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Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis

BACKGROUND: Technological advancements have opened the path for many technology providers to easily develop and introduce eHealth tools to the public. The use of these tools is increasingly recognized as a critical quality driver in health care; however, choosing a quality tool from the myriad of to...

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Autores principales: Jacob, Christine, Lindeque, Johan, Klein, Alexander, Ivory, Chris, Heuss, Sabina, Peter, Marc K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131913/
https://www.ncbi.nlm.nih.gov/pubmed/36843321
http://dx.doi.org/10.2196/45143
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author Jacob, Christine
Lindeque, Johan
Klein, Alexander
Ivory, Chris
Heuss, Sabina
Peter, Marc K
author_facet Jacob, Christine
Lindeque, Johan
Klein, Alexander
Ivory, Chris
Heuss, Sabina
Peter, Marc K
author_sort Jacob, Christine
collection PubMed
description BACKGROUND: Technological advancements have opened the path for many technology providers to easily develop and introduce eHealth tools to the public. The use of these tools is increasingly recognized as a critical quality driver in health care; however, choosing a quality tool from the myriad of tools available for a specific health need does not come without challenges. OBJECTIVE: This review aimed to systematically investigate the literature to understand the different approaches and criteria used to assess the quality and impact of eHealth tools by considering sociotechnical factors (from technical, social, and organizational perspectives). METHODS: A structured search was completed following the participants, intervention, comparators, and outcomes framework. We searched the PubMed, Cochrane, Web of Science, Scopus, and ProQuest databases for studies published between January 2012 and January 2022 in English, which yielded 675 results, of which 40 (5.9%) studies met the inclusion criteria. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were followed to ensure a systematic process. Extracted data were analyzed using NVivo (QSR International), with a thematic analysis and narrative synthesis of emergent themes. RESULTS: Similar measures from the different papers, frameworks, and initiatives were aggregated into 36 unique criteria grouped into 13 clusters. Using the sociotechnical approach, we classified the relevant criteria into technical, social, and organizational assessment criteria. Technical assessment criteria were grouped into 5 clusters: technical aspects, functionality, content, data management, and design. Social assessment criteria were grouped into 4 clusters: human centricity, health outcomes, visible popularity metrics, and social aspects. Organizational assessment criteria were grouped into 4 clusters: sustainability and scalability, health care organization, health care context, and developer. CONCLUSIONS: This review builds on the growing body of research that investigates the criteria used to assess the quality and impact of eHealth tools and highlights the complexity and challenges facing these initiatives. It demonstrates that there is no single framework that is used uniformly to assess the quality and impact of eHealth tools. It also highlights the need for a more comprehensive approach that balances the social, organizational, and technical assessment criteria in a way that reflects the complexity and interdependence of the health care ecosystem and is aligned with the factors affecting users’ adoption to ensure uptake and adherence in the long term.
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spelling pubmed-101319132023-04-27 Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis Jacob, Christine Lindeque, Johan Klein, Alexander Ivory, Chris Heuss, Sabina Peter, Marc K JMIR Hum Factors Review BACKGROUND: Technological advancements have opened the path for many technology providers to easily develop and introduce eHealth tools to the public. The use of these tools is increasingly recognized as a critical quality driver in health care; however, choosing a quality tool from the myriad of tools available for a specific health need does not come without challenges. OBJECTIVE: This review aimed to systematically investigate the literature to understand the different approaches and criteria used to assess the quality and impact of eHealth tools by considering sociotechnical factors (from technical, social, and organizational perspectives). METHODS: A structured search was completed following the participants, intervention, comparators, and outcomes framework. We searched the PubMed, Cochrane, Web of Science, Scopus, and ProQuest databases for studies published between January 2012 and January 2022 in English, which yielded 675 results, of which 40 (5.9%) studies met the inclusion criteria. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were followed to ensure a systematic process. Extracted data were analyzed using NVivo (QSR International), with a thematic analysis and narrative synthesis of emergent themes. RESULTS: Similar measures from the different papers, frameworks, and initiatives were aggregated into 36 unique criteria grouped into 13 clusters. Using the sociotechnical approach, we classified the relevant criteria into technical, social, and organizational assessment criteria. Technical assessment criteria were grouped into 5 clusters: technical aspects, functionality, content, data management, and design. Social assessment criteria were grouped into 4 clusters: human centricity, health outcomes, visible popularity metrics, and social aspects. Organizational assessment criteria were grouped into 4 clusters: sustainability and scalability, health care organization, health care context, and developer. CONCLUSIONS: This review builds on the growing body of research that investigates the criteria used to assess the quality and impact of eHealth tools and highlights the complexity and challenges facing these initiatives. It demonstrates that there is no single framework that is used uniformly to assess the quality and impact of eHealth tools. It also highlights the need for a more comprehensive approach that balances the social, organizational, and technical assessment criteria in a way that reflects the complexity and interdependence of the health care ecosystem and is aligned with the factors affecting users’ adoption to ensure uptake and adherence in the long term. JMIR Publications 2023-03-23 /pmc/articles/PMC10131913/ /pubmed/36843321 http://dx.doi.org/10.2196/45143 Text en ©Christine Jacob, Johan Lindeque, Alexander Klein, Chris Ivory, Sabina Heuss, Marc K Peter. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 23.03.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Human Factors, is properly cited. The complete bibliographic information, a link to the original publication on https://humanfactors.jmir.org, as well as this copyright and license information must be included.
spellingShingle Review
Jacob, Christine
Lindeque, Johan
Klein, Alexander
Ivory, Chris
Heuss, Sabina
Peter, Marc K
Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis
title Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis
title_full Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis
title_fullStr Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis
title_full_unstemmed Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis
title_short Assessing the Quality and Impact of eHealth Tools: Systematic Literature Review and Narrative Synthesis
title_sort assessing the quality and impact of ehealth tools: systematic literature review and narrative synthesis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131913/
https://www.ncbi.nlm.nih.gov/pubmed/36843321
http://dx.doi.org/10.2196/45143
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