Integrating a Web-Based Self-Management Tool (Managing Joint Pain on the Web and Through Resources) for People With Osteoarthritis-Related Joint Pain With a Web-Based Social Network Support Tool (Generating Engagement in Network Involvement): Design, Development, and Early Evaluation

Clarkson, Paul; Vassilev, Ivaylo; Rogers, Anne; Brooks, Charles L.; Wilson, Nicky; Lawson, Jem; Adams, Jo

doi:10.2196/18565

Cited by 9 publications

(4 citation statements)

References 58 publications

(74 reference statements)

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“…Overall, patients with KOA had positive experiences with digital health technologies. Some of the key benefits noted by patients included anonymity, accessibility, convenience, tailored interventions, reduced travel costs, feedback and self-monitoring, progress reports, and enhanced patient-provider relationships [ 95 - 105 ]. Phone-based interventions were found to be acceptable and were valued for the undivided focus and communication from physical therapists [ 96 - 98 ].…”

Section: Resultsmentioning

confidence: 99%

Applications of Digital Health Technologies in Knee Osteoarthritis: Narrative Review

Shah¹,

Costello²,

Mehta³

et al. 2022

JMIR Rehabil Assist Technol

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Background With the increasing adoption of high-speed internet and mobile technologies by older adults, digital health is a promising modality to enhance clinical care for people with knee osteoarthritis (KOA), including those with knee replacement (KR). Objective This study aimed to summarize the current use, cost-effectiveness, and patient and clinician perspectives of digital health for intervention delivery in KOA and KR. Methods In this narrative review, search terms such as mobile health, smartphone, mobile application, mobile technology, ehealth, text message, internet, knee osteoarthritis, total knee arthroplasty, and knee replacement were used in the PubMed and Embase databases between October 2018 and February 2021. The search was limited to original articles published in the English language within the past 10 years. In total, 91 studies were included. Results Digital health technologies such as websites, mobile apps, telephone calls, SMS text messaging, social media, videoconferencing, and custom multi-technology systems have been used to deliver interventions in KOA and KR populations. Overall, there was significant heterogeneity in the types and applications of digital health used in these populations. Digital patient education improved disease-related knowledge, especially when used as an adjunct to traditional methods of patient education for both KOA and KR. Digital health that incorporated person-specific motivational messages, biofeedback, or patient monitoring was more successful at improving physical activity than self-directed digital interventions for both KOA and KR. Many digital exercise interventions were found to be as effective as in-person physical therapy for people with KOA. Many digital exercise interventions for KR incorporated both in-person and web-based treatments (blended format), communication with clinicians, and multi-technology systems and were successful in improving knee range of motion and self-reported symptoms and reducing the length of hospital stays. All digital interventions that incorporated cognitive behavioral therapy or similar psychological interventions showed significant improvements in knee pain, function, and psychological health when compared with no treatment or traditional treatments for both KOA and KR. Although limited in number, studies have indicated that digital health may be cost-effective for these populations, especially when travel costs are considered. Finally, although patients with KOA and KR and clinicians had positive views on digital health, concerns related to privacy and security and concerns related to logistics and training were raised by patients and clinicians, respectively. Conclusions For people with KOA and KR, many studies found digital health to be as effective as traditional treatments for patient education, physical activity, and exercise interventions. All digital interventions that incorporated cognitive behavioral therapy or similar psychological treatments were reported to result in significant improvements in patients with KOA and KR when compared with no treatment or traditional treatments. Overall, technologies that were blended and incorporated communication with clinicians, as well as biofeedback or patient monitoring, showed favorable outcomes.

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Section: Resultsmentioning

confidence: 99%

Applications of Digital Health Technologies in Knee Osteoarthritis: Narrative Review

Shah¹,

Costello²,

Mehta³

et al. 2022

JMIR Rehabil Assist Technol

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“…Twenty-five studies commented in varying detail about their experience using NASSS. Eighteen studies [12,26,28,33,35,39,41,50,52,[55][56][57]62,63,68,73,75,78] mentioned that NASSS was a helpful and useful tool, explicitly noting its utility in exploring complexity, facilitating an understanding of the implementation context, applicability in the health technology domain, and its flexibility to be adapted to researchers' needs. A few studies mentioned the comprehensiveness of the tool for identifying implementation determinants and its value in providing a theoretical foundation [12,27,38].…”

Section: Rq3 Lessons Learned From the Application Of The Nasssmentioning

confidence: 99%

The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review

Shin,

Hamovitch,

Gatov

et al. 2023

Preprint

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BackgroundThe Non-adoption, Abandonment, Scale-up, Spread, Sustainability (NASSS) framework (2017) was established as an evidence-based, theory-informed tool to predict and evaluate the success of implementing health and care technologies. While the NASSS is gaining popularity, its use has not been systematically described. Literature reviews on the applications of popular implementation frameworks such as RE-AIM and CFIR have enabled their advancement in the implementation science field. Similarly, we sought to advance the science of implementation and application of theories, models, and frameworks (TMFs) in research by exploring the application of the NASSS in the five years since its inception.ObjectiveWe aim to understand the characteristics of studies that used the NASSS, how it was used, and the lessons learned from its application.MethodsWe conducted a scoping review following the Joanna Briggs Institute methodology. We searched the following databases on December 20, 2022: Ovid MEDLINE, EMBASE, PsychINFO, CINAHL, Scopus, Web of Science, and LISTA. We used typologies and frameworks to characterize evidence to address our aim.ResultsThis review included 57 studies, which were a mix of qualitative (n=28), mixed/multi-methods (n=13), case studies (n=6), observational (n=3), experimental (n=3), and other designs (e.g., quality improvement) (n=4). The four most common types of digital applications being implemented were telemedicine/virtual care (n=24), personal health devices (n=10), digital interventions, such as internet Cognitive Behavioural Therapies (n=10), and knowledge generation applications (n=9). Studies used the NASSS to inform study design (n=9), data collection (n=35), analysis (n=41), data presentation (n=33), and interpretation (n=39). Most studies applied the NASSS retrospectively to implementation (n=33). The remainder applied the NASSS prospectively (n=15) or concurrently (n=8) with implementation. We also collated reported barriers and enablers to implementation. We found the most reported barriers fell within the Organization and Adopter System domains, and the most frequently reported enablers fell within the Value Proposition domain. Eighteen studies highlighted the NASSS as a valuable and practical resource, particularly for unravelling complexities, comprehending implementation context, understanding contextual relevance in implementing health technology, and recognizing the NASSS’ adaptable nature to cater to researchers’ requirements.ConclusionsMost studies used the NASSS retrospectively, which may be attributed to the framework’s novelty. However, this finding highlights the need for prospective and concurrent application of the NASSS within the implementation process. In addition, almost all included studies reported multiple domains as barriers and enablers to implementation, indicating that implementation is a highly complex process that requires careful preparation to ensure implementation success. Finally, we identified a need for better reporting when using the NASSS in implementation research to contribute to the collective knowledge in the field.

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“…Data analysis was conducted using the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework developed by Greenhalgh et al [39,40]. The framework was developed recently and has been used to examine various technology-based health interventions e.g., teleconsultation implementation [41,42] and several e-health tools [43][44][45]. This framework was deemed appropriated as one of its key purposes is to plan the implementation, scale-up or rollout of technological innovations in healthcare [39].…”

Section: Data Extraction and Analysismentioning

confidence: 99%

How does the genomic naive public perceive whole genomic testing for health purposes? A scoping review

2022

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The benefits of genomic testing are primarily reported in rare disease, cancer diagnosis and disease management. However, as research into its application in common, more complex conditions grows, as well as the increased prevalence of carrier screening programs, the genomic naive public is more likely to be offered testing in future. To promote social acceptability and ethical application of this technology, it is essential that public perceptions of genomics are considered. Previous studies, however, have primarily focussed on the views of those with genetic conditions or those undergoing genetic testing. The aim of this scoping review is to investigate the genomic naive public’s perceptions of clinical genomics and clinical genomic testing. Embase, MEDLINE and PubMed databases were searched, with a total of 3460 articles identified. Data analysis was organised according to the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework. Sixteen full-text articles were included in the final analysis. Most of the studies used questionnaires to determine attitudes of the public toward clinical genomics (n = 12). Public perceptions were found to underpin technology (Domain 2), value proposition (Domain 3), the adopter system (Domain 4) and the wider context (Domain 6) of the NASSS framework, highlighting its importance when considering implementation of an innovative technology such as genomic testing. Our study shows public perceptions are diverse, and highlights the need for more studies on the views of underrepresented groups and the impact of cultural contexts on perceptions.

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Integrating a Web-Based Self-Management Tool (Managing Joint Pain on the Web and Through Resources) for People With Osteoarthritis-Related Joint Pain With a Web-Based Social Network Support Tool (Generating Engagement in Network Involvement): Design, Development, and Early Evaluation

Cited by 9 publications

References 58 publications

Applications of Digital Health Technologies in Knee Osteoarthritis: Narrative Review

Applications of Digital Health Technologies in Knee Osteoarthritis: Narrative Review

The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review

How does the genomic naive public perceive whole genomic testing for health purposes? A scoping review

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