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Implementation of a Complex eHealth Intervention by a Public-Private Partnership in Clinical Practice: A Qualitative Multicentre Analysis Using CFIR

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Title: Implementation of a Complex eHealth Intervention by a Public-Private Partnership in Clinical Practice: A Qualitative Multicentre Analysis Using CFIR
Language: English
Authors: R. V. H. IJzerman (ORCID 0000-0002-2079-6814), R. van der Vaart, L. D. Breeman, R. A. Kraaijenhagen, A. W. M. Evers, W. J. M. Scholte op Reimer, V. R. Janssen
Source: Health Education Research. cyaf001 2025 40(2).
Availability: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Peer Reviewed: Y
Page Count: 20
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: Program Implementation, Intervention, Partnerships in Education, Private Sector, Public Sector, Heart Disorders, Rehabilitation, Barriers, Information Technology, Expertise, Role, Sustainability
DOI: 10.1093/her/cyaf001
ISSN: 0268-1153
1465-3648
Abstract: Complex eHealth interventions--featuring multiple components within dynamic systems--are used for healthcare improvement. Public-private partnerships (PPPs), combining resources, expertise, and technology, are crucial in this context. Yet, integrating these interventions into practice remains challenging. This study identifies barriers and facilitators affecting implementation of the BENEFIT programme, a complex eHealth intervention targeting cardiovascular disease patients, by PPP within practice. A qualitative study design was employed. Ten key stakeholders from four cardiac rehabilitation (CR) sites, who were all PPP partners involved in developing and implementing the BENEFIT programme, were interviewed semistructured. Transcripts were analysed using Consolidated Framework for Implementation Research. Facilitators included programme adaptability, communication and planning within teams, digital healthcare needs, dedicated PPP leadership, PPP meeting structure and PPP's ability to quickly modify the implementation strategy. Barriers involved specific PPP challenges (frequently changing roles, unclear roles and responsibilities and limited staffing), workplace disruptions, poor information technology (IT) integration, and ambiguous implementation goals amongst CR sites. This case study highlights challenges in implementing complex eHealth interventions by PPPs within practice. The findings underscore the need for a comprehensive implementation approach considering specific PPP dynamics, including combined expertise and resources, transparent role definition, sufficient staffing, clear goal communication and adaptable strategies for sustainable implementation.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1465717
Database: ERIC
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  Data: Implementation of a Complex eHealth Intervention by a Public-Private Partnership in Clinical Practice: A Qualitative Multicentre Analysis Using CFIR
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  Data: <searchLink fieldCode="AR" term="%22R%2E+V%2E+H%2E+IJzerman%22">R. V. H. IJzerman</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-2079-6814">0000-0002-2079-6814</externalLink>)<br /><searchLink fieldCode="AR" term="%22R%2E+van+der+Vaart%22">R. van der Vaart</searchLink><br /><searchLink fieldCode="AR" term="%22L%2E+D%2E+Breeman%22">L. D. Breeman</searchLink><br /><searchLink fieldCode="AR" term="%22R%2E+A%2E+Kraaijenhagen%22">R. A. Kraaijenhagen</searchLink><br /><searchLink fieldCode="AR" term="%22A%2E+W%2E+M%2E+Evers%22">A. W. M. Evers</searchLink><br /><searchLink fieldCode="AR" term="%22W%2E+J%2E+M%2E+Scholte+op+Reimer%22">W. J. M. Scholte op Reimer</searchLink><br /><searchLink fieldCode="AR" term="%22V%2E+R%2E+Janssen%22">V. R. Janssen</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+Research%22"><i>Health Education Research</i></searchLink>. cyaf001 2025 40(2).
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  Data: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
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  Data: Complex eHealth interventions--featuring multiple components within dynamic systems--are used for healthcare improvement. Public-private partnerships (PPPs), combining resources, expertise, and technology, are crucial in this context. Yet, integrating these interventions into practice remains challenging. This study identifies barriers and facilitators affecting implementation of the BENEFIT programme, a complex eHealth intervention targeting cardiovascular disease patients, by PPP within practice. A qualitative study design was employed. Ten key stakeholders from four cardiac rehabilitation (CR) sites, who were all PPP partners involved in developing and implementing the BENEFIT programme, were interviewed semistructured. Transcripts were analysed using Consolidated Framework for Implementation Research. Facilitators included programme adaptability, communication and planning within teams, digital healthcare needs, dedicated PPP leadership, PPP meeting structure and PPP's ability to quickly modify the implementation strategy. Barriers involved specific PPP challenges (frequently changing roles, unclear roles and responsibilities and limited staffing), workplace disruptions, poor information technology (IT) integration, and ambiguous implementation goals amongst CR sites. This case study highlights challenges in implementing complex eHealth interventions by PPPs within practice. The findings underscore the need for a comprehensive implementation approach considering specific PPP dynamics, including combined expertise and resources, transparent role definition, sufficient staffing, clear goal communication and adaptable strategies for sustainable implementation.
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      – SubjectFull: Partnerships in Education
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