ArticleJMIR human factors2017
Challenges During Implementation of a Patient-Facing Mobile App for Surgical Rehabilitation: Feasibility Study.
Article in JMIR human factors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06896812 (A Pilot Study on App-based Treatment Combining Physical Exercise, Graded Activity, and Pain Journaling for Patients with Spinal Complaints), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Pilot Study on App-based Treatment Combining Physical Exercise, Graded Activity, and Pain Journaling for Patients with Spinal Complaints
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and facilitators related to self-management of shoulder pain: a systematic review and qualitative synthesis.Clinical rehabilitation · 2022Pooled it
- Trial
- Regulatory Interactions and Learnings-RADIAL the Trials@Home Proof-of-Concept Trial on Decentralization.Clinical pharmacology and therapeutics · 2025Article
- Patient Experiences With a Mobile Self-Care Solution for Low-Complex Orthopedic Injuries: Mixed Methods Study.JMIR human factors · 2025Article
- The Digital Platform and Its Emerging Role in Decentralized Clinical Trials.Journal of medical Internet research · 2024Article
- Factors Facilitating and Inhibiting the Implementation of Telerehabilitation-A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Usability and Evaluation of a Health Information System in the Emergency Department: Mixed Methods Study.JMIR human factors · 2024Article
- Development of an App for Tracking Family Engagement With Early Intervention Services: Focus Groups and Pilot Evaluation Study.JMIR human factors · 2023Article
- Study protocol for a factorial-randomized controlled trial evaluating the implementation, costs, effectiveness, and sustainment of digital therapeutics for substance use disorder in primary care (DIGITS Trial).Implementation science : IS · 2023Article
- Usage Evaluation of a Mobile App to Help Understand the Rehabilitation Process of Shoulder Surgery.Revista brasileira de ortopedia · 2021Article
- Adoption of Digital Health Technologies in the Practice of Behavioral Health: Qualitative Case Study of Glucose Monitoring Technology.Journal of medical Internet research · 2021Article
- Better outcomes for patients with gout.Inflammopharmacology · 2020Article
- A Patient-Centered Information System (myED) for Emergency Care Journeys: Design, Development, and Initial Adoption.JMIR formative research · 2020Article
- Artificial Intelligence for Participatory Health: Applications, Impact, and Future Implications.Yearbook of medical informatics · 2019Review
- Competencies required by patients and health professionals regarding telerehabilitation: A scoping review.Digital healthArticle
- Development of a health information system to promote emergency care pathways: A participatory design study.Digital healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTranslating research into practice, especially the implementation of digital health technologies in routine care, is increasingly important. Yet, there are few studies examining the challenges of implementing patient-facing digital technologies in health care settings.
objectiveThe aim of this study was to report challenges experienced when implementing mobile apps for patients to support their postsurgical rehabilitation in an orthopedic setting.
methodsA mobile app was tailored to the needs of patients undergoing rotator cuff repair. A 30-min usability session and a 12-week feasibility study were conducted with patients to evaluate the app in routine care. Implementation records (observation reports, issues log, and email correspondence) explored factors that hindered or facilitated patient acceptance. Interviews with clinicians explored factors that influenced app integration in routine care.
resultsParticipant completion was low (47%, 9/19). Factors that affected patient acceptance included digital literacy, health status, information technology (IT) infrastructure at home, privacy concerns, time limitations, the role of a caregiver, inconsistencies in instruction received from clinicians and the app, and app advice not reflective of patient progress over time. Factors that negatively influenced app integration in routine care included competing demands among clinicians, IT infrastructure in health care settings, identifying the right time to introduce the app to patients, user interface complexity for older patients, lack of coordination among multidisciplinary clinicians, and technical issues with app installation.
conclusionsThree insights were identified for mobile app implementation in routine care: (1) apps for patients need to reflect their journey over time and in particular, postoperative apps ought to be introduced as part of preoperative care with opportunities for patients to learn and adopt the app during their postoperative journey; (2) strategies to address digital literacy issues among patients and clinicians are essential; and (3) impact of the app on patient outcomes and clinician workflow needs to be communicated, monitored, and reviewed. Lastly, digital health interventions should supplement but not replace patient interaction with clinicians.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.