Evidence map›Paper›PMID 35133287›Full record

ArticleJMIR mHealth and uHealth2022

Defining the Enablers and Barriers to the Implementation of Large-scale, Health Care-Related Mobile Technology: Qualitative Case Study in a Tertiary Hospital Setting.

Ravi Aggarwal, Sheena Visram, Guy Martin, Viknesh Sounderajah, Sanjay Gautama, Kevin Jarrold, Robert Klaber, Shona Maxwell, John Neal, Jack Pegg and 4 more

Open access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Ravi AggarwalInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0003-1092-797X
Sheena VisramDepartment of Computer Science, University College London, London, United Kingdom.ORCID 0000-0003-1148-4429
Guy MartinInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-5759-962X
Viknesh SounderajahInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-4595-8402
Sanjay GautamaImperial College Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0002-6014-3359
Kevin JarroldImperial College Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0003-0492-5636
Robert KlaberImperial College Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0003-1191-496X
Shona MaxwellImperial College Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0002-3310-7942
John NealImperial College Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0002-0815-3840
Jack PeggImperial College Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0001-9353-5837
Julian RedheadImperial College Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0002-7102-0071
Dominic KingInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0002-1898-842X
Hutan AshrafianInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0003-1668-0672
Ara DarziInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID 0000-0001-7815-7989
Imperial College Healthcare NHS Trust · GBImperial College London · GBUniversity College London · GB

Funding

Medical Research Council MC_PC_18032
6 · The paper itself

Abstract

backgroundThe successful implementation of clinical smartphone apps in hospital settings requires close collaboration with industry partners. A large-scale, hospital-wide implementation of a clinical mobile app for health care professionals developed in partnership with Google Health and academic partners was deployed on a bring-your-own-device basis using mobile device management at our UK academic hospital. As this was the first large-scale implementation of this type of innovation in the UK health system, important insights and lessons learned from the deployment may be useful to other organizations considering implementing similar technology in partnership with commercial companies.

objectiveThe aims of this study are to define the key enablers and barriers and to propose a road map for the implementation of a hospital-wide clinical mobile app developed in collaboration with an industry partner as a data processor and an academic partner for independent evaluation.

methodsSemistructured interviews were conducted with high-level stakeholders from industry, academia, and health care providers who had instrumental roles in the implementation of the app at our hospital. The interviews explored the participants' views on the enablers and barriers to the implementation process. The interviews were analyzed using a broadly deductive approach to thematic analysis.

resultsIn total, 14 participants were interviewed. Key enablers identified were the establishment of a steering committee with high-level clinical involvement, well-defined roles and responsibilities between partners, effective communication strategies with end users, safe information governance precautions, and increased patient engagement and transparency. Barriers identified were the lack of dedicated resources for mobile change at our hospital, risk aversion, unclear strategy and regulation, and the implications of bring-your-own-device and mobile device management policies. The key lessons learned from the deployment process were highlighted, and a road map for the implementation of large-scale clinical mobile apps in hospital settings was proposed.

conclusionsDespite partnering with one of the world's biggest technology companies, the cultural and technological change required for mobile working and implementation in health care was found to be a significant challenge. With an increasing requirement for health care organizations to partner with industry for advanced mobile technologies, the lessons learned from our implementation can influence how other health care organizations undertake a similar mobile change and improve the chances of successful widespread mobile transformation.

Indexed as

Mobile ApplicationsDelivery of Health CareHealth PersonnelHumansQualitative ResearchTertiary Care Centersclinical applicationshealth care industryimplementation sciencemHealthmobile appsmobile phonemobile technologysmartphone appsstakeholders

Identifiers

PMID35133287
PMCPMC8864527
OpenAlexW4205463709

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.