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Randomized Controlled Trial
. 2019 Aug;27(8):2911-2920.
doi: 10.1007/s00520-018-4591-5. Epub 2018 Dec 18.

Adoption and implementation of a web-based self-management application "Oncokompas" in routine cancer care: a national pilot study

L Matthijs de Wit  1   2   3 , Cornelia F van Uden-Kraan  1   2   3 , Birgit I Lissenberg-Witte  4 , Heleen C Melissant  1   2   3 , Margot A H Fleuren  1   3 , Pim Cuijpers  1   3 , Irma M Verdonck-de Leeuw  5   6   7   8
Affiliations
Randomized Controlled Trial

Adoption and implementation of a web-based self-management application "Oncokompas" in routine cancer care: a national pilot study

L Matthijs de Wit et al. Support Care Cancer. 2019 Aug.

Abstract

Purpose: A web-based self-management application "Oncokompas" was developed to monitor health-related quality of life and to support cancer survivors in finding and obtaining optimal supportive care. Access to this application is provided via a healthcare professional (HCP). The aim of this study was to explore the adoption and implementation of Oncokompas in routine clinical practice and to obtain insights in potentially relevant determinants of implementation.

Methods: A pilot study was carried out among 65 hospitals throughout The Netherlands. HCPs filled out a questionnaire on the implementation of Oncokompas in their organization, consisting of study specific items and items based on the Measurement Instrument for Determinants of Innovations (MIDI). The MIDI comprises 29 determinants in four domains that predict the use of innovations: the innovation itself (Oncokompas), the user (HCP), the organization (hospital), and socio-political context.

Results: In total, 20/65 eligible hospitals agreed to implement Oncokompas (adoption rate 31%). In these 20 adopting hospitals, the majority of the responding HCPs (72/205) in this study (44/61) indicated their patients were offered access to Oncokompas (implementation rate 72%). Comparing those HCPs who did and did not implement Oncokompas, the groups differed significantly on innovation-related (procedural clarity, complexity) and user-related determinants (importance of outcome expectations, professional obligation, social support, and self-efficacy).

Conclusions: During this 1-year study, nationwide adoption rate of Oncokompas was at 31%, and subsequent implementation rate was at 72%. The results of this study contribute to further optimize interventions and strategies to adopt and implement (online) self-management applications in cancer care.

Keywords: Adoption; Cancer survivors; Health-related quality of life; Implementation; Patient-reported outcome measures; eHealth.

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Conflict of interest statement

The authors declare that they have no conflict of interest. The authors have full control of all primary data (available upon request).

Figures

Fig. 1
Fig. 1
The Measurement Instrument for Determinants of Innovations (MIDI) [20]
Fig. 2
Fig. 2
Flow chart of the adoption of Oncokompas
Fig. 3
Fig. 3
Number of implementers and non-implementers in each of the 17 adopting hospitals
See this image and copyright information in PMC

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