Changing Role of Users—Innovating Responsibly in Digital Health

Despite the recognition of the importance of stakeholder inclusion into decisions about new solutions offered to society, responsible innovation (RI) has stalled at the point of articulating a process of governance with a strongly normative loading, without clear practical guidelines toward implementation practices. The principles of RI direct us to involve the user early in the innovation process. However, it lacks direction of how to involve users and stakeholders into this process. In this article, we try to understand how to empower users to become a part of innovation process though empirical cases. Based on 11 cases of firms innovating in digital health and welfare services, we look on firm practices for user integration into their innovation process, as well as how the user’s behavior is changing due to new trends such as availability of information and digitalization of services. We try to explore this question through lenses of responsible innovation in the emerging field of digital healthcare. Our findings indicate that users are not a homogenous group—rather, their willingness to engage in innovative processes are distributed across a spectrum, ranging from informed to involved and, at extreme, to innovative user. Further, we identified signs of user and stakeholder inclusion in all our cases—albeit in different degrees. The most common group of inclusion is with involved users, and firms’ practices varying from sharing reciprocal information with users, to integration through focus groups, testing or collecting a more formative feedbacks from users. Although user inclusion into design space is perceived as important and beneficial for matching with market demands, it is also a time-consuming and costly process. We conclude with debating some policy impacts, pointing to the fact that inclusion is a resource-consuming process especially for small firms and that policy instruments have to be in place in order to secure true inclusion of users into the innovation process. Our article sheds light on RI practices, and we also suggest some avenues for future research to identify more precisely whom to include, when to include and at what stage of the innovation process.

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Changing Role of Users - Innovating Responsibly in Digital Health

10.20944/preprints202011.0007.v1 ◽

2020 ◽

Author(s):

Tatiana Iakovleva ◽

Elin Oftedal ◽

John Bessant

Keyword(s):

Digital Health ◽

Innovation Process ◽

Responsible Innovation ◽

Welfare Services ◽

Practical Guidelines ◽

Implementation Practices ◽

User Integration ◽

Changing Role ◽

Digital Healthcare

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RESPONSIBLE INNOVATION IN HEALTHCARE — THE CASE OF HEALTH INFORMATION TV

International Journal of Innovation Management ◽

10.1142/s1363919617400126 ◽

2017 ◽

Vol 21 (08) ◽

pp. 1740012 ◽

Cited By ~ 1

Author(s):

JOHN BESSANT ◽

ALLEN ALEXANDER ◽

DANIELLE WYNNE ◽

ANNA TRIFILOVA

Keyword(s):

Health Information ◽

Early Stage ◽

Digital Health ◽

Innovation Process ◽

Responsible Innovation ◽

Information Platform ◽

Business Model Canvas ◽

New Information ◽

Key Points ◽

Subsequent Modification

The paper explores the application of responsible innovation (RI) principles in the design and implementation of innovation in the context of digitally-enabled healthcare. In particular, we are interested in the scope for bringing in RI considerations at various stages in the innovation process and in the relevant tools and frameworks which might facilitate this. Using the particular example of a detailed longitudinal case of the development and diffusion (with subsequent modification and “re-innovation”) of a digital health information platform, we identify a number of key points at which the innovation concept “pivoted” to reflect new information, some of which resulted from a wider level of inclusion (one of the core RI principles). The paper explores the role played by structured frameworks (such as the “Business Model Canvas”) in the development of other digital healthcare innovations at an early stage.

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The Role of Stakeholders in the Context of Responsible Innovation: A Meta-Synthesis

Sustainability ◽

10.3390/su11061766 ◽

2019 ◽

Vol 11 (6) ◽

pp. 1766 ◽

Cited By ~ 13

Author(s):

Luciana Maines da Silva ◽

Claudia Cristina Bitencourt ◽

Kadígia Faccin ◽

Tatiana Iakovleva

Keyword(s):

Innovation Management ◽

Empirical Studies ◽

Stakeholder Involvement ◽

Deep Understanding ◽

Innovation Process ◽

Theoretical Development ◽

Responsible Innovation ◽

Future Research ◽

Research And Innovation ◽

Market Launch

This paper contributes to the sustainability debate by analyzing the inclusion dimension in the responsible research and innovation (RRI) process. RRI is claimed to be an important tool for addressing global challenges and achieving sustainable development goals. While stakeholder involvement is considered to be imperative for the RRI process, there is little empirical evidence on (1) who the stakeholders participating in the RRI process are; (2) when stakeholders participate; (3) how stakeholders’ inclusion contributes to the sustainable innovation process; and (4) who the agents are who orchestrate stakeholders’ inclusion. This paper addresses the issue of stakeholder involvement through the lens of innovation management literature by attempting to link the innovation process to the responsibility concept. We employed a meta-synthesis of empirical studies of RRI to develop a deep understanding of stakeholder inclusion. After screening 139 articles, we identified seven empirical papers highlighting RRI process, mainly from projects nested in academic contexts. The findings indicate that multiple stakeholders are included at a late stage of the innovation process—during the market launch. To some extent, this allows for the adaptation of the solution, but such adaptations are limited in nature. This study also identifies the agents who stimulate stakeholder inclusion as being mainly academic researchers and researchers linked to multi-institutional projects. Our findings indicate that innovation management thinking is rarely applied in the governance of research and innovation projects ‘born’ in academia. We suggest enhancing RRI theoretical development by incorporating elements of innovation management such as early inclusion of users in the innovation process. For practitioners, this means an extension of the design space to allow early stakeholder inclusion in the innovation process to ensure responsible outcomes. We also identified avenues for future research. There is a need to systematically investigate which tools and frameworks for deliberate stakeholder inclusion are relevant at the various stages of the innovation and development process.

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Capabilities of Bottom of the Pyramid Organizations

Business & Society ◽

10.1177/00076503211001826 ◽

2021 ◽

pp. 000765032110018

Author(s):

Farley Simon Nobre ◽

Rodrigo L. Morais-da-Silva

Keyword(s):

Business Model ◽

Integrative Review ◽

Responsible Innovation ◽

Future Research ◽

Bottom Of The Pyramid ◽

Main Question ◽

Responsible Management ◽

Responsible Consumption ◽

Short And Long Term

Bottom of the Pyramid (BoP) organizations are the ones that develop a set of capabilities that contribute to create short- and long-term sustainability values inside and outside the boundaries of BoP ecosystems. Capabilities have an important role in BoP organizations’ strategies that aim to solve BoP issues. Notwithstanding its developments, BoP research still lacks theoretical contributions for the analysis of organizations. We suggest special attention to the need of advancing knowledge on capabilities of BoP organizations because this field is scattered and fragmented, misinterpreted, and still underdeveloped in the literature. We oriented our research formulating and seeking answers to our main question on what are the capabilities needed to enable organizations to create sustainability values in BoP ecosystems? We conducted an integrative review of BoP research for the period from 1998 to 2019, and we found 22 key capabilities of BoP organizations. We organized the capabilities into four major categories including BoP Responsible Consumption, BoP Responsible Business Model, BoP Responsible Management, and BoP Responsible Innovation. We advanced propositions and discussions regarding the capabilities and major categories’ popularity, interdependence and combination, short- and long-term temporal functions, sustainability roles, and effectiveness to address BoP issues. Our article organizes the field of capabilities of BoP organizations; advances contributions and implications for management, organizations, and policymaking; and opens fruitful avenues for future research.

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Engagement and Outcomes Associated with Contextual Annotation Features of a Digital Health Solution

Journal of Diabetes Science and Technology ◽

10.1177/1932296820976409 ◽

2020 ◽

pp. 193229682097640

Author(s):

Michelle Dugas ◽

Weiguang Wang ◽

Kenyon Crowley ◽

Anand K. Iyer ◽

Malinda Peeples ◽

...

Keyword(s):

Digital Health ◽

Data Entry ◽

Secondary Data ◽

Well Being ◽

Preliminary Evidence ◽

Future Research ◽

Note Taking ◽

Potential Benefits

Background: Digital health solutions targeting diabetes self-care are popular and promising, but important questions remain about how these tools can most effectively help patients. Consistent with evidence of the salutary effects of note-taking in education, features that enable annotation of structured data entry might enhance the meaningfulness of the interaction, thereby promoting persistent use and benefits of a digital health solution. Method: To examine the potential benefits of note-taking, we explored how patients with type 2 diabetes used annotation features of a digital health solution and assessed the relationship between annotation and persistence in engagement as well as improvements in glycated hemoglobin (A1C). Secondary data from 3142 users of the BlueStar digital health solution collected between December 2013 and June 2017 were analyzed, with a subgroup of 372 reporting A1C lab values. Results: About a third of patients recorded annotations while using the platform. Annotation themes largely reflected self-management behaviors (diet, physical activity, medication adherence) and well-being (mood, health status). Early use of contextual annotations was associated with greater engagement over time and with greater improvements in A1C. Conclusions: Our research provides preliminary evidence of the benefits of annotation features in a digital health solution. Future research is needed to assess the causal impact of note-taking and the moderating role of thematic content reflected in notes.

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Accessing resources for service innovation – the critical role of network relationships

Journal of Service Management ◽

10.1108/josm-10-2012-0219 ◽

2014 ◽

Vol 25 (1) ◽

pp. 2-29 ◽

Cited By ~ 44

Author(s):

Helena Rusanen ◽

Aino Halinen ◽

Elina Jaakkola

Keyword(s):

Critical Role ◽

Service Innovation ◽

Innovation Process ◽

Research Strategy ◽

Future Research ◽

Theoretical Understanding ◽

Resource Access ◽

Content Type ◽

External Resources ◽

Different Types

Purpose – This paper aims to explore how companies access resources through network relationships when developing service innovations. The paper identifies the types of resource that companies seek from other actors and examines the nature of relationships and resource access strategies that can be applied to access each type of resource. Design/methodology/approach – A longitudinal, multi-case study is conducted in the field of technical business-to-business (b-to-b) services. An abductive research strategy is applied to create a new theoretical understanding of resource access. Findings – Companies seek a range of resources through different types of network relationships for service innovation. Four types of resource access strategies were identified: absorption, acquisition, sharing, and co-creation. The findings show how easily transferable resources can be accessed through weak relationships and low-intensity collaboration. Access to resources that are difficult to transfer, instead, necessitates strong relationships and high-intensity collaboration. Research limitations/implications – The findings are valid for technical b-to-b services, but should also be tested for other kinds of innovations. Future research should also study how actors integrate the resources gained through networks in the innovation process. Practical implications – Managers should note that key resources for service innovation may be accessible through a variety of actors and relationships ranging from formal arrangements to miscellaneous social contacts. To make use of tacit resources such as knowledge, firms need to engage in intensive collaboration. Originality/value – Despite attention paid to network relationships, innovation collaboration, and external resources, previous research has neither linked these issues nor studied their mutual contingencies. This paper provides a theoretical model that characterizes the service innovation resources accessible through different types of relationships and access strategies.

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Effectiveness of Digital Health Interventions on Unintentional Injury, Violence, and Suicide: Meta-Analysis

Trauma Violence & Abuse ◽

10.1177/1524838020967346 ◽

2020 ◽

pp. 152483802096734

Author(s):

Mengtong Chen ◽

Ko Ling Chan

Keyword(s):

Interpersonal Violence ◽

Care Delivery ◽

Digital Health ◽

Meta Analysis ◽

Random Effect ◽

Unintentional Injury ◽

Health Interventions ◽

Effect Sizes ◽

Future Research ◽

Face To Face

Digital technologies are increasingly used in health-care delivery and are being introduced into work to prevent unintentional injury, violence, and suicide to reduce mortality. To understand the potential of digital health interventions (DHIs) to prevent and reduce these problems, we conduct a meta-analysis and provide an overview of their effectiveness and characteristics related to the effects. We searched electronic databases and reference lists of relevant reviews to identify randomized controlled trials (RCTs) published in or before March 2020 evaluating DHIs on injury, violence, or suicide reduction. Based on the 34 RCT studies included in the meta-analysis, the overall random effect size was 0.21, and the effect sizes for reducing suicidal ideation, interpersonal violence, and unintentional injury were 0.17, 0.24, and 0.31, respectively, which can be regarded as comparable to the effect sizes of traditional face-to-face interventions. However, there was considerable heterogeneity between the studies. In conclusion, DHIs have great potential to reduce unintentional injury, violence, and suicide. Future research should explore DHIs’ successful components to facilitate future implementation and wider access.

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“A child with autism only has one childhood”: main themes and questions for research from the “Digital Bubbles” seminar series

Journal of Enabling Technologies ◽

10.1108/jet-07-2017-0023 ◽

2017 ◽

Vol 11 (3) ◽

pp. 113-119 ◽

Cited By ~ 2

Author(s):

Sarah Parsons ◽

Nicola Yuill ◽

Mark Brosnan ◽

Judith Good

Keyword(s):

Teaching And Learning ◽

Social Research ◽

Responsible Innovation ◽

Future Research ◽

Content Type ◽

Community Stakeholders ◽

Autistic People ◽

Seminar Series ◽

The Uk ◽

Main Ideas

Purpose The purpose of this paper is to present an overview of the main messages and key questions for further research arising from the seven-seminar series entitled, “Innovative technologies for autism: critical reflections on digital bubbles”, funded by the Economic and Social Research Council in the UK. Design/methodology/approach A synthesis of the main ideas is presented, drawing on the presentations, discussions, participant feedback, and short papers from across the seminar series, which took place between November 2014-2016. Findings There were many positive examples where technologies were positioned and used as facilitative “bridges” between ideas, communities, understanding, and experiences. Researchers and community stakeholders also emphasised the importance of taking different perspectives and working in stronger partnerships with each other. Four overarching research questions were developed from these themes to provide a roadmap for future research, relating to: responsible innovation, technology-enabled social interaction, learning and pedagogy, and engagement. Originality/value The findings and methodologies produced by the Digital Bubbles seminar series, available on the project website (http://digitalbubbles.org.uk/) and in a series of short papers, provide a rich repository of state-of-the-art thinking in the field of autism and technology that is being utilised nationally and internationally in teaching and learning. This paper suggests some valuable future research directions and highlights the importance of establishing and maintaining multi-disciplinary research teams, with autistic people and their families at their core.

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Understanding the influence of technological capability and exogenous pressure on business model dynamics: insights from a longitudinal case study

European Journal of Innovation Management ◽

10.1108/ejim-05-2021-0250 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Jingqin Su ◽

Shuai Zhang ◽

Huanhuan Ma

Keyword(s):

Business Model ◽

New Technology ◽

Innovation Process ◽

Technological Capability ◽

Future Research ◽

Longitudinal Case Study ◽

Content Type ◽

Research Stream ◽

Over Time

PurposeThe purpose of the study is to explore how technological capability and exogenous pressure interactively influence business model (BM) dynamics over time in new technology-based ventures.Design/methodology/approachThe study adopts a longitudinal case study of the BM innovations of a Chinese financial technology venture. The structural approach and temporal bracket are used to analyze and theorize the data.FindingsThe findings indicate that distinct contextual changes impel a firm to refine or abandon existing BMs over time. In different stages, the antecedents interactively influence BM dynamics with three successive patterns, namely pressure dominance, parallel influence and hybrid influence. While both antecedents trigger changes during the initiation and implementation of new BMs, they also serve as the filter and the enabler, respectively, during the ideation and integration of BMs.Research limitations/implicationsThe study inductively develops three propositions regarding the relationship between BM dynamics and its antecedents, which is based on the data collected from one single firm. Future research should test the propositions in other domains and take more cross-level antecedents into consideration.Originality/valueThe study contributes to the nascent research stream of BM dynamics by offering in-depth insights into the interaction of internal and external antecedents and by linking the differentiated roles of antecedents to the BM innovation process. The research offers some practical implications for new technology-based ventures seeking to develop BMs in a fast-changing environment.

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Is Co-working Increase Survivability? Study on how Collaborating and Networking Facilitates Open Innovation Process for Startups

International Journal of New Media Technology ◽

10.31937/ijnmt.v7i1.1288 ◽

2020 ◽

Vol 7 (2) ◽

pp. 68-75

Author(s):

Elissa Dwi Lestari

Keyword(s):

Open Innovation ◽

Deep Understanding ◽

Innovation Process ◽

Future Research ◽

Innovation Ecosystem ◽

Quantitative Studies ◽

Multiple Case ◽

Start Ups ◽

Community Manager

Startups, as they are bounded to their liabilities of newness and smallness, need to collaborate extensively with their external partners through the open innovation process. This study aims to depict Co-working space's pivotal role in building up a working innovation ecosystem that facilitates open innovation for startups. To get a more deep understanding of the phenomena, this study used an exploratory study based on three case studies of Co-working spaces operated in the Jakarta region. The study shows that the open innovation process among startups is not naturally existed, but instead, it is purposefully designed by the role of a community manager who acts as the ecosystem catalyst. The community manager becomes the ecosystem enablers that facilitate the networking process by connecting members. As a result, these activities will help the emerging of mutual connection and collaboration processes among members that empower open innovation among startups members. The multiple-case design makes the study conclusions might be difficult to generalize. Future research, including quantitative studies, will help the conclusions examination and the knowledge enrichment of start-ups' open innovation process. This paper will enrich the knowledge concerning how Co-working spaces member seizing opportunities that lead to the open innovation process.

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