Implementing Goal Mama: Barriers and Facilitators to Introducing Mobile Health Technology in a Public Health Nurse Home-Visiting Program

Abstract

The present study explores barriers and facilitators experienced by public health nurses introducing a mobile health technology platform (Goal Mama) to the Nurse-Family Partnership home-visiting program. Goal Mama is a HIPAA-compliant goal-coaching and visit preparation platform that clients and nurses use together to set and track goals. Forty-two nurses across five sites, including urban, suburban, and rural communities, piloted the platform with clients for 6 months. The mixed method, QUAL+quan pilot evaluation focused on deeply understanding the implementation process. Data were analyzed via iterative content analysis and multivariate regression analysis, and triangulated to identify salient findings. Over 6 months of use participants identified critical areas for product and implementation improvement, but still viewed the platform favorably. Key opportunities for improving sustained use revolved around supporting the technological and programmatic integration needed to lower key barriers and further facilitate implementation.

Perceptions of registered nurses on facilitators and barriers of implementing the AI-IoT-based healthcare pilot project for older adults during the COVID-19 pandemic in South Korea

“…The pilot phase of the AI·IoT-PP intervention proved feasible and was positively received, demonstrating the effectiveness of mobile technology in enhancing communication and goal setting between RN-PHCs and clients. These findings echo community-based studies that underscored the critical role of health worker involvement and efficient clinician workflows in the successful adoption of mobile apps among low-income populations and vulnerable families ( 9 , 14 ). This aligns with the literature ( 14 , 15 ), which advocated for mHealth applications as significant facilitators in health management.…”

“…Participants were given the option to select either a qualitative interview or a qualitative survey, taking into consideration their personal circumstances. The interview guide was developed through an extensive literature review on the adaptability of online-based public health projects ( 3 , 9 , 10 ). We used open-ended questions to encourage rich, detailed responses from the participants.…”

Psychometric Testing of the German Versions of Three Implementation Outcome Measures

“…Currently, the AIM, IAM, and FIM have not been tested extensively except in one study (Weiner et al, 2017), yet other studies applying these instruments have recently been published (Adrian et al, 2020;Damush et al, 2021;Swindle et al, 2021;Taboada et al, 2021;Wasil et al, 2021). The first results are promising; however, further field studies are necessary to test the psychometric criteria, and especially further investigate the scales' construct validity and predictive validity.…”

“…A third study investigated test-retest reliability after seven weeks (r ranged from 0.73 to 0.88) and verified the instruments' sensitivity to change in both directions. Currently, comprehensive results on the psychometrical performance of the instruments based on other samples are lacking, but a range of studies applying these instruments have recently been published (Adrian et al, 2020;Damush et al, 2021;Swindle et al, 2021;Taboada et al, 2021;Wasil et al, 2021).…”

Translation, Cross-Cultural Adaptation to Malay, and Psychometric Evaluation of the AIM-IAM-FIM Questionnaire: Measuring the Implementation Outcome of a Community-Based Intervention Programme

“…Most of the available studies that have been done in this country include the quantitative and qualitative assessment of awareness, knowledge, and perception, as well as the effectiveness of the community-based health programme assessed through service outcome indicators (Lim et al, 2015;Rozita Hod et al, 2013). Various studies have been conducted in countries that employ implementation outcome measures to assess services or programmes (Taboada et al, 2021;Wasil et al, 2021). Nevertheless, due to cultural and healthcare system variations, implementation result studies from other nations cannot be generalised to Malaysia.…”