Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Sarawak, Malaysia.
BMC Health Serv Res. 2024 Oct 11;24(1):1219. doi: 10.1186/s12913-024-11702-9.
The traditional delivery of healthcare services, including crucial preventive measures such as health screenings, faced significant disruption due to the COVID-19 pandemic. In response, eHealth technology emerged as a practical alternative for conducting screening services. This pilot study introduces ScreenMen, a web-based app for men's health screening, implemented in a primary care setting. The study aims to assess patient uptake and healthcare provider's acceptability and feasibility of implementing ScreenMen, emphasizing the importance of implementation science research in healthcare innovation.
This study employed a mixed-method explanatory sequential design, using a tailored implementation intervention to implement ScreenMen in an urban health clinic. Quantitative phase focused on patient uptake of ScreenMen and healthcare provider involvement, utilizing Google Analytics and provider questionnaires. Qualitative phase, using in-depth interviews with providers, explored factors influencing uptake and implementation. Data analysis employed means and percentages for quantitative data and framework analysis for qualitative data.
We invited 47 healthcare providers to attend the ScreenMen implementation workshop, with 26 participating, resulting in a 55.3% participation rate. Throughout the five-month study, there were 75 recorded accesses, with a completion rate of 20%. The primary way users accessed the app was through QR codes on buntings (38.7%), followed by postcards (12%). In qualitative interviews with three healthcare providers, it was found that the Identify and prepare champions strategy was helpful, as these champions led the implementation and encouraged other providers to promote ScreenMen. The use of QR codes on buntings, part of the Provide education and training strategy, was effective due to their visibility in patient waiting areas. However, the Mandate change strategy was considered ineffective, as providers felt obligated rather than motivated to implement ScreenMen.
This study highlighted the uptake of ScreenMen and found barriers and facilitators during the pilot implementation. Two useful strategies were Identify and prepare champions and QR codes while Mandate change was not helpful. Further studies are needed to study the effectiveness of these implementation strategies to implement web-based apps.
Clinical Trial Number: NCT06388473 (Retrospectively registered 05/04/2024).
由于 COVID-19 大流行，传统的医疗保健服务（包括健康筛查等重要预防措施）受到了严重干扰。为此，电子医疗技术成为开展筛查服务的一种实用替代方案。本试点研究介绍了 ScreenMen，这是一款用于男性健康筛查的基于网络的应用程序，在基层医疗环境中实施。该研究旨在评估患者的接受程度以及医疗服务提供者对实施 ScreenMen 的可接受性和可行性，强调在医疗保健创新中实施科学研究的重要性。
本研究采用混合方法解释性序贯设计，使用定制的实施干预措施在城市健康诊所中实施 ScreenMen。定量阶段侧重于患者对 ScreenMen 的接受程度和医疗服务提供者的参与度，使用 Google Analytics 和提供者问卷进行评估。定性阶段通过对提供者进行深入访谈，探讨了影响采用和实施的因素。数据分析采用定量数据的平均值和百分比以及定性数据的框架分析。
我们邀请了 47 名医疗服务提供者参加 ScreenMen 实施研讨会，其中 26 名参加，参与率为 55.3%。在整个五个月的研究期间，有 75 次记录的访问，完成率为 20%。用户访问应用程序的主要方式是通过横幅上的 QR 码（38.7%），其次是通过明信片（12%）。在对三名医疗服务提供者的定性访谈中，发现“确定和培养拥护者”策略是有效的，因为这些拥护者领导了实施过程，并鼓励其他提供者推广 ScreenMen。“提供教育和培训”策略中使用的横幅上的 QR 码也很有效，因为它们在患者等候区很显眼。然而，“强制改变”策略被认为是无效的，因为提供者感到有义务而不是有动力去实施 ScreenMen。
本研究强调了 ScreenMen 的采用情况，并在试点实施过程中发现了障碍和促进因素。两个有用的策略是“确定和培养拥护者”和 QR 码，而“强制改变”策略则没有帮助。需要进一步的研究来研究这些实施策略在实施基于网络的应用程序方面的有效性。
临床试验编号：NCT06388473（2024 年 5 月 4 日回顾性注册）。
