Implementing Automated Text Messaging for Patient Self-management in the Veterans Health Administration: Qualitative Study Applying the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability Framework.

ABSTRACT:

Background

The Veterans Health Administration (VHA) is deploying an automated texting system (aTS) to support patient self-management.

Objective

We conducted a qualitative evaluation to examine factors influencing national rollout of the aTS, guided by the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework, which is intended to support the evaluation of novel technologies.

Methods

Semistructured interviews were conducted with 33 staff and 38 patients who were early adopters of the aTS. Data were analyzed following deductive and inductive approaches using a priori codes and emergent coding based on the NASSS.

Results

We identified themes across NASSS domains: (1) Condition: The aTS was considered relevant for a range of patient need

SUBMITTER: Yakovchenko V 

PROVIDER: S-EPMC8663696 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature