ERIC Number: EJ1465717
Record Type: Journal
Publication Date: 2025
Pages: 20
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0268-1153
EISSN: EISSN-1465-3648
Available Date: 2025-02-21
Implementation of a Complex eHealth Intervention by a Public-Private Partnership in Clinical Practice: A Qualitative Multicentre Analysis Using CFIR
R. V. H. IJzerman1,2; R. van der Vaart1,3; L. D. Breeman1; R. A. Kraaijenhagen4,5; A. W. M. Evers1,6; W. J. M. Scholte op Reimer2,7; V. R. Janssen8
Health Education Research, v40 n2 cyaf001 2025
Complex eHealth interventions--featuring multiple components within dynamic systems--are used for healthcare improvement. Public-private partnerships (PPPs), combining resources, expertise, and technology, are crucial in this context. Yet, integrating these interventions into practice remains challenging. This study identifies barriers and facilitators affecting implementation of the BENEFIT programme, a complex eHealth intervention targeting cardiovascular disease patients, by PPP within practice. A qualitative study design was employed. Ten key stakeholders from four cardiac rehabilitation (CR) sites, who were all PPP partners involved in developing and implementing the BENEFIT programme, were interviewed semistructured. Transcripts were analysed using Consolidated Framework for Implementation Research. Facilitators included programme adaptability, communication and planning within teams, digital healthcare needs, dedicated PPP leadership, PPP meeting structure and PPP's ability to quickly modify the implementation strategy. Barriers involved specific PPP challenges (frequently changing roles, unclear roles and responsibilities and limited staffing), workplace disruptions, poor information technology (IT) integration, and ambiguous implementation goals amongst CR sites. This case study highlights challenges in implementing complex eHealth interventions by PPPs within practice. The findings underscore the need for a comprehensive implementation approach considering specific PPP dynamics, including combined expertise and resources, transparent role definition, sufficient staffing, clear goal communication and adaptable strategies for sustainable implementation.
Descriptors: Program Implementation, Intervention, Partnerships in Education, Private Sector, Public Sector, Heart Disorders, Rehabilitation, Barriers, Information Technology, Expertise, Role, Sustainability
Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: 1Leiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit, Wassenaarseweg 52, Leiden 2333 AK, The Netherlands; 2Department of Cardiology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands; 3The Hague University of Applied Sciences, Centre of Expertise Health Innovation, Johanna Westerdijkplein 75, Den Haag 2521 EN, The Netherlands; 4NDDO Institute for Prevention and Early Diagnostics (NIPED), Teleportboulevard 140, Amsterdam 1043 BZ, The Netherlands; 5Vital10, Courbetstraat 34, Amsterdam 1077 ZV, The Netherlands; 6Medical Delta, Leiden University, Technical University Delft, Erasmus University Rotterdam, Huismansingel 4, Delft 2629 JH, The Netherlands; 7HU University of Applied Sciences, Research Group Chronic Diseases, Heidelberglaan 7, Utrecht 3584 CH, The Netherlands; 8Leiden University Medical Centre, Department of Cardiology, Albinusdreef 2, Leiden 2333 ZA, The Netherlands