University of Oulu

Gaveikaite V, Grundstrom C, Lourida K, Winter S, Priori R, Chouvarda I, et al. (2020) Developing a strategic understanding of telehealth service adoption for COPD care management: A causal loop analysis of healthcare professionals. PLoS ONE 15(3): e0229619.

Developing a strategic understanding of telehealth service adoption for COPD care management : a causal loop analysis of healthcare professionals

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Author: Gaveikaite, Violeta1,2; Grundstrom, Casandra3; Lourida, Katerina1;
Organizations: 1Laboratory of Computing, Medical Informatics and Biomedical Imaging Technologies, Aristotle University of Thessaloniki, Thessaloniki, Greece
2Department of Chronic Disease Management, Philips Research, Eindhoven, The Netherlands
3M3S, Faculty of Information Technology and Electrical Engineering, University of Oulu, Oulu, Finland
4Department of Chronic Disease Management, Philips Research, Aachen, Germany
5Department of IEMS, McCormick School of Engineering, Northwestern University, Evanston, Illinois, United States of America
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.2 MB)
Persistent link:
Language: English
Published: Public Library of Science, 2020
Publish Date: 2020-05-06


Background: Telehealth services can improve the quality of health services for chronic obstructive pulmonary disease (COPD) management, but the clinical benefits for patients yet not clear. It is crucial to develop a strategy that supports the engagement of healthcare professionals to promote the sustainable adoption of telehealth services further. The aim of the study was to show how variables related to the perception of telehealth services for COPD by different healthcare professionals interact to influence its adoption and to generate advice for future telehealth service implementation.

Methods: Data was thematically synthesized from published qualitative studies to create causal loop diagrams, further validated by expert interviews. These diagrams visualize dependencies and their polarity between different variables.

Results: Adoption of telehealth services from the nurse’s perspective is directly affected by change management and autonomous decision making. From the physician’s perspective, perceived value is the most important variable. Physical activity management and positive user experience are considered affecting perceived value for physiotherapists. There is no consensus where self-management services should be positioned in the COPD care pathway.

Conclusion: Our results indicate how complex interactions between multiple variables influence the adoption of telehealth services. Consequently, there is a need for multidimensional interventions to achieve adoption. Moreover, key variables were identified that require attention to ensure success of telehealth services. Furthermore, it is necessary to explore where self-management services are best positioned in the care pathway of COPD patients.

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Series: PLoS one
ISSN: 1932-6203
ISSN-E: 1932-6203
ISSN-L: 1932-6203
Volume: 15
Issue: 3
Article number: e0229619
DOI: 10.1371/journal.pone.0229619
Type of Publication: A1 Journal article – refereed
Field of Science: 113 Computer and information sciences
3141 Health care science
Funding: Authors VG and CG received funding from the European Union’s Horizon 2020 research and innovation programme - Marie Sklodowska-Curie Actions Grant Agreement No. 676201 - CHESS - Connected Health Early Stage Researcher Support System.
EU Grant Number: (676201) CHESS - Connected Health Early Stage Researcher Support System
Copyright information: © 2020 Gaveikaite et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.