The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluation
Background People with low back pain (LBP) are often recommended to self-manage their condition, but it can be challenging without support. Digital health interventions (DHIs) have shown promise in supporting self-management of LBP, but little is known about healthcare providers’ (HCPs) engagement i...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-01-01
|
| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241313159 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832591488346750976 |
|---|---|
| author | Mette Jensen Stochkendahl Barbara I Nicholl Karen Wood Frances S Mair Paul Jarle Mork Karen Søgaard Charlotte DN Rasmussen |
| author_facet | Mette Jensen Stochkendahl Barbara I Nicholl Karen Wood Frances S Mair Paul Jarle Mork Karen Søgaard Charlotte DN Rasmussen |
| author_sort | Mette Jensen Stochkendahl |
| collection | DOAJ |
| description | Background People with low back pain (LBP) are often recommended to self-manage their condition, but it can be challenging without support. Digital health interventions (DHIs) have shown promise in supporting self-management of LBP, but little is known about healthcare providers’ (HCPs) engagement in implementing these. Aims We aimed to examine HCPs’ engagement in patient recruitment for the selfBACK app clinical trial and explore their perceptions of the app. Methods In a mixed-methods design, we conducted a process evaluation alongside the selfBACK trial, triangulating quantitative data from trial recruitment logs and a vignette-based survey, and qualitative data from trial procedure documents, interviews with HCPs, and survey free-text responses. From 2019 to 2020, we recruited 57 HCPs from Norway and 39 health clinics in Denmark and collected quantitative and qualitative data in parallel. Results were integrated using displays. Results Overall, 825 patients were recruited by the HCPs. The vignette-based survey showed high agreement among HCPs (n = 62) with the self-management plans generated by the app (84.1–88.9%) but also highlighted concerns about tailoring and content. Interviews with HCPs (n = 19) revealed challenges with recruitment due to busy schedules, competing tasks, and varying levels of interest and engagement in the study. Conclusions The study identified factors that impact HCPs’ engagement in recruiting patients for the selfBACK trial and highlighted overall positive views of the selfBACK app, although some concerns about the content and tailoring of the app were raised. Understanding HCP motivations and workload is crucial for the successful implementation of DHIs in clinical practice. |
| format | Article |
| id | doaj-art-fe150dad5f0a423597f57893cb9b1450 |
| institution | Kabale University |
| issn | 2055-2076 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-fe150dad5f0a423597f57893cb9b14502025-01-22T11:03:32ZengSAGE PublishingDigital Health2055-20762025-01-011110.1177/20552076241313159The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluationMette Jensen Stochkendahl0Barbara I Nicholl1Karen Wood2Frances S Mair3Paul Jarle Mork4Karen Søgaard5Charlotte DN Rasmussen6 Chiropractic Knowledge Hub, Denmark School of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, , Glasgow, UK School of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, , Glasgow, UK School of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, , Glasgow, UK , Trondheim, Norway Department of Sports Science and Clinical Biomechanics, Center for Muscle and Joint Health, , Denmark , Copenhagen, DenmarkBackground People with low back pain (LBP) are often recommended to self-manage their condition, but it can be challenging without support. Digital health interventions (DHIs) have shown promise in supporting self-management of LBP, but little is known about healthcare providers’ (HCPs) engagement in implementing these. Aims We aimed to examine HCPs’ engagement in patient recruitment for the selfBACK app clinical trial and explore their perceptions of the app. Methods In a mixed-methods design, we conducted a process evaluation alongside the selfBACK trial, triangulating quantitative data from trial recruitment logs and a vignette-based survey, and qualitative data from trial procedure documents, interviews with HCPs, and survey free-text responses. From 2019 to 2020, we recruited 57 HCPs from Norway and 39 health clinics in Denmark and collected quantitative and qualitative data in parallel. Results were integrated using displays. Results Overall, 825 patients were recruited by the HCPs. The vignette-based survey showed high agreement among HCPs (n = 62) with the self-management plans generated by the app (84.1–88.9%) but also highlighted concerns about tailoring and content. Interviews with HCPs (n = 19) revealed challenges with recruitment due to busy schedules, competing tasks, and varying levels of interest and engagement in the study. Conclusions The study identified factors that impact HCPs’ engagement in recruiting patients for the selfBACK trial and highlighted overall positive views of the selfBACK app, although some concerns about the content and tailoring of the app were raised. Understanding HCP motivations and workload is crucial for the successful implementation of DHIs in clinical practice.https://doi.org/10.1177/20552076241313159 |
| spellingShingle | Mette Jensen Stochkendahl Barbara I Nicholl Karen Wood Frances S Mair Paul Jarle Mork Karen Søgaard Charlotte DN Rasmussen The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluation Digital Health |
| title | The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluation |
| title_full | The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluation |
| title_fullStr | The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluation |
| title_full_unstemmed | The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluation |
| title_short | The engagement of healthcare providers in implementing the selfBACK randomised controlled trial – A mixed-methods process evaluation |
| title_sort | engagement of healthcare providers in implementing the selfback randomised controlled trial a mixed methods process evaluation |
| url | https://doi.org/10.1177/20552076241313159 |
| work_keys_str_mv | AT mettejensenstochkendahl theengagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT barbarainicholl theengagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT karenwood theengagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT francessmair theengagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT pauljarlemork theengagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT karensøgaard theengagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT charlottednrasmussen theengagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT mettejensenstochkendahl engagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT barbarainicholl engagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT karenwood engagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT francessmair engagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT pauljarlemork engagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT karensøgaard engagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation AT charlottednrasmussen engagementofhealthcareprovidersinimplementingtheselfbackrandomisedcontrolledtrialamixedmethodsprocessevaluation |