Digital health technology adoption factors: A rapid review of systematic reviews and checklist development

Hamasaki, T., Briand, C., Mahroug, A. et Sauvageau, A. (2025). Digital health technology adoption factors: A rapid review of systematic reviews and checklist development. Disability and Rehabilitation: Assistive Technology . ISSN 1748-3107 1748-3115 DOI 10.1080/17483107.2025.2526175

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Résumé

Abstract

Objective:

This rapid review of systematic reviews aimed to synthesize the adoption factors of
digital health technologies (Dhts).

Methods:

A reference search was performed on MeDliNe, eMBase, ciNahl, Psychinfo, PubMed,
eBM Review, Web of science, scopus, PROsPeRO and Google scholar to search systematic reviews
published in the last three years. study selection was conducted following the PRisMa guidelines.
the methodological quality of the included systematic reviews was assessed with the aMstaR 2
tool. the identified adoption factors were classified using the Nonadoption, abandonment,
scale-Up, spread, and sustainability (Nasss) framework, in which the self-determination factors
were integrated.

Results:

Out of 4277 identified references, 45 systematic reviews were retained. the quality of most
included systematic reviews, assessed by aMstaR 2, was critically low. the most cited adoption
factors included DHT’s ease of use, training for using DHT, adopters’ access to DHT and a high-speed
internet connection, technical support, DHT’s customizability, the relevance and reliability of DHT data,
the demand-side value of DHT (desirability), safety, cost-effectiveness, staff and patient competence,
patient relatedness with others, organizational readiness, necessary changes in team routines, capacity
for innovation, along with the political, economic, regulatory and sociocultural contexts. integrating the
findings of this rapid review, a Dht adoption checklist was elaborated. this checklist would aid
future developers and implementers of Dht in successfully adopting the technology.

Conclusions:

This review synthesized the Dht adoption factors using the Nasss framework and
self-Determination theory. When developing or implementing a Dht, the micro-, meso- and
macro-level adoption factors must be considered.

Implications for rehabilitation:

When developing or implementing a digital health technology (DHT) to support patients' rehabilitation, various adoption factors must be considered at the micro, meso and macro levels, namely, DHT?s ease of use, training for using DHT, adopters? access to DHT and a high-speed internet connection, technical support, DHT's customizability, the relevance and reliability of DHT data, the demand-side value of DHT (desirability), safety, cost-effectiveness, staff and patient competence, patient relatedness with others, organizational readiness, necessary changes in team routines, capacity for innovation, along with the political, economic, regulatory and sociocultural contexts. The DHT adoption checklist elaborated based on the NASSS framework, Self-Determination Theory and the findings of this review would facilitate successful DHT implementation for future DHT developers and implementers.

Type de document:	Article
Mots-clés libres:	Self-determination Digital health technology Adoption Implementation Rapid review of systematic reviews; Nasss framework
Date de dépôt:	08 oct. 2025 13:22
Dernière modification:	08 oct. 2025 13:22
Version du document déposé:	Version officielle de l'éditeur
URI:	https://depot-e.uqtr.ca/id/eprint/12264

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