ArticleImplementation science communications2020
Barriers and facilitators in implementing a pilot, pragmatic, telemedicine-delivered healthy lifestyle program for obesity management in a rural, academic obesity clinic.
Article in Implementation science communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03309787 (A Pilot Study of an eHealth-delivered Health Coaching Intervention), which is not on this map. Cited by 21 papers.
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 of an eHealth-delivered Health Coaching Intervention
Who cites it
21 citing papers in PubMed, 51 citations in OpenAlex.
- Barriers and Facilitators in Implementing a Telemonitoring Application for Patients With Chronic Kidney Disease and Health Professionals: Ancillary Implementation Study of the NeLLY (New Health e-Link in the Lyon Region) Stepped-Wedge Randomized Controlled Trial.JMIR mHealth and uHealth · 2025Trial
- Planning and evaluating an integrated clinical exercise oncology service: an exploratory mixed-methods study.BMC health services research · 2024Trial
- Delivering a Postpartum Weight Loss Intervention via Facebook or In-Person Groups: Results From a Randomized Pilot Feasibility Trial.JMIR mHealth and uHealth · 2023Trial
- Factors Influencing the Implementation of a Multispecialty Virtual Ward Program in the United Kingdom: Qualitative Exploration of Staff Experiences and Perspectives.Journal of medical Internet research · 2025Article
- Perceived barriers and facilitators to the adoption of telemedicine infectious diseases consultations in southeastern Missouri hospitals.Journal of telemedicine and telecare · 2024Article
- Identification of weight loss interventions for translation among endometrial cancer survivors: A RE-AIM analysis.Translational behavioral medicine · 2024Review
- A structural equation model of CFIR inner and outer setting constructs, organization characteristics, and national DPP enrollment.Implementation science communications · 2023Article
- Dynamic interplay between available resources and implementation climate across phases of implementation: a qualitative study of a VA national population health tool.Implementation science communications · 2023Article
- Stakeholder perspectives and experiences of the implementation of remote mental health consultations during the COVID-19 pandemic: a qualitative study.BMC health services research · 2023Article
- [Telehealth, food consumption, and eating behavior in adults: a rapid review of systematic reviewsTelesalud, consumo de alimentos y comportamiento alimentario de la población adulta: examen rápido de revisiones sistemáticas].Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- Feasibility of Implementing a Mindfulness-Based Online Program for Latina Immigrants and the Staff that Work with Them.Mindfulness · 2023Article
- Attitudes of non-participating general practitioners and community pharmacists towards interprofessional medication management in primary care: an interview study.International journal of clinical pharmacy · 2022Article
- A scoping review of applications of the Consolidated Framework for Implementation Research (CFIR) to telehealth service implementation initiatives.BMC health services research · 2022Article
- Inner and outer setting factors that influence the implementation of the National Diabetes Prevention Program (National DPP) using the Consolidated Framework for Implementation Research (CFIR): a qualitative study.Implementation science communications · 2022Article
- Barriers and facilitators to implementing telehealth services during the COVID-19 pandemic: A qualitative analysis of interviews with cystic fibrosis care team members.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021Article
- A Narrative Review of Factors Historically Influencing Telehealth Use across Six Medical Specialties in the United States.International journal of environmental research and public health · 2021Review
- Clinician Perspectives on Barriers and Facilitators to Implementing e-Health Technology in Substance Use Disorder (SUD) Treatment Facilities.Substance abuse : research and treatment · 2021Article
- Implementation of telemedicine consultations for people with mental health conditions in the community: a protocol for a systematic review.HRB open research · 2021Article
- Article
- A mixed-method evaluation of implementation determinants for chaplain intervention in a hospital setting.Journal of health care chaplaincyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 4 institutions in 1 country.
Funding
Abstract
purposeFew evidence-based strategies are specifically tailored for disparity populations such as rural adults. Two-way video-conferencing using telemedicine can potentially surmount geographic barriers that impede participation in high-intensity treatment programs offering frequent visits to clinic facilities. We aimed to understand barriers and facilitators of implementing a telemedicine-delivered tertiary-care, rural academic weight-loss program for the management of obesity.
methodsA single-arm study of a 16-week, weight-loss pilot evaluated barriers and facilitators to program participation and exploratory measures of program adoption and staff confidence in implementation and intervention delivery. A program was delivered using video-conferencing within an existing clinical infrastructure. Elements of Consolidated Framework for Implementation Research (CFIR) provided a basis for assessing intervention characteristics, inner and outer settings, and individual characteristics using surveys and semi-structured interviews. We evaluated elements of the RE-AIM model (reach, adoption) to assess staff barriers to success for future scalability.
findingsThere were 27 patients and 8 staff completing measures. Using CFIR, the intervention was valuable from a patient participant standpoint; staff equally had positive feelings about using telemedicine as useful for patient care. The RE-AIM framework demonstrated limited reach but willingness to adopt was above average. A significant barrier limiting sustainability was physical space for intervention delivery and privacy and dedicated resources for staff. Scheduling stressors were also a challenge in its implementation.
conclusionsThe need to engage staff, enhance organizational culture, and increase reach are major factors for rural health obesity clinics to enhance sustainability of using telemedicine for the management of obesity.
trial registrationClinicaltrials.gov NCT03309787. Registered on 16 October 2017.
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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.