A flexible toolkit for evaluating person-centred digital health and wellness at scale

McGee-Lennon, Marilyn and Bouamrane, Matt-Mouley and Grieve, Eleanor and O'Donnell, Catherine A. and O'Connor, Siobhan and Agbakoba, Ruth and Devlin, Alison M. and Barry, Sarah and Bikker, Annemieke and Finch, Tracy and Mair, Frances S.; Duffy, V.G. and Lightner, N., eds. (2016) A flexible toolkit for evaluating person-centred digital health and wellness at scale. In: Advances in Human Factors and Ergonomics in Healthcare. Advances in Intelligent Systems and Computing, 482 . Springer International Publishing AG, USA, pp. 105-118. ISBN 9783319416526 (https://doi.org/10.1007/978-3-319-41652-6_11)

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Abstract

The Delivering Assisted Living Lifestyles at Scale (dallas) program was a large-scale, nationwide deployment of digital health and wellbeing products and services in the UK. Telehealth, telecare, mobile apps, personal health records, and assisted living technology were implemented by four large multi-stakeholder consortia and a multidimensional evaluation was carried out across the lifecycle from examining co-design and redesign of services through to rolling out services via statutory, private and consumer routes. A flexible toolkit of descriptive, process and outcome measures was developed and iteratively refined throughout the program. This approach enabled a longitudinal mixed-methods evaluation, underpinned by a robust social theory of implementation called ‘Normalization Process Theory’. There remains uncertainty about the best approaches to real world digital health evaluation. This program provided a unique opportunity to develop the knowledge base and toolkit of qualitative and quantitative methods necessary to evaluate person-centered digital health technologies deployed at scale.

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