Facilitators and Barriers Associated with Healthcare Providers’ Implementation of Telehealth Programs to Support People Living with Diabetes: A Scoping Review
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Authors
Hussain, Armish
Date
Type
thesis
Language
eng
Keyword
Telehealth , Healthcare provider , Implementation , Diabetes , Consolidated Framework for Implementation Research , Scoping Review
Alternative Title
Abstract
Background: The prevalence of diabetes mellitus is a major concern globally and produces burden at the
individual, system, and economic levels. Diabetes requires self-management and has been noted to be
well-suited to be managed via telehealth programs. The responsibility for managing diabetes is shared
between patients and healthcare providers, where researchers have devoted significant attention to
understanding patients' perceptions toward using telehealth to manage their condition. It is equally
important to consider healthcare providers' perspectives on implementing telehealth, for which an extent
or breadth of literature remains unclear. Studies in the field of telehealth reflected implementation failures
leading to wasted resources, partial health outcomes, and under-utilization of technology. Therefore, an
exploration was needed to investigate healthcare providers’ reported facilitators and barriers while
implementing telehealth to support people living with diabetes.
Objectives: To map the reported facilitators and barriers underlying healthcare providers’
implementation of telehealth for managing diabetes using the Consolidated Framework for
Implementation Research (CFIR).
Methods: A scoping review was conducted following the Joanna Briggs Institute methodology. A search
of electronic databases and grey literature sources was performed to identify the eligible studies based on
the inclusion criteria. Two authors independently assessed eligibility and extracted data. The PRISMA-
ScR guideline was used to guide the transparent, and consistent reporting of findings.
Results: The review found 102 facilitators and 103 barriers across 24 studies. Considering the five
domains of the CFIR, the largest number of facilitators and barriers were reported for intervention
characteristics (100%), followed by inner setting (75%), outer setting (63%), process (58%), and
Characteristics of individuals (38%) respectively.
Conclusion: Using the CFIR, the study illuminated valuable facilitators and barriers for health care
providers’ implementation of telehealth which can be used to support successful implementations. Our
study results concluded that there are many barriers which prevent healthcare providers from effectively
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implementing telehealth. To overcome barriers, the CFIR can be utilized to identify organization and
disease-specific implementation drivers. This approach may help reduce implementation failures, partial
health outcomes, and wasted resources. Findings of this study can assist healthcare planners in identifying
the areas that require capacity building, while also providing preliminary insights to inform best practice
and policymaking.
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Attribution-NoDerivs 3.0 United States
ProQuest PhD and Master's Theses International Dissemination Agreement
Intellectual Property Guidelines at Queen's University
Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.
Attribution-NoDerivs 3.0 United States