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A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India

VERGHESE THOMAS, Judy Jenkins, Jomin George

Oxford Open Digital Health, Volume: 2, Start page: oqae046

Swansea University Authors: VERGHESE THOMAS, Judy Jenkins, Jomin George

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DOI (Published version): 10.1093/oodh/oqae046

Abstract

mHealth implementations are increasing in low- and middle-income countries to strengthen health systems and improve health outcomes. Following the proliferation of mobile internet use, Indian health systems have deployed mHealth widely. However, there is little evidence that mHealth has improved hea...

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Published in: Oxford Open Digital Health
ISSN: 2754-4591
Published: Oxford University Press (OUP) 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68279
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spelling 2025-02-11T11:31:16.7834487 v2 68279 2024-11-15 A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India cc960ebe571057dc73a805021802ae73 VERGHESE THOMAS VERGHESE THOMAS true false d547919f7d389a3263887233a8d20989 Judy Jenkins Judy Jenkins true false d26a53a21212b3972a5537ba65f31593 Jomin George Jomin George true false 2024-11-15 mHealth implementations are increasing in low- and middle-income countries to strengthen health systems and improve health outcomes. Following the proliferation of mobile internet use, Indian health systems have deployed mHealth widely. However, there is little evidence that mHealth has improved health outcomes in India across settings and at scale. The aim of this study was to review current evidence on perceptions and experiences of end users of mHealth in India and synthesize qualitative data to determine the factors influencing mHealth use to inform mHealth design, development, and implementation. A systematic review and qualitative synthesis of studies on mHealth in India was conducted by searching the Web of Science, Medline and CINAHL databases for qualitative studies on mHealth users including both health system beneficiaries and healthcare personnel. Findings from the studies were synthesized using thematic synthesis. The synthesis generated the themes of the Environment, the Users and the mHealth system. The data indicate that mHealth use improves when the environment supports its use; when users are motivated and have the ability to use mHealth systems; and when mHealth systems are aligned with the environmental context and fulfill users’ needs and desires. mHealth adoption in India can be improved through human centered design and by addressing the disparities in digital literacy between socio economic strata. These approaches are required to close the design reality gaps facing mHealth systems, to improve mHealth implementation for health system strengthening, and therefore, to improve health outcomes in India. Journal Article Oxford Open Digital Health 2 oqae046 Oxford University Press (OUP) 2754-4591 mHealth; adoption; implementation; India; qualitative synthesis 19 11 2024 2024-11-19 10.1093/oodh/oqae046 COLLEGE NANME COLLEGE CODE Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University 2025-02-11T11:31:16.7834487 2024-11-15T09:58:33.8253049 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science VERGHESE THOMAS 1 Judy Jenkins 2 Jomin George 3 68279__33147__1f91897e39614914b18e57cea5ad2f93.pdf 68279.VOR.pdf 2024-12-16T13:59:36.2284989 Output 947442 application/pdf Version of Record true © The Author(s) 2024. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India
spellingShingle A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India
VERGHESE THOMAS
Judy Jenkins
Jomin George
title_short A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India
title_full A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India
title_fullStr A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India
title_full_unstemmed A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India
title_sort A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India
author_id_str_mv cc960ebe571057dc73a805021802ae73
d547919f7d389a3263887233a8d20989
d26a53a21212b3972a5537ba65f31593
author_id_fullname_str_mv cc960ebe571057dc73a805021802ae73_***_VERGHESE THOMAS
d547919f7d389a3263887233a8d20989_***_Judy Jenkins
d26a53a21212b3972a5537ba65f31593_***_Jomin George
author VERGHESE THOMAS
Judy Jenkins
Jomin George
author2 VERGHESE THOMAS
Judy Jenkins
Jomin George
format Journal article
container_title Oxford Open Digital Health
container_volume 2
container_start_page oqae046
publishDate 2024
institution Swansea University
issn 2754-4591
doi_str_mv 10.1093/oodh/oqae046
publisher Oxford University Press (OUP)
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description mHealth implementations are increasing in low- and middle-income countries to strengthen health systems and improve health outcomes. Following the proliferation of mobile internet use, Indian health systems have deployed mHealth widely. However, there is little evidence that mHealth has improved health outcomes in India across settings and at scale. The aim of this study was to review current evidence on perceptions and experiences of end users of mHealth in India and synthesize qualitative data to determine the factors influencing mHealth use to inform mHealth design, development, and implementation. A systematic review and qualitative synthesis of studies on mHealth in India was conducted by searching the Web of Science, Medline and CINAHL databases for qualitative studies on mHealth users including both health system beneficiaries and healthcare personnel. Findings from the studies were synthesized using thematic synthesis. The synthesis generated the themes of the Environment, the Users and the mHealth system. The data indicate that mHealth use improves when the environment supports its use; when users are motivated and have the ability to use mHealth systems; and when mHealth systems are aligned with the environmental context and fulfill users’ needs and desires. mHealth adoption in India can be improved through human centered design and by addressing the disparities in digital literacy between socio economic strata. These approaches are required to close the design reality gaps facing mHealth systems, to improve mHealth implementation for health system strengthening, and therefore, to improve health outcomes in India.
published_date 2024-11-19T05:23:52Z
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