Objective: Effective healthcare innovations are often not adopted and implemented. An implementation strategy based on facilitators and barriers for use as perceived by healthcare professionals could increase adoption rates. This study therefore aimed to identify the most relevant facilitators and barriers for use of an innovative breast cancer aftercare decision aid (PtDA) in healthcare practice. Methods: Facilitators and barriers (related to the PtDA, adopter and healthcare organisation) were assessed among breast cancer aftercare health professionals (n = 81), using the MIDI questionnaire. For each category, a backward regression analysis was performed (dependent = intention to adopt). All significant factors were then added to a final regression analysis to identify to most relevant determinants of PtDA adoption. Results: Expecting higher compatibility with daily practice and clinical guidelines, more positive outcomes of use, higher perceived relevance for the patient and increased self-efficacy were significantly associated with a higher intention to adopt. Self-efficacy and perceived patient relevance remained significant in the final model. Conclusions: Low perceived self-efficacy and patient relevance are the most important barriers for health professions to adopt a breast cancer aftercare PtDA. Practice implications: To target self-efficacy and perceived patient relevance, the implementation strategy could apply health professional peer champions.
Many studies report changes taking place in the field of higher education, changes which present considerable challenges to educational practice. Educational science should contribute to developing design guidance, enabling practitioners to respond to these challenges. Design patterns, as a form of design guidance, show potential since they promise to facilitate the design process and provide common ground for communication. However, the potential of patterns has not been fully exploited yet. We have proposed the introduction of a task conceptualization as an abstract view of the concept chosen as central: the task. The choice of the constituting elements of the task conceptualization has established an analytical perspective for analysis and (re)design of (e)learning environments. One of the constituting elements is that of ‘boundary objects’, which has added a focus on objects facilitating the coordination, alignment and integration of collaborative activities. The presented task conceptualization is deliberately generic in nature, to ease the portability between schools of thought and make it suitable for a wide target audience. The conceptualization and the accompanying graphical and textual representations have shown much promise in supporting the process of analysis and (re)design and add innovative insights to the domain of facilitating the creation of design patterns.
This feasibility report aims to create a solid background for Savings Groups programming in Italy, Spain, Germany, Poland and the Netherlands where partner organisations of the LETS SAVEE1 project are based. This Erasmus+ funded project aims at exploring the potential of saving groups in the European countries’ context, by improving entrepreneurial skills and access to financial services and social networks of diverse target groups. This particular report provides the partner organisation as well as other interested implementing organisations with a better understanding of how the different contexts influences the setting up and/or scale up of saving groups. This report is set up as follows: The market potential is based on literature of societal developments and how they can be linked to the emergence of saving groups in the respective countries and what kind of target groups have potential for benefitting the services offered by savings groups. By mapping partner organisations, the feasibility study identifies present and potential partners and stakeholders which could play an essential role reaching out to target groups. Then, the study will inform partner organisations and other implementers about the legal framework in each country that allows them to set up Savings Groups accordingly and identify issues that might need advocacy actions. Finally, this report provides a mapping of risk factors and ways to mitigate risks for savings groups members that were applicable for all partner organizations.
