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Enhancing implementation of information and communication technologies for post-discharge care among hospitalized older adult patients: development of a multifaceted implementation intervention package using the behavior change wheel and implementation research logic model.

作者信息

Wang Dorothy Yingxuan, Wong Eliza Lai-Yi, Cheung Annie Wai-Ling, Tam Zoe Pui-Yee, Tang Kam-Shing, Yeoh Eng-Kiong

机构信息

JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.

Centre for Health Systems & Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.

出版信息

Implement Sci Commun. 2025 May 1;6(1):52. doi: 10.1186/s43058-025-00739-4.


DOI:10.1186/s43058-025-00739-4
PMID:40312462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12046763/
Abstract

BACKGROUND: The integration of information and communication technologies in clinical practice can supplement traditional care pathways on discharge education and has exhibited evident benefits in improving patient health outcomes. However, healthcare providers have reported difficulties in adopting such technologies. The existing evidence on implementation interventions supporting the implementation of information and communication technologies is insufficient, characterized by infrequent utilization or reporting of implementation theories in implementation intervention designs. This study aims to outline the creation of a theory-informed implementation intervention package to enhance the clinical implementation of information and communication technologies for post-discharge self-care among hospitalized older adults. METHODS: This study systematically applies the Behavior Change Wheel (BCW) approach, involving behavior diagnosis, identification of intervention options, and intervention content selection, informed by conceptual frameworks, empirical data, and relevant literature. Additionally, the Implementation Research Logic Model is utilized to synthesize, organize, and visually present the collected data. RESULTS: This structured process identified and selected five intervention functions, 11 behavior change techniques, and four policy categories. A multifaceted implementation intervention package was developed, containing four components: (i) flexible and sustainable training, (ii) mass media and opinion leader campaign, (iii) technology and workflow redesign, and (iv) regular corporate-level audit and feedback. CONCLUSIONS: The study addresses the incomplete evidence base for implementation interventions supporting clinical information and communication technology implementation, presenting a practical, evaluable, and scalable theory-informed implementation intervention package. By providing an example of the application of the BCW approach and logic model, this study contributes to the knowledge on implementation intervention design, offering valuable insights for researchers and practitioners aiming to improve healthcare providers' behavior change and post-discharge care management with technology-based interventions.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f9/12046763/2fe49d4e8d1d/43058_2025_739_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f9/12046763/2dfaf92584fc/43058_2025_739_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f9/12046763/2fe49d4e8d1d/43058_2025_739_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f9/12046763/2dfaf92584fc/43058_2025_739_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f9/12046763/2fe49d4e8d1d/43058_2025_739_Fig2_HTML.jpg

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[1]
Enhancing implementation of information and communication technologies for post-discharge care among hospitalized older adult patients: development of a multifaceted implementation intervention package using the behavior change wheel and implementation research logic model.

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本文引用的文献

[1]
A Comparison of Patient and Provider Perspectives on an Electronic Health Record-Based Discharge Communication Tool: Survey Study.

JMIR Aging. 2025-1-29

[2]
The influence of written medication reminder on patient experience among older adult patients: a repeat cross-sectional study.

BMC Geriatr. 2024-8-7

[3]
Implementing the information system for older adult patients post-discharge self-management: a qualitative study.

Age Ageing. 2024-7-2

[4]
Developing a low back pain guideline implementation programme in collaboration with physiotherapists and chiropractors using the Behaviour Change Wheel: a theory-driven design study.

Implement Sci Commun. 2024-4-3

[5]
A scoping review of implementation science theories, models, and frameworks - an appraisal of purpose, characteristics, usability, applicability, and testability.

Implement Sci. 2023-9-19

[6]
Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting.

Implement Sci Commun. 2023-5-2

[7]
Learning how and why complex improvement interventions work: insights from implementation science.

BMJ Qual Saf. 2023-8

[8]
The implementation of nUrsiNg DEliRium preventive INterventions in the Intensive Care Unit (UNDERPIN-ICU): A qualitative evaluation.

Int J Nurs Stud. 2023-1

[9]
Best-Worst Scaling and the Prioritization of Objects in Health: A Systematic Review.

Pharmacoeconomics. 2022-9

[10]
Mechanisms and contextual influences on the implementation of advance care planning for older people in long-term care facilities: A realist review.

Int J Nurs Stud. 2022-9

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