PDF(Pubmed)
Abstract：
UNASSIGNED: Although mobile health (mHealth) interventions have shown promise in improving health outcomes, most of them rarely translate to scale. Prevailing mHealth studies are largely small-sized, short-term and donor-funded pilot studies with limited evidence on their effectiveness. To facilitate scale-up, several frameworks have been proposed to enhance the generic implementation of health interventions. However, there is a lack of a specific focus on the implementation and integration of mHealth interventions in routine care in low-resource settings. Our scoping review aimed to synthesize and develop a framework that could guide the implementation and integration of mHealth interventions.
UNASSIGNED: We searched the PubMed, Google Scholar, and ScienceDirect databases for published theories, models, and frameworks related to the implementation and integration of clinical interventions from 1st January 2000 to 31st December 2023. The data processing was guided by a scoping review methodology proposed by Arksey and O\'Malley. Studies were included if they were i) peer-reviewed and published between 2000 and 2023, ii) explicitly described a framework for clinical intervention implementation and integration, or iii) available in full text and published in English. We integrated different domains and constructs from the reviewed frameworks to develop a new framework for implementing and integrating mHealth interventions.
UNASSIGNED: We identified eight eligible papers with eight frameworks composed of 102 implementation domains. None of the identified frameworks were specific to the integration of mHealth interventions in low-resource settings. Two constructs (skill impartation and intervention awareness) related to the training domain, four constructs (technical and logistical support, identifying committed staff, supervision, and redesigning) from the restructuring domain, two constructs (monetary incentives and nonmonetary incentives) from the incentivize domain, two constructs (organizational mandates and government mandates) from the mandate domain and two constructs (collaboration and routine workflows) from the integrate domain. Therefore, a new framework that outlines five main domains-train, restructure, incentivize, mandate, and integrate (TRIMI)-in relation to the integration and implementation of mHealth interventions in low-resource settings emerged.
UNASSIGNED: The TRIMI framework presents a realistic and realizable solution for the implementation and integration deficits of mHealth interventions in low-resource settings.
UNASSIGNED: We searched the PubMed, Google Scholar, and ScienceDirect databases for published theories, models, and frameworks related to the implementation and integration of clinical interventions from 1st January 2000 to 31st December 2023. The data processing was guided by a scoping review methodology proposed by Arksey and O\'Malley. Studies were included if they were i) peer-reviewed and published between 2000 and 2023, ii) explicitly described a framework for clinical intervention implementation and integration, or iii) available in full text and published in English. We integrated different domains and constructs from the reviewed frameworks to develop a new framework for implementing and integrating mHealth interventions.
UNASSIGNED: We identified eight eligible papers with eight frameworks composed of 102 implementation domains. None of the identified frameworks were specific to the integration of mHealth interventions in low-resource settings. Two constructs (skill impartation and intervention awareness) related to the training domain, four constructs (technical and logistical support, identifying committed staff, supervision, and redesigning) from the restructuring domain, two constructs (monetary incentives and nonmonetary incentives) from the incentivize domain, two constructs (organizational mandates and government mandates) from the mandate domain and two constructs (collaboration and routine workflows) from the integrate domain. Therefore, a new framework that outlines five main domains-train, restructure, incentivize, mandate, and integrate (TRIMI)-in relation to the integration and implementation of mHealth interventions in low-resource settings emerged.
UNASSIGNED: The TRIMI framework presents a realistic and realizable solution for the implementation and integration deficits of mHealth interventions in low-resource settings.
摘要：
背景。尽管移动健康(mHealth)干预措施在改善健康结果方面显示出了希望，他们中的大多数很少转化为规模。目前正在进行的mHealth研究大多规模很小，短期和捐助者资助的试点研究，其有效性的证据有限。为了促进扩大规模，已经提出了几个框架来加强卫生干预措施的一般性实施。然而,在低资源环境中，缺乏对在常规护理中实施和整合mHealth干预措施的具体关注。我们的范围审查旨在综合和开发一个框架，以指导mHealth干预措施的实施和整合。方法：我们搜索了PubMed，谷歌学者，和已发表理论的ScienceDirect数据库，模型，以及与2000年1月1日至2023年12月31日临床干预措施的实施和整合有关的框架。数据处理以Arksey和O\'Malley提出的范围审查方法为指导。如果研究是i）在2000年至2023年之间进行同行评审并发表，ii）明确描述了临床干预实施和整合的框架，或iii)全文可用，并以英文出版。我们从审查的框架中整合了不同的领域和结构，以开发实施和整合mHealth干预措施的新框架。结果：我们确定了8篇合格论文，其中8个框架由102个实施域组成。没有一个已确定的框架专门针对在低资源环境中整合mHealth干预措施。与培训领域相关的两个结构(技能传授和干预意识)，四个结构(技术和后勤支持，确定忠诚的员工，监督,并重新设计)从重组领域，来自激励领域的两个结构(货币激励和非货币激励)，任务域中的两个构造（组织任务和政府任务）和集成域中的两个构造（协作和常规工作流）。因此,一个新的框架，概述了五个主要领域-训练，重组，激励,任务,和整合（TRIMI）-与在低资源环境中整合和实施mHealth干预措施有关。结论：TRIMI框架为低资源环境中mHealth干预措施的实施和整合缺陷提供了现实可行的解决方案。
