Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online)
Abstract Background Eczema Care Online ( www.EczemaCareOnline.org.uk/ ) is an online self-management toolkit which includes tailored content for young people (13–25 years) and for parents of children that have eczema (0–12 years). Testing in two randomised controlled trials has shown that it is easy...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-12179-2 |
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| author | Laura Howells Kim S. Thomas Miriam Santer Ingrid Muller Kate Greenwell Amanda Roberts Hywel C. Williams Jane Harvey Stephanie J. Lax Natasha K. Rogers Tracey H. Sach Sandra Lawton Mary Steele Katy Sivyer Julie Hooper Amina Ahmed Sylvia Wilczynska Sinead Langan Paul Leighton |
| author_facet | Laura Howells Kim S. Thomas Miriam Santer Ingrid Muller Kate Greenwell Amanda Roberts Hywel C. Williams Jane Harvey Stephanie J. Lax Natasha K. Rogers Tracey H. Sach Sandra Lawton Mary Steele Katy Sivyer Julie Hooper Amina Ahmed Sylvia Wilczynska Sinead Langan Paul Leighton |
| author_sort | Laura Howells |
| collection | DOAJ |
| description | Abstract Background Eczema Care Online ( www.EczemaCareOnline.org.uk/ ) is an online self-management toolkit which includes tailored content for young people (13–25 years) and for parents of children that have eczema (0–12 years). Testing in two randomised controlled trials has shown that it is easy to use, cost effective and offers a sustained improvement in eczema symptoms. Implementing Eczema Care Online outside of a funded research study and ensuring that it reaches those that will most benefit from is now a key challenge. This paper describes the lessons learnt from developing and delivering an implementation strategy. Methods Data from systematic reviews, stakeholder consultation meetings, interviews with trial participants, intervention usage data during the trial, and existing eczema information websites informed our implementation plan. Using Normalisation Process Theory, an implementation plan combined these findings with practical, context-specific actions to encourage wider adoption of the intervention. Results Data was successfully mapped to the four constructs of Normalisation Process Theory, and factors and processes that encourage implementation identified. These include: promoting how Eczema Care Online is different to other sources of information; aligning to and embedding in existing eczema resources (from charities and healthcare providers); simplifying aspects to aid ease of use; and, highlighting evidence that shows that Eczema Care Online works. Key lessons in developing an implementation strategy include 1) start implementation work early 2) maintain flexibility to explore multiple routes to implementation 3) use secondary data sources 4) balance theory with practicalities 5) consider longer-term maintenance beyond the life of the research project. Conclusion Implementation planning is a key stage of the research process that is often not adequately resourced. Implementation planning ensures effective interventions developed and evaluated in research studies are utilised in everyday practice. |
| format | Article |
| id | doaj-art-1f7761e682fc4125b105b1bf54c2893d |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-1f7761e682fc4125b105b1bf54c2893d2025-02-02T12:14:05ZengBMCBMC Health Services Research1472-69632025-01-0125111010.1186/s12913-024-12179-2Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online)Laura Howells0Kim S. Thomas1Miriam Santer2Ingrid Muller3Kate Greenwell4Amanda Roberts5Hywel C. Williams6Jane Harvey7Stephanie J. Lax8Natasha K. Rogers9Tracey H. Sach10Sandra Lawton11Mary Steele12Katy Sivyer13Julie Hooper14Amina Ahmed15Sylvia Wilczynska16Sinead Langan17Paul Leighton18Centre of Evidence Based Dermatology, School of Medicine, University of NottinghamCentre of Evidence Based Dermatology, School of Medicine, University of NottinghamPrimary Care Research Centre, Faculty of Medicine, University of Southampton, Aldermoor Health CentrePrimary Care Research Centre, Faculty of Medicine, University of Southampton, Aldermoor Health CentrePrimary Care Research Centre, Faculty of Medicine, University of Southampton, Aldermoor Health CentreCentre of Evidence Based Dermatology, School of Medicine, University of NottinghamCentre of Evidence Based Dermatology, School of Medicine, University of NottinghamCentre of Evidence Based Dermatology, School of Medicine, University of NottinghamCentre of Evidence Based Dermatology, School of Medicine, University of NottinghamCentre of Evidence Based Dermatology, School of Medicine, University of NottinghamPrimary Care Research Centre, Faculty of Medicine, University of Southampton, Aldermoor Health CentreThe Rotherham NHS Foundation TrustPrimary Care Research Centre, Faculty of Medicine, University of Southampton, Aldermoor Health CentreSchool of Psychology, University of SouthamptonPrimary Care Research Centre, Faculty of Medicine, University of Southampton, Aldermoor Health CentrePublic ContributorPrimary Care Research Centre, Faculty of Medicine, University of Southampton, Aldermoor Health CentreDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical MedicineCentre of Evidence Based Dermatology, School of Medicine, University of NottinghamAbstract Background Eczema Care Online ( www.EczemaCareOnline.org.uk/ ) is an online self-management toolkit which includes tailored content for young people (13–25 years) and for parents of children that have eczema (0–12 years). Testing in two randomised controlled trials has shown that it is easy to use, cost effective and offers a sustained improvement in eczema symptoms. Implementing Eczema Care Online outside of a funded research study and ensuring that it reaches those that will most benefit from is now a key challenge. This paper describes the lessons learnt from developing and delivering an implementation strategy. Methods Data from systematic reviews, stakeholder consultation meetings, interviews with trial participants, intervention usage data during the trial, and existing eczema information websites informed our implementation plan. Using Normalisation Process Theory, an implementation plan combined these findings with practical, context-specific actions to encourage wider adoption of the intervention. Results Data was successfully mapped to the four constructs of Normalisation Process Theory, and factors and processes that encourage implementation identified. These include: promoting how Eczema Care Online is different to other sources of information; aligning to and embedding in existing eczema resources (from charities and healthcare providers); simplifying aspects to aid ease of use; and, highlighting evidence that shows that Eczema Care Online works. Key lessons in developing an implementation strategy include 1) start implementation work early 2) maintain flexibility to explore multiple routes to implementation 3) use secondary data sources 4) balance theory with practicalities 5) consider longer-term maintenance beyond the life of the research project. Conclusion Implementation planning is a key stage of the research process that is often not adequately resourced. Implementation planning ensures effective interventions developed and evaluated in research studies are utilised in everyday practice.https://doi.org/10.1186/s12913-024-12179-2Digital health interventionImplementationAtopic eczemaNormalisation process theory |
| spellingShingle | Laura Howells Kim S. Thomas Miriam Santer Ingrid Muller Kate Greenwell Amanda Roberts Hywel C. Williams Jane Harvey Stephanie J. Lax Natasha K. Rogers Tracey H. Sach Sandra Lawton Mary Steele Katy Sivyer Julie Hooper Amina Ahmed Sylvia Wilczynska Sinead Langan Paul Leighton Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) BMC Health Services Research Digital health intervention Implementation Atopic eczema Normalisation process theory |
| title | Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) |
| title_full | Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) |
| title_fullStr | Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) |
| title_full_unstemmed | Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) |
| title_short | Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) |
| title_sort | evidence to practice lessons learnt in developing an implementation strategy for an online digital health intervention eczema care online |
| topic | Digital health intervention Implementation Atopic eczema Normalisation process theory |
| url | https://doi.org/10.1186/s12913-024-12179-2 |
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