Exploring the contextual assumptions, interventions and outcomes of digital advance care planning systems: A theory of change approach to understand implementation and evaluation.

ABSTRACT:

Background

Digital advance care planning systems are used internationally to document and share patients' wishes and preferences to inform care delivery. However, their use is impeded by a limited understanding of factors influencing implementation and evaluation.

Aim

To develop mid-range programme theory to account for technological, infrastructure and human factor influences on digital advance care planning systems.

Design

Exploratory qualitative research design incorporating Theory of Change workshops that explored contextual assumptions affecting digital advance care planning in practice. A mid-range programme theory was developed through thematic framework analysis using the Non-adoption, Abandonment, Scale-up, Spread and Sustainability (NASSS) framework, generat

SUBMITTER: Bradshaw A 

PROVIDER: S-EPMC11613644 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature