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eHealth evaluation and dissemination research.

Russell E Glasgow1

  • 1Clinical Research Unit, Kaiser Permanente Colorado, Denver, Colorado, USA. russg@ris.net

American Journal of Preventive Medicine
|May 1, 2007
PubMed
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Evaluating eHealth interventions requires better designs and measures to ensure programs are effective and equitable. This review highlights challenges and recommends methods for successful integration into healthcare practice.

Area of Science:

  • Health Services Research
  • Digital Health
  • Behavioral Science

Background:

  • Evaluating eHealth interventions and behavior change programs presents significant challenges.
  • Existing evaluation methods may not adequately address questions from consumers, policymakers, and healthcare providers.
  • There is a need to accelerate the integration of proven eHealth programs into routine practice.

Purpose of the Study:

  • To review key challenges in evaluating eHealth interventions.
  • To make recommendations for designs, measures, and methods for effective eHealth program evaluation.
  • To guide the integration of successful eHealth programs into practice.

Main Methods:

  • Literature review of evaluation approaches for eHealth interventions.

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  • Discussion of critical issues including participation, representativeness, outcome consistency, and health disparities.
  • Analysis of implementation, adaptation, cost, and quality-of-life outcomes.

    • Main Results:

    • Evaluation approaches must address practical questions from diverse stakeholders.
    • Measures of participation, representativeness, and subgroup outcomes are crucial.
    • The potential for eHealth to exacerbate or ameliorate health disparities requires careful examination.
    • Implementation, adaptation, cost, and quality of life are key considerations.

    Conclusions:

    • Rigorous yet creative trial designs are needed for eHealth interventions.
    • Evaluations must consider dissemination issues like appeal, use, and robustness across diverse contexts.
    • Improved evaluation methodologies will accelerate the adoption of effective eHealth programs.