Implementation of eLearning solutions for patients with chronic pain conditions
Lindsey M Philpot1,2, Desiree J Ahrens1, Ryan J Eastman1,3
1Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Digital Health
|November 30, 2023
Summary
Implementation mapping facilitated the adoption of mobile health (mHealth) eLearning solutions in a large healthcare system. This approach improved patient knowledge and self-care for chronic pain conditions.
Area of Science:
- Implementation Science
- Digital Health
- Healthcare Innovation
Background:
- Digital and mobile health (mHealth) solutions offer support for individuals with health needs, particularly for chronic pain management.
- Despite proven benefits and demand, mHealth adoption in healthcare settings remains a challenge.
- Implementation mapping provides a structured method to overcome barriers and enhance the integration of mHealth solutions.
Purpose of the Study:
- To apply implementation mapping to develop strategies for adopting mHealth eLearning solutions within a multi-site healthcare system.
- To identify stakeholders, barriers, facilitators, and outcomes for mHealth implementation using established frameworks.
Main Methods:
- Implementation mapping, guided by the Consolidated Framework for Implementation Research (CFIR), was employed.
- Stakeholder engagement, barrier/facilitator analysis, and outcome definition using RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) were conducted.
- Iterative refinement of implementation strategies was performed throughout the process.
Main Results:
- Thirty implementation strategies were developed and executed.
- Over the first year, 2559 orders for the mHealth solution were placed by 70 providers across clinical sites.
- A majority of patients (74%) received the mHealth eLearning module, with significant improvements reported in condition knowledge (82%) and self-care ability (73%).
Conclusions:
- Implementation science methods, such as implementation mapping, are practical tools for driving change in healthcare.
- Implementation mapping effectively engages stakeholders to integrate novel care delivery methods, including mHealth solutions, into clinical practice.
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