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Accelerating implementation of adolescent digital health prevention programs: analysis of insights from Australian stakeholders.
Raeside, Rebecca; Todd, Allyson; Sim, Kyra A; Kang, Melissa; Mihrshahi, Seema; Gardner, Lauren A; Champion, Katrina E; Skinner, John; Laranjo, Liliana; Steinbeck, Katharine; Redfern, Julie; Partridge, Stephanie R.
Affiliation
  • Raeside R; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
  • Todd A; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
  • Sim KA; Metabolism & Obesity Service, Sydney Local Health District, Sydney, NSW, Australia.
  • Kang M; Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia.
  • Mihrshahi S; General Practice Clinical School, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
  • Gardner LA; Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.
  • Champion KE; The Matilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, NSW, Australia.
  • Skinner J; The Matilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, NSW, Australia.
  • Laranjo L; Djurali Centre for Aboriginal and Torres Strait Islander Health Research, Heart Research Institute, Sydney, NSW, Australia.
  • Steinbeck K; Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW, Australia.
  • Redfern J; Specialty of Child and Adolescent Health, Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW, Australia.
  • Partridge SR; The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.
Front Public Health ; 12: 1389739, 2024.
Article in En | MEDLINE | ID: mdl-38765492
ABSTRACT

Background:

Chronic disease risk factors are increasing amongst adolescents, globally. Digital health prevention programs, which provide education and information to reduce chronic disease risk factors need to be equitable and accessible for all. For their success, multiple highly engaged stakeholders should be involved in development and implementation. This study aimed to evaluate stakeholders' support for, and perspectives on potential public health impact of digital health prevention programs for adolescents and potential pathways for future implementation.

Methods:

Qualitative semi-structured online interviews with stakeholders. Stakeholder mapping identified key individuals, groups and organizations across Australia that may influence the implementation of digital health prevention programs for adolescents. Recorded and transcribed interviews were analyzed within the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) Framework, using deductive content analysis.

Findings:

Nineteen interviews were conducted in 2023 with stakeholders from government, health, non-government organizations, youth services, education, community settings and others. Four overarching themes were identified (i) existing digital health initiatives are not fit for purpose; (ii) the co-creation of digital health prevention programs is critical for successful implementation; (iii) digital health prevention programs must address equity and the unique challenges raised by technology and; (iv) system level factors must be addressed.

Interpretation:

Stakeholders broadly supported digital health prevention programs, yet raised unique insights to ensure that future programs create public health impact by improving chronic disease risk factors among adolescents. These insights can be applied in future development of digital health prevention programs for adolescents to strengthen widespread implementation.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Qualitative Research Limits: Adolescent / Female / Humans / Male Country/Region as subject: Oceania Language: En Journal: Front Public Health Year: 2024 Document type: Article Affiliation country: Australia

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Qualitative Research Limits: Adolescent / Female / Humans / Male Country/Region as subject: Oceania Language: En Journal: Front Public Health Year: 2024 Document type: Article Affiliation country: Australia