SEARCHSYSTEMATIC_REVIEWcardiology, endocrinology

systematic_review·cardiology, endocrinology, internal medicine, public health, systematic review·PMC10131907

Implementation Science Perspectives on Implementing Telemedicine Interventions for Hypertension or Diabetes Management: Scoping Review

Journal of Medical Internet Research · 6 authors, 1 centre

AI SUMMARY

FIDELITY 100%

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

“

TL;DR

This scoping review analyzed 35 studies to identify barriers and facilitators for implementing telemedicine interventions for hypertension and diabetes. The most common barriers were cost, unmet patient needs (like language and culture), and patient demographics, while facilitators included user-friendly design, personalization, and integration into existing infrastructure.

Full summary

450 CHARS

This scoping review used the Consolidated Framework for Implementation Research (CFIR) to synthesize barriers and facilitators from 35 studies on implementing telemedicine for hypertension and diabetes. The analysis found barriers and facilitators were distributed across all five CFIR domains. Common barriers included implementation cost, failure to address patient needs (e.g., language, culture, rural residency), and personal patient attributes.

STUDY TYPE

systematic_review

SPECIALTY

cardiology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10131907

Implementation Science Perspectives on Implementing Telemedicine Interventions for Hypertension or Diabetes Management: Scoping Review

Journal of Medical Internet Research

READ THE FULL PAPER

ABSTRACT

Abstract Background Hypertension and diabetes are becoming increasingly prevalent worldwide. Telemedicine is an accessible and cost-effective means of supporting hypertension and diabetes management, especially as the COVID-19 pandemic has accelerated the adoption of technological solutions for care. However, to date, no review has examined the contextual factors that influence the implementation of telemedicine interventions for hypertension or diabetes worldwide. Objective We adopted a comprehensive implementation research perspective to synthesize the barriers to and facilitators of implementing telemedicine interventions for the management of hypertension, diabetes, or both. Methods We performed a scoping review involving searches in Ovid MEDLINE, Embase, CINAHL, Cochrane Library, Web of Science, and Google Scholar to identify studies published in English from 2017 to 2022 describing barriers and facilitators related to the implementation of telemedicine interventions for hypertension and diabetes management. The coding and synthesis of barriers and facilitators were guided by the Consolidated Framework for Implementation Research. Results Of the 17,687 records identified, 35 (0.2%) studies were included in our scoping review. We found that facilitators of and barriers to implementation were dispersed across the constructs of the Consolidated Framework for Implementation Research. Barriers related to cost, patient needs and resources (eg, lack of consideration of language needs, culture, and rural residency), and personal attributes of patients (eg, demographics and priorities) were the most common. Facilitators related to the design and packaging of the intervention (eg, user-friendliness), patient needs and resources (eg, personalized information that leveraged existing strengths), implementation climate (eg, intervention embedded into existing infrastructure), knowledge of and beliefs about the intervention (eg, convenience of telemedicine), and other personal attributes (eg, technical literacy) were the most common. Conclusions Our findings suggest that the successful implementation of telemedicine interventions for hypertension and diabetes requires comprehensive efforts at the planning, execution, engagement, and reflection and evaluation stages of intervention implementation to address challenges at the individual, interpersonal, organizational, and environmental levels. Keywords: telemedicine, hypertension, diabetes, implementation science, mobile phone

CITATION EXPORT

Ayisha Khalid, Quanfang Dong, Enkhzaya Chuluunbaatar et al.. Implementation Science Perspectives on Implementing Telemedicine Interventions for Hypertension or Diabetes Management: Scoping Review. Journal of Medical Internet Research. (2023). https://doi.org/10.2196/42134

AUTHORS

6 · 1 CENTRES

Ayisha Khalid, Quanfang Dong, Enkhzaya Chuluunbaatar, Victoria Haldane, Hammad Durrani, Xiaolin Wei

1Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada