Implementing digital respiratory technologies: a CONNECT CRC systematic scoping review

<bold>Background:</bold> Implementation of digital healthcare is complex and challenging. Harmonising implementation strategies can promote safe and equitable digital healthcare, but guidance for implementation is lacking. <bold>Methods:</bold> CONNECT colleagues(17 countries) identified published literature using Arksey's methodology. We searched ten databases using key terms relating to digital, respiratory and implementation, included studies embedding digital respiratory technologies in routine clinical practice and used implementation frameworks(e.g.NASSS,NPT,REAIM,TDF) to categorise results. The technology used, implementation strategies employed, barriers faced, and outcomes achieved were extracted. <bold>Results:</bold> We found 85 studies(Dec 2013-2023) including video conferencing, text messaging for remote consultation and rehabilitation training, chatbots and apps/platforms and devices for remote monitoring, self-management and education, vDOT to monitor medication adherence. Government policy shaped the programme and evaluation focus. CFIR,REAIM and TDF were the most widely used frameworks. Co-developing with end users and building initial relationships were key, helping patients and clinicians build trust. Adopters' motivation and belief about the programme’s usefulness determined their adoption and ongoing engagement. Leader commitment, involvement, group cohesion, and good communication facilitated successful implementation. Insufficient resources(time, staff, funding, devices) and technical support, poor interoperability, and lack of reimbursement were implementation barriers. <bold>Conclusion:</bold> We identified enablers and barriers for implementation. Findings will inform policy statements to promote a harmonised framework for digital respirtory.

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Published
2025-09-27
DOI
https://doi.org/10.1183/13993003.congress-2025.oa2352
Primary Topic
Digital Mental Health Interventions
Type
article
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article

Implementing digital respiratory technologies: a CONNECT CRC systematic scoping review

Nicola Roberts, M. Châabouni, Aleksandra Gawlik‐Lipinski, Io Chi-Yan Hui et al.
Digital Mental Health Interventions
article

Implementing digital respiratory technologies: a CONNECT CRC systematic scoping review

Nicola Roberts, M. Châabouni, Aleksandra Gawlik‐Lipinski, Io Chi-Yan Hui, Kathleena Condon, Apolline Gonsard, Katherina Bernadette Sreter, Anna Vanoverschelde, Hilary Pinnock, Dario Kohlbrenner, Shailesh Kolekar, Adrian Rabe, Zoe Jane McKeough, Efthymia Papadopoulou, Georgios Kaltsakas, Amy Hai Yan Chan, Milan Mohammad, Anthony Paulo Sunjaya, Ayşe Önal Aral, Tonje Reier‐Nilsen, Izolde Bouloukaki, Cátia Paixão, Shirley Quach, Paul D. Robinson, Patrick Stafler, Kate Loveys, Sami O. Simons, Matthew Armstrong, Carlos Eduardo da Silva Figueiredo, Hani Salim
article en

Abstract

<bold>Background:</bold> Implementation of digital healthcare is complex and challenging. Harmonising implementation strategies can promote safe and equitable digital healthcare, but guidance for implementation is lacking. <bold>Methods:</bold> CONNECT colleagues(17 countries) identified published literature using Arksey's methodology. We searched ten databases using key terms relating to digital, respiratory and implementation, included studies embedding digital respiratory technologies in routine clinical practice and used implementation frameworks(e.g.NASSS,NPT,REAIM,TDF) to categorise results. The technology used, implementation strategies employed, barriers faced, and outcomes achieved were extracted. <bold>Results:</bold> We found 85 studies(Dec 2013-2023) including video conferencing, text messaging for remote consultation and rehabilitation training, chatbots and apps/platforms and devices for remote monitoring, self-management and education, vDOT to monitor medication adherence. Government policy shaped the programme and evaluation focus. CFIR,REAIM and TDF were the most widely used frameworks. Co-developing with end users and building initial relationships were key, helping patients and clinicians build trust. Adopters' motivation and belief about the programme’s usefulness determined their adoption and ongoing engagement. Leader commitment, involvement, group cohesion, and good communication facilitated successful implementation. Insufficient resources(time, staff, funding, devices) and technical support, poor interoperability, and lack of reimbursement were implementation barriers. <bold>Conclusion:</bold> We identified enablers and barriers for implementation. Findings will inform policy statements to promote a harmonised framework for digital respirtory.

Hôpital Necker-Enfants Malades (FR), The University of Sydney (AU), Universiti Putra Malaysia (MY), University of Crete (GR), University of Leicester (GB), University of Auckland (NZ), The University of Queensland (AU), King's College London (GB), University of Zurich (CH), Edinburgh Napier University (GB), Maastricht University Medical Centre (NL), Copenhagen University Hospital (DK), Public Health England (GB), Asklepios Klinik Altona (DE), Institut Necker Enfants Malades (FR), Zealand University Hospital (DK), Assistance Publique – Hôpitaux de Paris (FR), Memorial Ankara Hospital (TR), Oslo Sports Trauma Research Center (NO), Schneider Children's Medical Center (IL), The George Institute for Global Health (AU), Ippokrateio General Hospital of Thessaloniki (GR), 424 General Military Hospital (GR), Sisters of Charity Hospital (HR), Hospital de Santa Marta (PT), Network of the Universities from the Capitals of Europe (BE), Imperial College London (GB), University of Aveiro (PT), Norwegian School of Sport Sciences (NO), Bournemouth University (GB), McMaster University (CA), University of Edinburgh (GB)
Openalex Percentile: Top 60%
Digital Mental Health Interventions
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