Liyanage Anuradha, Irfaan Shakira, Moonesinghe Loshan, Kasturiaratchi Kaushalya, Perrin Franck Caroline, Hussein Rada
Ludwig Boltzmann Institute for Digital Health and Prevention, Lindhofstraße 22, Salzburg, 5020, Austria, 43 05725582701.
Ministry of Health, Family Health Bureau, Colombo, Sri Lanka.
J Med Internet Res. 2025 Aug 8;27:e74235. doi: 10.2196/74235.
Despite their potential, many digital health implementations fail to scale beyond pilot stages due to reporting challenges, stakeholder disengagement, and policy barriers. To improve documentation and knowledge sharing, the iCHECK-DH (Guidelines and Checklist for the Reporting on Digital Health Implementations) guidelines have been developed by global experts and implemented by the Journal of Medical Internet Research as the required reporting standard for implementation reports.
This study aims to introduce an interactive iCHECK-DH toolkit designed to streamline reporting, facilitate knowledge sharing, and support scalability, demonstrating its practical application through a use case.
The iCHECK-DH toolkit was developed through an iterative process informed by best practices for creating user-friendly toolkits. A targeted literature review and analysis of World Health Organization documents were conducted to identify best practices in toolkit design. A multidisciplinary team designed the toolkit using the Fillout platform (Restly, Inc) for its intuitive interface. A total of 9 international experts in digital health and implementation science were recruited through purposive sampling. They provided qualitative feedback through semistructured interviews and open-ended comments on the draft toolkit. Discussions focused on content relevance, usability, and alignment with the iCHECK-DH framework. Feedback was thematically analyzed and key suggestions were incorporated iteratively into subsequent versions of the toolkit. It underwent pilot testing, with a real-world Family Planning Stock Management System in Sri Lanka serving as the use case. The findings further refined the toolkit's practicality and informed final improvements.
The interactive toolkit successfully translated the iCHECK-DH guidelines into a structured digital health implementations reporting tool, refining navigation, terminology, and usability based on qualitative feedback from the expert panel. It features 4 main sections, including a step-by-step checklist aligned with the 20 items of the iCHECK-DH framework, contextual explanations and examples for each item, a self-assessment function to track progress, and automatic compilation of a downloadable PDF report. Pilot testing showed that the toolkit enabled comprehensive documentation of all 9 domains and 20 checklist items from the iCHECK-DH framework. It confirmed its practicality and effectiveness, leading to targeted improvements. Time to complete the toolkit was 40 minutes (final version) after usability refinements.
The iCHECK-DH toolkit complements the iCHECK-DH guidelines, enhances their functionality, and demonstrates their usability through a practical use case. It provides a structured approach to digital health reporting, supporting scalability and knowledge sharing in real-world implementations.
尽管具有潜力，但由于报告挑战、利益相关者参与度不足和政策障碍，许多数字健康实施方案未能超越试点阶段。为了改善文档记录和知识共享，全球专家制定了iCHECK-DH（数字健康实施方案报告指南和清单）指南，《医学互联网研究杂志》将其作为实施方案报告的必需报告标准予以实施。
本研究旨在推出一个交互式iCHECK-DH工具包，旨在简化报告流程、促进知识共享并支持可扩展性，并通过一个用例展示其实际应用。
iCHECK-DH工具包是通过一个迭代过程开发的，该过程参考了创建用户友好型工具包的最佳实践。进行了有针对性的文献综述和对世界卫生组织文件的分析，以确定工具包设计的最佳实践。一个多学科团队使用Fillout平台（Restly公司）设计了该工具包，因为其界面直观。通过目的抽样招募了9名数字健康和实施科学领域的国际专家。他们通过半结构化访谈和对工具包草案的开放式评论提供了定性反馈。讨论集中在内容相关性、可用性以及与iCHECK-DH框架的一致性上。对反馈进行了主题分析，并将关键建议迭代纳入工具包的后续版本。它进行了试点测试，以斯里兰卡的一个实际计划生育库存管理系统作为用例。研究结果进一步完善了工具包的实用性，并为最终改进提供了依据。
交互式工具包成功地将iCHECK-DH指南转化为一个结构化的数字健康实施方案报告工具，根据专家小组的定性反馈改进了导航、术语和可用性。它有4个主要部分，包括与iCHECK-DH框架的20项内容一致的分步清单、每项内容的背景解释和示例、一个跟踪进展的自我评估功能以及自动生成可下载PDF报告。试点测试表明，该工具包能够全面记录iCHECK-DH框架中的所有9个领域和20个清单项目。它证实了其实用性和有效性，从而带来了有针对性的改进。在可用性改进后，完成工具包的时间为40分钟（最终版本）。
iCHECK-DH工具包对iCHECK-DH指南起到了补充作用，增强了其功能，并通过一个实际用例展示了其可用性。它为数字健康报告提供了一种结构化方法，支持实际实施方案中的可扩展性和知识共享。
