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Implementation of the SMART MOVE intervention in primary care: a qualitative study using normalisation process

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Implementing a new mHealth intervention for physical activity in primary care requires evaluating usability and alignment with healthcare settings. Successful adoption depends on addressing stakeholder-identified barriers and levers for effective integration into daily practice.

Keywords:
BarriersExerciseFacilitatorsHealth behaviourQualitative researchTechnology

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Area of Science:

  • Health Services Research
  • Digital Health
  • Behavioral Science

Background:

  • Translational gaps persist in implementing research-proven healthcare interventions into routine practice.
  • The SMART MOVE trial investigated a mobile health (mHealth) intervention to promote physical activity in primary care.

Purpose of the Study:

  • To qualitatively evaluate barriers and enablers for implementing an mHealth intervention in Irish primary care.
  • To apply Normalisation Process Theory for a theoretically informed analysis of intervention implementation.

Main Methods:

  • Qualitative methodology using focus groups and semi-structured interviews.
  • Framework Analysis informed by Normalisation Process Theory.
  • Involved primary care professionals and trial participants in the West of Ireland.

Main Results:

  • Key themes included personal/professional exercise strategies, roles in engagement, utilization challenges, and evaluation/adoption/adherence.
  • Successful implementation necessitates evaluating the intervention and its operating environment.
  • Usability and coherence with healthcare culture are crucial for adoption.

Conclusions:

  • Theoretical analysis identified stakeholder-informed barriers and levers for implementing an exercise promotion tool in Irish primary care.
  • This process can enhance the implementation potential of such interventions.
  • The study provides insights for integrating digital health tools into primary care settings.