Siobhán O’Connor|Peter Hanlon|Catherine O’Donnell|S. Gallach Garcia|Julie Glanville|Frances S Mair
Understanding factors affecting patient and public engagement and recruitment to digital health interventions: a systematic review of qualitative studies
University of Glasgow|University of Manchester|University of Glasgow|University of Glasgow|Leeds and York Partnership NHS Foundation Trust|Leeds and York Partnership NHS Foundation Trust|University of Glasgow
numerous types digital health interventions dhis available patients public many factors affect ability engage enrol systematic review aims identify synthesise qualitative literature barriers facilitators engagement recruitment dhis inform future implementation effortspubmed medline cinahl embase scopus acm digital library searched english language qualitative studies 2000 2015 discussed factors affecting engagement enrolment range dhis eg telemedicine mobile applications personal health record social networking text mining additional search strategies used identify 1448 records two reviewers independently carried paper screening quality assessment data extraction analysis data analysed using framework synthesis informed normalization process theory burden treatment theory helped conceptualise interpretation resultsnineteen publications included review four overarching themes affect patient public engagement enrolment dhis emerged 1 personal agency motivation 2 personal life values 3 engagement recruitment approach 4 quality dhi review also summarises engagement recruitment strategies used preliminary digital health engagement model diego developed highlight key processes involved existing knowledge gaps identified number recommendations made future research study limitations include english language publications exclusion grey literaturethis review summarises highlights complexity digital health engagement recruitment processes outlines issues need addressed patients public commit digital health implemented effectively work needed create successful engagement strategies better quality digital solutions personalised possible gain clinical accreditation endorsement appropriate investment also needed improve computer literacy ensure technologies accessible affordable wish sign theminternational prospective register systematic reviews crd42015029846