JMIR research protocols
Development of Guidelines for Hospital Adoption of Wearable Telemonitoring Systems in Chronic Disease Management: Protocol for a Multiphase Mixed Methods Study
By Srihandono J, Setyonugroho W and Utarini A.
Abstract
Background
The integration of wearable device-based telemonitoring into hospital systems presents a transformative opportunity for chronic disease management, particularly in settings such as Indonesia facing a high burden of noncommunicable diseases. However, widespread adoption is hindered by multifaceted operational barriers, including workflow integration, data management, and unclear adoption pathways, highlighting a critical need for structured, evidence-based guidance.
Objective
This study protocol aims to develop a role-specific adoption guideline for integrating wearable telemonitoring systems into routine workflow in Indonesian hospitals for chronic disease management.
Methods
An exploratory sequential mixed methods design is employed across 3 phases. Phase 1 involves a critical interpretive synthesis of the literature to synthesize evidence on wearable technology adoption to populate the Domain-by-Actor matrix. Phase 2 comprises qualitative semistructured interviews with 32 to 44 key stakeholders (administrators, IT staff, and clinicians) from 4 purposively selected hospitals in Yogyakarta, Indonesia, to explore contextual barriers and facilitators. Phase 3 uses a modified nominal group technique with a panel of 12 experts to build consensus and finalize the guideline.