About