Table 2.
Title, author (year) | Aim of the study | Study design | Setting and country | Disease | Sample size (N) and participant type | Quality of studya |
Implementation of the blended care self-management program for caregivers of people with early-stage dementia, Boots et al (2017) [34] |
To assess the internal and external validity of the trial and its implementation to inform effect analysis | Mixed methods, nested in an RCTb |
Elderly care, home setting, the Netherlands | Early-stage dementia | N=62; Informal caregivers, psychologists, nurses |
4.5 |
Lack of adoption of a mobile app to support patient self-management of diabetes and hypertension in a Federally Qualified Health Centre, Thies et al (2017) [35] |
To understand why the trial was unsuccessful | Qualitative (interview) analysis | Primary care, USA | Uncontrolled diabetes and hypertension | N=13; Patients, primary care provider, nurses, research assistants |
3.0 |
“Sounds a bit crazy, but it was almost more personal:” A qualitative study of patient and clinician experiences of physical therapist-prescribed exercise for knee osteoarthritis via skype, Hinman et al (2017) [36] | To explore the experience of therapists and patients using Skype for exercise management of knee osteoarthritis | Qualitative study, nested in an RCT | Rehabilitation at home, Australia |
Knee osteoarthritis | N=20; Patients, physical therapists |
5.0 |
The challenge of real-world implementation of web-based share care software, Lycett et al (2014) [43] |
To highlight the challenges of implementing software and reporting on the extent to which the software met its implementations and user aims | Mixed methods study, nested within an RCT | Children’s Hospital, General Practices, Australia | Obesity | N=27; General Practitioners |
2.5 |
Implementation of a multicomponent telemonitoring intervention to improve nutritional status of community-dwelling older adults, Van Doorn-van Atten et al (2018) [37] |
To study how PhysioDom Home Dietary Intake Monitoring was delivered and received by participants and nurses, and to study the intervention’s mechanism of impact | Mixed methods study | Home care and/or lived in a service flat in sheltered accommodation, the Netherlands | At risk of undernutrition | N=105; Patients, nurses |
4.5 |
Implementation of internet-delivered cognitive behaviour therapy within community mental health clinics, Hadjistavropoulos et al (2017) [27] | To understand facilitators and barriers impacting the uptake and implementation of internet cognitive behavior therapy | Mixed methods study | Community Mental Health Clinic, Canada |
Depression and anxiety | N=33; Therapists, managers |
4.5 |
Implementation and evaluation of the safety net specialty care program in the Denver Metropolitan Area, Fort et al (2017) [38] |
To describe the program, identify aspects that work well, areas for improvement, and offer lessons learned | Mixed methods study | Safety-net: a non-profit integrated health care system, USA | Uninsured patients | N=43; Patients, primary care clinicians, specialists |
3.5 |
Perceived improvement in integrated management of childhood illness implementation through use of mobile technology, Mitchell et al (2012) [42] | To examine health care provider and carer perceptions of electronic Integrated Management of Childhood Illness (eIMCI) in diagnosing and treating childhood illnesses | Qualitative study (semi-structured interviews) | Health centers, Tanzania | Childhood illness in children 5 years or younger | N=31; Carers, health care providers |
4.5 |
High level of integration in integrated disease management leads to higher usage in the e-Vita Study, Talboom-Kamp et al (2017) [39] |
To analyze the factors that successfully promote the use of a self-management platform for chronic obstructive pulmonary disease patients | Quantitative, nonrandomized, parallel cohort design | Primary care, the Netherlands | Chronic obstructive pulmonary disease | N=215; Patients |
4.0 |
What drives adoption of a computerised, multifaceted quality improvement intervention for cardiovascular disease management in primary healthcare settings? Patel et al (2018) [40] |
To identify and explain the underlying mechanisms by which the intervention did and did not have an impact | Mixed methods study | Primary care, Australia | Cardiovascular disease | N=19; Patients, general practitioners, nurses, aboriginal health workers |
4.5 |
Exploring the challenges of implementing a web-based telemonitoring strategy for teenagers with inflammatory bowel disease, Dijkstra et al (2019) [41] |
To evaluate whether the telemonitoring strategy could move from a demonstration project to one that is sustained within existing sites | Mixed methods study, nested within an RCT | Pediatric gastroenterology centers, the Netherlands | Inflammatory bowel disease | N=27; Researchers, clinicians, hospital decision makers, web designer |
2.5 |
aMethodological quality of studies assessed with MMAT, ranging from 0 (lowest) to 5 (highest).
bRCT: randomized controlled trial.