scholarly journals Identifying and Overcoming Policy‐Level Barriers to the Implementation of Digital Health Innovation in Ontario: Qualitative Study

2020 ◽  
Vol 55 (S1) ◽  
pp. 112-113
Author(s):  
C. Soobiah ◽  
L. Desveaux ◽  
S. Bhatia ◽  
J. Shaw
Keyword(s):  
Qualitative Study ◽  
Digital Health ◽  
Health Innovation ◽  
Policy Level

Digital Health Innovation Ecosystems

2019 ◽  
Vol 8 (2) ◽  
pp. 1-14 ◽  
Author(s):  
Gloria Ejehiohen Iyawa ◽  
Marlien Herselman ◽  
Adele Botha
Keyword(s):  
Developing Countries ◽  
Qualitative Study ◽  
Digital Health ◽  
Healthcare Services ◽  
Structured Interviews ◽  
Innovation Ecosystem ◽  
Health Innovation ◽  
Innovation Ecosystems ◽  
Governmental Organizations ◽  
Key Participants

The purpose of this paper was to identify key participants, benefits, and challenges of a digital health innovation ecosystem in Namibia. The paper also aimed to identify strategies for implementing digital health innovation ecosystems in Namibia. This is a qualitative study that adopted semi-structured interviews in meeting the objectives of the study. The findings suggest that implementing digital health innovation ecosystems within the Namibian context will result in better processes of delivering healthcare services to patients. However, implementing such an ecosystem would require resources from both academic and governmental organizations. The need for skilled experts for managing the ecosystem would also be required. Hence, adopting the guidelines for implementing a digital health innovation ecosystem in developing countries, the study proposed guidelines which would make a digital health innovation ecosystem work for the Namibian context. The findings of this study can be used by healthcare managers within the Namibian context.

scholarly journals A Digital Health Innovation to Prevent Relapse and Support Recovery in Youth Receiving Specialized Services for First-Episode Psychosis: Protocol for a Pilot Pre-Post, Mixed Methods Study of Horyzons-Canada (Phase 2) (Preprint)

2021 ◽  
Author(s):  
Shalini Lal ◽  
John F Gleeson ◽  
Simon D'Alfonso ◽  
Geraldine Etienne ◽  
Ridha Joober ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Digital Health ◽  
First Episode Psychosis ◽  
Funding Agency ◽  
First Episode ◽  
Health Innovation ◽  
Potential Efficacy ◽  
Episode Psychosis ◽  
Support Recovery

BACKGROUND Psychotic disorders are among the most disabling of all mental disorders. The first-episode psychosis (FEP) often occurs during adolescence or young adulthood. Young people experiencing FEP often face multiple barriers in accessing a comprehensive range of psychosocial services, which have predominantly been delivered in person. New models of service delivery that are accessible, sustainable, and engaging are needed to support recovery in youth diagnosed with FEP. OBJECTIVE In this paper, we describe a protocol to implement and evaluate the acceptability, safety, and potential efficacy of an online psychosocial therapeutic intervention designed to sustain recovery and prevent relapses in young adults diagnosed with FEP. This intervention was originally developed and tested in Australia and has been adapted for implementation and evaluation in Canada and is called Horyzons-Canada (HoryzonsCa). METHODS This cohort study is implemented in a single-center and applies a pre-post mixed methods (qualitative-quantitative convergent) design. The study involves recruiting 20 participants from a specialized early intervention program for psychosis located in Montreal, Canada and providing them with access to the HoryzonsCa intervention for 8 weeks. Data collection includes interview-based psychometric measures, self-reports, focus groups, and interviews. RESULTS This study received funding from the Brain and Behavior Research Foundation (United States), the Quebec Health Research Funding Agency (Canada), and the Canada Research Chairs Program. The study was approved by the Research Ethics Board of the Centre intégré universitaire de santé et de services sociaux de l'Ouest-de-l'Île-de-Montréal on April 11, 2018 (#IUSMD 17-54). Data were collected from August 16, 2018, to April 29, 2019, and a final sample of 20 individuals participated in the baseline and follow-up interviews, among which 9 participated in the focus groups. Data analysis and reporting are in process. The results of the study will be submitted for publication in 2021. CONCLUSIONS This study will provide preliminary evidence on the acceptability, safety, and potential efficacy of using a digital health innovation adapted for the Canadian context to deliver specialized mental health services to youth diagnosed with FEP. CLINICALTRIAL ISRCTN Registry ISRCTN43182105; https://www.isrctn.com/ISRCTN43182105 INTERNATIONAL REGISTERED REPORT RR1-10.2196/28141

scholarly journals “It depends:” a qualitative study on digital health academic-industry collaboration

mHealth ◽  
2021 ◽  
Vol 0 ◽  
pp. 0-0
Author(s):  
Kelsey L. Ford ◽  
Jenn Leiferman ◽  
Bruno Sobral ◽  
John K. Bennett ◽  
Susan L. Moore ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Digital Health ◽  
Industry Collaboration

A Pharmaco-cybernetics Approach to Designing an Oncology Drug Interaction Database for Clinical Practice

2021 ◽  
pp. 169-227
Keyword(s):  
Drug Interaction ◽  
Clinical Practice ◽  
Digital Health ◽  
Innovation Process ◽  
User Feedback ◽  
Clinical Usefulness ◽  
Health Innovation ◽  
Interaction Database ◽  
Oncology Practice

This chapter describes how OncoRx-MI, a pharmaco-informatics platform for detecting chemotherapy interactions, was designed through a pharmaco-cybernetics approach targeting the 5 activities of the digital health innovation process. This is the first database of its kind that is able to provide interaction information for anticancer drugs and chemotherapy regimen cocktails. In order to identify the gap and determine the usefulness of this database in clinical oncology practice, the quality of online anticancer drug interactions was assessed, and the perceptions of oncology practitioners were sought. The results showed that the accuracy of drug interaction content and the clinical usefulness of the database was highly regarded by these practitioners. In addition, evidence of its relevance and credibility was demonstrated through user feedback on the database.

scholarly journals Understanding data and information needs for palliative cancer care to inform digital health intervention development in Nigeria, Uganda and Zimbabwe: protocol for a multicountry qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e032166 ◽  
Author(s):  
Kehinde Okunade ◽  
Kennedy Bashan Nkhoma ◽  
Omolola Salako ◽  
David Akeju ◽  
Bassey Ebenso ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cancer Care ◽  
Information Needs ◽  
Research Council ◽  
Digital Health ◽  
Health Interventions ◽  
Sub Saharan Africa ◽  
Institutional Review Boards ◽  
National Council ◽  
Framework Analysis

IntroductionPalliative care is a clinically and cost‐effective component of cancer services in sub-Saharan Africa (SSA). Despite the significant need for palliative cancer care in SSA, coverage remains inadequate. The exploration of digital health approaches could support increases in the quality and reach of palliative cancer care services in SSA. However, there is currently a lack of any theoretical underpinning or data to understand stakeholder drivers for digital health components in this context. This project addresses this gap through engaging with key stakeholders to determine data and information needs that could be supported through digital health interventions.Methods and analysisThis is a multicountry, cross-sectional, qualitative study conducted in Nigeria, Uganda and Zimbabwe. In-depth interviews will be conducted in patients with advanced cancer (n=20), caregivers (n=15), health professionals (n=20) and policy-makers (n=10) in each of the three participating countries. Data from a total of 195 interviews will transcribed verbatim and translated into English before being imported into NVivo software for deductive framework analysis. The analysis will seek to understand the acceptability and define mechanisms of patient-level data capture and usage via digital technologies.Ethics and disseminationEthics approvals have been obtained from the Institutional Review Boards of University of Leeds (Ref: MREC 18–032), Research Council of Zimbabwe (Ref: 03507), Medical Research Council of Zimbabwe (Ref: MRCZ/A/2421), Uganda Cancer Institute (Ref: 19–2018), Uganda National Council of Science and Technology (Ref: HS325ES) and College of Medicine University of Lagos (Ref: HREC/15/04/2015). The project seeks to determine optimal mechanisms for the design and development of subsequent digital health interventions to support development, access to, and delivery of palliative cancer care in SSA. Dissemination of these findings will occur through newsletters and press releases, conference presentations, peer-reviewed journals and social media.Trial registration numberISRCTN15727711

scholarly journals Digital Health Innovation: Exploring Adoption of COVID-19 Digital Contact Tracing Apps

2020 ◽  
pp. 1-17 ◽  
Author(s):  
Shavneet Sharma ◽  
Gurmeet Singh ◽  
Rashmini Sharma ◽  
Paul Jones ◽  
Sascha Kraus ◽  
...  
Keyword(s):  
Digital Health ◽  
Contact Tracing ◽  
Health Innovation

scholarly journals Identifying and Overcoming Policy-Level Barriers to the Implementation of Digital Health Innovation: Qualitative Study

10.2196/14994 ◽  
2019 ◽  
Vol 21 (12) ◽  
pp. e14994 ◽  
Author(s):  
Laura Desveaux ◽  
Charlene Soobiah ◽  
R Sacha Bhatia ◽  
James Shaw
Keyword(s):  
Health System ◽  
Driving Forces ◽  
Digital Health ◽  
Critical Role ◽  
Qualitative Description ◽  
System Level ◽  
Health Innovation ◽  
Innovation Activities ◽  
Challenges And Opportunities ◽  
The Government

Background High-level policy barriers impede widespread adoption for even the most well-positioned innovations. Most of the work in this field assumes rather than analyzes the driving forces of health innovation. Objective: The aim of this study was to explore the challenges and opportunities experienced by health system stakeholders in the implementation of digital health innovation in Ontario. Objective The aim of this study was to explore the challenges and opportunities experienced by health system stakeholders in the implementation of digital health innovation in Ontario. Methods We completed semistructured interviews with 10 members of senior leadership across key organizations that are engaged in health care–related digital health activities. Data were analyzed using qualitative description. Results A total of 6 key policy priorities emerged, including the need for (1) a system-level definition of innovation, (2) a clear overarching mission, and (3) clearly defined organizational roles. Operationally, there is a need to (4) standardize processes, (5) shift the emphasis to change management, and (6) align funding structures. Conclusions These findings emphasize the critical role of the government in developing a vision and creating the foundation upon which innovation activities will be modeled.

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