Adoption of an Electronic Decision Support Tool for Capacity Building of Community Health Workers: Mixed Methods Study.

ABSTRACT:

Background

Complimentary subscriptions to UpToDate, a decision support tool, were provided to community health workers (CHWs) in rural and remote primary care sites as part of a government-funded health system research program. A feasibility evaluation conducted after the first year of implementation showed that UpToDate was acceptable among CHWs despite infrastructural barriers.

Objective

This follow-up study evaluated the longitudinal adoption of UpToDate among CHWs and examined how sociocultural, political, and environmental factors influenced its use. Drawing on the nonadoption, abandonment, scale-up, spread, and sustainability framework, this study aimed to understand not only use patterns but also broader challenges to scale-up, spread, and sustainability in a complex

SUBMITTER: Elepano A 

PROVIDER: S-EPMC12824572 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature