Evidence map›Paper›PMID 39982696›Full record

ArticleHealth education research2025

Implementation of a complex eHealth intervention by a public-private partnership in clinical practice: a qualitative multicentre analysis using CFIR.

R V H IJzerman, R van der Vaart, L D Breeman, R A Kraaijenhagen, A W M Evers, W J M Scholte Op Reimer, V R Janssen

Abstract readMulticenter Study
In one paragraph

Article in Health education research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

R V H IJzermanLeiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit, Wassenaarseweg 52, Leiden 2333 AK, The Netherlands.ORCID 0000-0002-2079-6814
R van der VaartLeiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit, Wassenaarseweg 52, Leiden 2333 AK, The Netherlands.
L D BreemanLeiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit, Wassenaarseweg 52, Leiden 2333 AK, The Netherlands.
R A KraaijenhagenNDDO Institute for Prevention and Early Diagnostics (NIPED), Teleportboulevard 140, Amsterdam 1043 BZ, The Netherlands.
A W M EversLeiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit, Wassenaarseweg 52, Leiden 2333 AK, The Netherlands.
W J M Scholte Op ReimerDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands.
V R JanssenLeiden University Medical Centre, Department of Cardiology, Albinusdreef 2, Leiden 2333 ZA, The Netherlands.

Funding

Heart Foundation CVON2016-12Netherlands Cardiovascular Research InitiativeZonMw (The Netherlands Organization for Health Research and Development)
6 · The paper itself

Abstract

Complex eHealth interventions-featuring multiple components within dynamic systems-are used for healthcare improvement. Public-private partnerships (PPPs), combining resources, expertise, and technology, are crucial in this context. Yet, integrating these interventions into practice remains challenging. This study identifies barriers and facilitators affecting implementation of the BENEFIT programme, a complex eHealth intervention targeting cardiovascular disease patients, by PPP within practice. A qualitative study design was employed. Ten key stakeholders from four cardiac rehabilitation (CR) sites, who were all PPP partners involved in developing and implementing the BENEFIT programme, were interviewed semistructured. Transcripts were analysed using Consolidated Framework for Implementation Research. Facilitators included programme adaptability, communication and planning within teams, digital healthcare needs, dedicated PPP leadership, PPP meeting structure and PPP's ability to quickly modify the implementation strategy. Barriers involved specific PPP challenges (frequently changing roles, unclear roles and responsibilities and limited staffing), workplace disruptions, poor information technology (IT) integration, and ambiguous implementation goals amongst CR sites. This case study highlights challenges in implementing complex eHealth interventions by PPPs within practice. The findings underscore the need for a comprehensive implementation approach considering specific PPP dynamics, including combined expertise and resources, transparent role definition, sufficient staffing, clear goal communication and adaptable strategies for sustainable implementation.

Indexed as

Cardiac RehabilitationPublic-Private Sector PartnershipsTelemedicineCardiovascular DiseasesHumansInterviews as TopicQualitative Research

Identifiers

PMID39982696
PMCPMC11843933

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.