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Electronic Data Capture System (REDCap) for Health Care Research and Training in a Resource-Constrained Environment:

Irma Adele Maré1,2, Beverley Kramer3, Scott Hazelhurst2,4,5

  • 1Department of Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

JMIR Medical Informatics
|August 30, 2022
PubMed
Summary

Implementing robust support and training for Electronic Data Capture (EDC) systems like REDCap in academic health settings significantly boosts adoption and data utilization, especially in resource-limited regions.

Keywords:
REDCapResearch Electronic Data CaptureSouth Africabiomedical informaticselectronic data captureimplementation science

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Area of Science:

  • Health Informatics
  • Clinical Research Management
  • Information Systems in Healthcare

Background:

  • Electronic Data Capture (EDC) systems offer critical opportunities for managing and utilizing research and clinical data within academic health organizations.
  • Paper-based records remain prevalent in resource-constrained settings like South Africa's public health sector, highlighting the need for digital solutions.

Purpose of the Study:

  • To outline the strategies employed by the University of the Witwatersrand Faculty of Health Sciences (Wits FHS) between 2013 and 2021.
  • To detail methods for overcoming resistance and promoting the adoption of the REDCap EDC system among academic and clinical staff.
  • To provide insights relevant to other institutions, particularly those in resource-limited environments, using or planning to implement REDCap.

Main Methods:

  • Implementing comprehensive strategies including strong organizational support, secure IT infrastructure, and dedicated user support.
  • Conducting regular hands-on training workshops, annual symposia for knowledge sharing, and participation in the REDCap Consortium.
  • Facilitating ongoing mentorship from REDCap developers at Vanderbilt University Medical Center.

Main Results:

  • User accounts for the REDCap EDC system at Wits FHS surged from 129 to 3447 between 2013 and 2021.
  • The number of REDCap projects escalated from 149 to 12,865 during the same period.
  • The system facilitated numerous research outputs, with 233 journal articles and 87 postgraduate monographs acknowledging its use by 2020.

Conclusions:

  • Successful implementation and growth of REDCap at Wits FHS were achieved through reliable infrastructure and accessible support.
  • A dependable, secure service coupled with robust end-user training and support models drove REDCap adoption.
  • The developed model offers a transferable strategy for other academic and healthcare organizations in resource-constrained settings seeking to implement EDC technology.