ArticleJournal of medical Internet research2020
Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Patients' Experiences of Healthcare Professionals' Competence in Digital Counselling in Healthcare Settings-A Qualitative Systematic Review.Journal of advanced nursing · 2025Pooled it
- Barriers to and Facilitators of Using eHealth to Support Gestational Diabetes Mellitus Self-management: Systematic Literature Review of Perceptions of Health Care Professionals and Women With Gestational Diabetes Mellitus.Journal of medical Internet research · 2022Pooled it
- Effectiveness of eHealth Self-management Interventions in Patients With Heart Failure: Systematic Review and Meta-analysis.Journal of medical Internet research · 2022Pooled it
- Integrating systems thinking and implementation science in biomedical informatics research.JAMIA open · 2026Review
- Uptake and engagement with digital mental health in the workplace: A mixed-methods analysis of the EMPOWER trial.Internet interventions · 2026Article
- The perceived fit of guided iCBT in specialised mental healthcare services: a qualitative study of healthcare professionals' perspectives.Frontiers in digital health · 2026Article
- Understanding the Role of Clinical Decision Support Systems Among Hospital Nurses Using the FITT (Fit Between Individuals, Tasks, and Technology) Framework: Qualitative Study.Journal of medical Internet research · 2025Article
- Sociotechnical Adaptation of Telerehabilitation in Rehabilitation Practice: Survey Among Rehabilitation Professionals.JMIR rehabilitation and assistive technologies · 2025Article
- Article
- Exploring Older Adults' Needs for a Healthy Life and eHealth: Qualitative Interview Study.JMIR human factors · 2025Article
- Quality of the digital gp visits and characteristics of the users: retrospective observational study.Scandinavian journal of primary health care · 2024Observational
- Digital Care Pathway for Patients With Sleep Apnea in Specialized Care: Mixed Methods Study.JMIR human factors · 2024Article
- Telerehabilitation in the Finnish Outpatient Rehabilitation Setting from the Perspective of the Socio-Technical Systems Theory.International journal of environmental research and public health · 2023Article
- Health care Professionals' experiences of counselling competence in digital care pathways - A descriptive qualitative study.Nursing open · 2023Article
- From FITT to FISTT: The task-skills fit before the introduction of assistive, digital health technologies.Heliyon · 2023Article
- Predicting Internet Use and Digital Competence Among Older Adults Using Performance Tests of Visual, Physical, and Cognitive Functioning: Longitudinal Population-Based Study.Journal of medical Internet research · 2023Article
- Removing Dust From the German Health Care System by Introducing Health Apps Into Standard Care: Semistructured Interview Study.JMIR human factors · 2023Article
- A Data-Driven Paradigm for a Resilient and Sustainable Integrated Health Information Systems for Health Care Applications.Journal of multidisciplinary healthcare · 2023Article
- Frameworks for Implementation, Uptake, and Use of Cardiometabolic Disease-Related Digital Health Interventions in Ethnic Minority Populations: Scoping Review.JMIR cardio · 2022Article
- Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of public eHealth services that support patient self-management is rapidly increasing. However, the implementation of these eHealth services for self-management has encountered challenges.
objectiveThe purpose of this paper was to analyze the challenges and opportunities of implementing eHealth services for self-management by focusing on the fit between the technical solution and clinical use.
methodsWe performed in-depth interviews with 10 clinical project coordinators and managers who were responsible for developing and implementing various eHealth services for self-management interventions in five university hospitals in Finland. The results were analyzed using content analysis and open coding. The Fit between Individuals, Task, and Technology (FITT) framework was used to interpret the findings.
resultsThe implementation of self-management services involved many challenges related to technical problems, health professional acceptance, patient motivation, and health organization and management. The implementers identified practices to manage the identified challenges, including improving the design of the technology, supporting health professionals in the adoption of the eHealth services, changing the work processes and tasks, involving patients, and collectively planning the implementation inside an organization. The findings could be mostly attributed to the dimensions of the FITT framework.
conclusionsThe FITT framework helped to analyze the challenges related to the implementation, and most of them were related to poor fit. The importance of patients as stakeholders in eHealth services for patient self-management needs to be highlighted. Thus, we propose that patients should be added as a different type of individual dimension to the FITT framework. In addition, the framework could be extended to include organization and management in a new context dimension.
Indexed as
Identifiers
What OpenQuestion holds
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.