Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpoint

Objective The aim of this viewpoint is to inform mobile health (mHealth) evidence development in using standalone or interoperable systems in hospital practice. Methods There is a gap between mHealth research and its widespread uptake in clinical practice. Evidence generation is not keeping up with...

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Main Authors: Laura Kooij, Wim H van Harten
Format: Article
Language:English
Published: SAGE Publishing 2023-12-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076231216551
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author Laura Kooij
Wim H van Harten
author_facet Laura Kooij
Wim H van Harten
author_sort Laura Kooij
collection DOAJ
description Objective The aim of this viewpoint is to inform mobile health (mHealth) evidence development in using standalone or interoperable systems in hospital practice. Methods There is a gap between mHealth research and its widespread uptake in clinical practice. Evidence generation is not keeping up with the introduction and implementation of technologies. This is partly a consequence of the technology characteristics and the way research is conducted in a clinical setting. Research and development of mHealth technology can be conducted standalone in a laboratory like setting, standalone in a clinical setting or interoperable with already existing technology in hospital practice. Results Standalone systems operate relatively independent from an organizations' existing infrastructure. Using laboratory settings does not reflect the complexity of real-life, but in clinical practice this may be suitable for research assessing usability, feasibility or even clinical and process outcomes at a small scale. Realizing research and development on interoperable mHealth technology solutions, especially with operational EMR systems, is a challenging, time- and resource intensive process and requires large(r) investments, as it is often complicated by a myriad of interfering factors. Interoperable systems are however a more sustainable option in the long run, and generated evidence reflects the real hospital care setting and this option may therefore facilitate dissemination. Choosing either a standalone or interoperable setting affects the research design, the implementation pace and ultimately widespread adoption of the mHealth technology. Conclusion We recommend to include these technology characteristics in implementation frameworks and think of evaluation research designs in an early phase.
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spelling doaj.art-29e773c4ef2e46b8a7363c32c23c95792023-12-15T21:09:38ZengSAGE PublishingDigital Health2055-20762023-12-01910.1177/20552076231216551Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpointLaura Kooij0Wim H van Harten1 , Arnhem, The Netherlands Psychosocial Research and Epidemiology, , Amsterdam, The NetherlandsObjective The aim of this viewpoint is to inform mobile health (mHealth) evidence development in using standalone or interoperable systems in hospital practice. Methods There is a gap between mHealth research and its widespread uptake in clinical practice. Evidence generation is not keeping up with the introduction and implementation of technologies. This is partly a consequence of the technology characteristics and the way research is conducted in a clinical setting. Research and development of mHealth technology can be conducted standalone in a laboratory like setting, standalone in a clinical setting or interoperable with already existing technology in hospital practice. Results Standalone systems operate relatively independent from an organizations' existing infrastructure. Using laboratory settings does not reflect the complexity of real-life, but in clinical practice this may be suitable for research assessing usability, feasibility or even clinical and process outcomes at a small scale. Realizing research and development on interoperable mHealth technology solutions, especially with operational EMR systems, is a challenging, time- and resource intensive process and requires large(r) investments, as it is often complicated by a myriad of interfering factors. Interoperable systems are however a more sustainable option in the long run, and generated evidence reflects the real hospital care setting and this option may therefore facilitate dissemination. Choosing either a standalone or interoperable setting affects the research design, the implementation pace and ultimately widespread adoption of the mHealth technology. Conclusion We recommend to include these technology characteristics in implementation frameworks and think of evaluation research designs in an early phase.https://doi.org/10.1177/20552076231216551
spellingShingle Laura Kooij
Wim H van Harten
Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpoint
Digital Health
title Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpoint
title_full Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpoint
title_fullStr Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpoint
title_full_unstemmed Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpoint
title_short Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems – a viewpoint
title_sort strengthening the evidence base for mhealth in clinical practice conducting research with standalone or interoperable systems a viewpoint
url https://doi.org/10.1177/20552076231216551
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