Table 2. Characteristics of Studies Included (N = 15), Subanalysis of an Umbrella Review of Determinants of Digital Health Tool Implementation in Chronic Disease Prevention and Management in Clinical Practice Settings, 2013–2025.
| Lead author | Title | Dates of articles | No. of articles | Type of review | Type of digital health tool | Geographic context | Health care setting | Theory, model, or framework |
|---|---|---|---|---|---|---|---|---|
| Finnane et al (24), 2017 | Teledermatology for the diagnosis and management of skin cancer: a systematic review | 2010–2015 | 21 | Systematic review | Telemedicine | Not specified | Not specified | — |
| Palacholla et al (25), 2019 | Provider- and patient-related barriers to and facilitators of digital health technology adoption for hypertension management: scoping review | 2008–2017 | 36 | Scoping review | EHR; clinical decision support tool/system; telemedicine; health monitoring systems | Not specified | Not specified | — |
| Helleman et al (26), 2020 | The current use of telehealth in ALS care and the barriers to and facilitators of implementation: a systematic review | 2006–2019 | 16 | Systematic review | Telemedicine | Not specified | Not specified | CFIRa |
| Foong et al (27), 2020 | Facilitators and barriers of using digital technology for the management of diabetic foot ulcers: a qualitative systematic review | 2008–2018 | 8 | Systematic review | Telemedicine; smartphone application; website; text messaging | Not specified | Inpatient settings; outpatient routine care | — |
| Clement and Maldonado (28), 2021 | Augmenting the transplant team with artificial intelligence: toward meaningful AI use in solid organ transplant | 2020–2021 | 74 | Rapid review | AI | Not specified | Inpatient settings | — |
| Hopstaken et al (29), 2021 | Effect of digital care platforms on quality of care for oncological patients and barriers and facilitators for their implementation: systematic review | 2000–2020 | 17 | Systematic review | EHR; telemedicine; health monitoring systems | Not specified | Not specified | Grol and Wensing Implementation Frameworkb |
| Whitelaw et al (30), 2021 | Barriers and facilitators of the uptake of digital health technology in cardiovascular care: a systematic scoping review | 2008–2019 | 29 | Scoping review | EHR; clinical decision support tool/system; Telemedicine; Smartphone application; wearable device; health monitoring systems | Not specified | Not specified | — |
| Sung et al (4), 2022 | Using an integrated framework to investigate the facilitators and barriers of health information technology implementation in noncommunicable disease management: systematic review | xxxx–2022 | 51 | Systematic review | EHR | Not specified | Inpatient settings; outpatient routine care | Consolidated Framework for Implementation Research (CFIR)a; Levels of Change Frameworkc |
| Bamgboje-Ayodele et al (31), 2023 | Clinical decision support systems for chronic obstructive pulmonary disease (COPD) in hospitals: a systematic review | 2014–2019 | 12 | Systematic review | Clinical decision support tool/system | Not specified | Not specified | Reach, Effectiveness, Adoption, Implementation, and Maintenance Framework (RE-AIM)d |
| Ramachandran et al (32), 2023 | Barriers and facilitators to the adoption of digital health interventions for COPD management: a scoping review | 2008–2021 | 27 | Scoping review | Telemedicine; text messaging; telephone support | Not specified | Not specified | — |
| Rosenstrom et al (33), 2024 | Nurses’ experiences with virtual consultations and home-monitoring in patients with cardiac disease: a systematic review and qualitative meta-synthesis of results | 2014–2022 | 10 | Systematic review | Telemedicine | Not specified | Outpatient routine care | — |
| Goh et al (34), 2025 | Challenges in implementing artificial intelligence in breast cancer screening programs: systematic review and framework for safe adoption | 2019–2023 | 20 | Systematic review | AI | Not specified | Outpatient routine care | CFIRa; AI Governance frameworke |
| Kissi and Annobil (35), 2025 | The advantageous impact of telestroke: global insights and implications for Africa: a scoping review of literature | 2017–2023 | 31 | Scoping review | Telemedicine | Not specified | Not specified | — |
| Naous et al (36), 2025 | A systematic review on the impact of electronic consultations on diabetes care | 2009–2023 | 6 | Systematic review | EHR | Not specified | Outpatient routine care | — |
| Salmi et al (37), 2025 | Facilitators and barriers affecting the implementation of e-health for chronic respiratory diseases in remote settings: a qualitative evidence synthesis | 1999–2023 | 41 | Narrative review | Telemedicine; smartphone application; text messaging; telephone support | Not specified | Outpatient routine care | The RETREAT frameworkf
DHEFg |
Abbreviations: —, not applicable; AI, artificial intelligence; CFIR, Consolidated Framework for Implementation Research; DHEF, Digital Health Equity Framework; EHR, electronic health record.
a
Damschroder et al (21).
b
Grol and Wensing (38).
c
Ferlie and Shortell (39).
d
Glasgow et al (40).
e
Goh et al (34).
f
Booth et al (41).
g
Richardson et al (42).