Implementation factors affecting the large scale deployment of digital health and well-being technologies: a qualitative study of the initial phases of the 'Living-It-Up' programme

Agbakoba, R., McGee-Lennon, M., Bouamrane, M.-M., Watson, N. and Mair, F. S. (2016) Implementation factors affecting the large scale deployment of digital health and well-being technologies: a qualitative study of the initial phases of the 'Living-It-Up' programme. Health Informatics Journal, 22(4), pp. 867-877. (doi:10.1177/1460458215594651) (PMID:26276795)

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Abstract

Little is known about the factors which facilitate or impede the large-scale deployment of health and well-being consumer technologies. The Living-It-Up project is a large-scale digital intervention led by NHS 24, aiming to transform health and well-being services delivery throughout Scotland. We conducted a qualitative study of the factors affecting the implementation and deployment of the Living-It-Up services. We collected a range of data during the initial phase of deployment, including semi-structured interviews (N = 6); participant observation sessions (N = 5) and meetings with key stakeholders (N = 3). We used the Normalisation Process Theory as an explanatory framework to interpret the social processes at play during the initial phases of deployment. Initial findings illustrate that it is clear − and perhaps not surprising − that the size and diversity of the Living-It-Up consortium made implementation processes more complex within a ‘multi-stakeholder’ environment. To overcome these barriers, there is a need to clearly define roles, tasks and responsibilities among the consortium partners. Furthermore, varying levels of expectations and requirements, as well as diverse cultures and ways of working, must be effectively managed. Factors which facilitated implementation included extensive stakeholder engagement, such as co-design activities, which can contribute to an increased ‘buy-in’ from users in the long term. An important lesson from the Living-It-Up initiative is that attempting to co-design innovative digital services, but at the same time, recruiting large numbers of users is likely to generate conflicting implementation priorities which hinder − or at least substantially slow down − the effective rollout of services at scale. The deployment of Living-It-Up services is ongoing, but our results to date suggest that − in order to be successful − the roll-out of digital health and well-being technologies at scale requires a delicate and pragmatic trade-off between co-design activities, the development of innovative services and the efforts allocated to widespread marketing and recruitment initiatives.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McGee-Lennon, Dr Marilyn and Agbakoba, Ruth and Watson, Professor Nicholas and Bouamrane, Dr Matt-Mouley and Mair, Professor Frances
Authors: Agbakoba, R., McGee-Lennon, M., Bouamrane, M.-M., Watson, N., and Mair, F. S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
Journal Name:Health Informatics Journal
Publisher:Sage Publications Ltd.
ISSN:1460-4582
ISSN (Online):1741-2811
Published Online:14 August 2016
Copyright Holders:Copyright © 2015 The Authors
First Published:First published in Health Informatics Journal 22(4):867-877
Publisher Policy:Reproduced under a Creative Commons License

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