Adoption and implementation of a web-based self-management application “Oncokompas” in routine cancer care: a national pilot study
Tóm tắt
A web-based self-management application “Oncokompas” was developed to monitor health-related quality of life and to support cancer survivors in finding and obtaining optimal supportive care. Access to this application is provided via a healthcare professional (HCP). The aim of this study was to explore the adoption and implementation of Oncokompas in routine clinical practice and to obtain insights in potentially relevant determinants of implementation. A pilot study was carried out among 65 hospitals throughout The Netherlands. HCPs filled out a questionnaire on the implementation of Oncokompas in their organization, consisting of study specific items and items based on the Measurement Instrument for Determinants of Innovations (MIDI). The MIDI comprises 29 determinants in four domains that predict the use of innovations: the innovation itself (Oncokompas), the user (HCP), the organization (hospital), and socio-political context. In total, 20/65 eligible hospitals agreed to implement Oncokompas (adoption rate 31%). In these 20 adopting hospitals, the majority of the responding HCPs (72/205) in this study (44/61) indicated their patients were offered access to Oncokompas (implementation rate 72%). Comparing those HCPs who did and did not implement Oncokompas, the groups differed significantly on innovation-related (procedural clarity, complexity) and user-related determinants (importance of outcome expectations, professional obligation, social support, and self-efficacy). During this 1-year study, nationwide adoption rate of Oncokompas was at 31%, and subsequent implementation rate was at 72%. The results of this study contribute to further optimize interventions and strategies to adopt and implement (online) self-management applications in cancer care.
Tài liệu tham khảo
Lorig KR, Sobel DS, Ritter PL et al (2001) Effect of a self-management program on patients with chronic disease. Eff Clin Pract 4:256–262
Boogaard L, Gater L, Mori M, Trincao A, Smith-Turchyn J (2016) Efficacy of self-management programs in managing side effects of breast cancer: a systematic review and meta-analysis of randomized control trials. Rehabil Oncol 34:14–26
Slev VN, Mistiaen P, Pasman HRW, Leeuw IMVD, Uden-Kraan CF, Francke AL (2016) Effects of eHealth for patients and informal caregivers confronted with cancer: a meta-review. Int J Med Inform 87:54–67
van de Poll-Franse LV, van Eenbergen MCHJ (2008) Internet use by cancer survivors: current use and future wishes. Support Care Cancer 16:1189–1195
Institute of Medicine (U.S.) (2003) Committee on identifying priority areas for quality improvement. In: Adams K, Corrigan J (eds) Priority areas for national action: transforming health care quality. Washington (DC): National Academies Press
Duman-Lubberding S, van Uden-Kraan CF, Jansen F et al (2016) Feasibility of an eHealth application “OncoKompas” to improve personalized survivorship cancer care. Support Care Cancer 24:2163–2171
Kim AR, Park H-A (2015) Web-based self-management support interventions for cancer survivors: a systematic review and meta-analyses. Stud Health Technol Inform 216:142–147
Kim SH, Kim K, Mayer DK (2017) Self-management intervention for adult Cancer survivors after treatment: a systematic review and meta-analysis. Oncol Nurs Forum 44:719–728
Verwijsgids Kanker [Internet]. [cited 2018 Jul 3]. Available from: https://www.verwijsgidskanker.nl/
Lubberding S, van Uden-Kraan CF, Te Velde EA et al (2015) Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors. J Clin Nurs 24:1367–1379
Duman-Lubberding S, van Uden-Kraan CF, Peek N et al (2015) An eHealth application in head and neck cancer survivorship care: health care professionals’ perspectives. J Med Internet Res 17:e235
van Gemert-Pijnen JEWC, Nijland N, van Limburg M et al (2011) A holistic framework to improve the uptake and impact of eHealth technologies. J Med Internet Res e111:13
Melissant HC, Verdonck-de Leeuw IM, Lissenberg-Witte BI, Konings IR, Cuijpers P, Van Uden-Kraan CF (2018) ‘Oncokompas’, a web-based self-management application to support patient activation and optimal supportive care: a feasibility study among breast cancer survivors. Acta Oncol (Madr) 57(7):924–34
Wiggers A-M, Vosbergen S, Kraaijenhagen R et al (2013) Changes in the cardiac rehabilitation workflow process needed for the implementation of a self-management system. Stud Health Technol Inform 192:1140
May C, Finch T (2009) Implementing, Embedding, and integrating practices: an outline of normalization process theory. Sociology 43:535–554
Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC (2009) Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 4:50
Harvey J, Dopson S, McManus RJ et al (2015) Factors influencing the adoption of self-management solutions: an interpretive synthesis of the literature on stakeholder experiences. Implement Sci 10:159
Geerligs L, Rankin NM, Shepherd HL, Butow P (2018) Hospital-based interventions: a systematic review of staff-reported barriers and facilitators to implementation processes. Implement Sci 13:36
Grol R, Wensing M (2004) What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust 180:S57–S60
Fleuren MAH, Paulussen TGWM, Van Dommelen P et al (2014) Towards a Measurement Instrument for Determinants of Innovations. Int J Qual Health Care 26:501–510
van der Hout A, van Uden-Kraan CF, Witte BI et al (2017) Efficacy, cost-utility and reach of an eHealth self-management application “Oncokompas” that helps cancer survivors to obtain optimal supportive care: study protocol for a randomised controlled trial. Trials 18:228
Medical devices—European Commission [Internet]. [cited 2018 Apr 17]. Available from: https://ec.europa.eu/growth/sectors/medical-devices
Waltz TJ, Powell BJ, Matthieu MM, Damschroder LJ, Chinman MJ, Smith JL, Proctor EK, Kirchner JAE (2015) Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert Recommendations for Implementing Change (ERIC) study. Implement Sci 10:109
Tuinman MA, Gazendam-Donofrio SM, Hoekstra-Weebers JE (2008) Screening and referral for psychosocial distress in oncologic practice. Cancer 113:870–878
Gaglio B, Shoup JA, Glasgow RE (2013) The RE-AIM framework: a systematic review of use over time. Am J Public Health 103:e38–e46
Rogers EM (2003) Diffusion of innovations, 5th edn. Free Press, New York
Slev VN, Pasman HRW, Eeltink CM et al (2017) Self-management support and eHealth for patients and informal caregivers confronted with advanced cancer: an online focus group study among nurses. BMC Palliat Care 16:55
Lawn S, Schoo A (2010) Supporting self-management of chronic health conditions: common approaches. Patient Educ Couns 80:205–211
Belkora JK, Loth MK, Chen DF, Chen JY, Volz S, Esserman LJ (2008) Monitoring the implementation of consultation planning, recording, and summarizing in a breast care center. Patient Educ Couns 73:536–543
Schmied V, Gribble K, Sheehan A, Taylor C, Dykes FC (2011) Ten steps or climbing a mountain: a study of Australian health professionals’ perceptions of implementing the baby friendly health initiative to protect, promote and support breastfeeding. BMC Health Serv Res 11:208
Greenhalgh T, Robert G, Macfarlane F et al (2004) Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 82:581–629
Liisa AA, Marja-Terttu T, Päivi Å-K, Marja K (2011) Health care personnel’s experiences of a bereavement follow-up intervention for grieving parents. Scand J Caring Sci 25:373–382
van Hooft SM, Dwarswaard J, Bal R, Strating MM, van Staa AL (2016) What factors influence nurses’ behavior in supporting patient self-management? An explorative questionnaire study. Int J Nurs Stud 63:65–72
Hughes R, Aspinal F, Addington-Hall JM, Dunckley M, Faull C, Higginson I (2004) It just didn’t work: the realities of quality assessment in the English health care context. Int J Nurs Stud 41:705–712
Bandura A (2000) Exercise of human agency through collective efficacy. Curr Dir Psychol Sci 9:75–78
Cummings GG, Estabrooks CA, Midodzi WK et al (July. 2007) Influence of organizational characteristics and context on research utilization. Nurs Res 56:24–39
Dannapfel P, Peolsson A, Nilsen P (2013) What supports physiotherapists’ use of research in clinical practice? A qualitative study in Sweden. Implement Sci 8:31
Sax LJ, Gilmartin SK, Bryant AN (2003) Assessing response rates and nonresponse bias in web and paper surveys. Res High Educ 44:409–432