Interactive elements and their definitions | Factors within each element and their definitions |
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Rural context | |
Geographical area with low population density, limited resource bases, relative isolation, and cultural or ethnic homogeneity [38], and the accompanying political, economic, social, and technological developments. | Socioeconomic variables - The social and monetary environment in which the community is located. |
Individual resources and capabilities - Factors that influence the ability of rural residents to adopt e-Health. | |
A need for e-Health - Situation where e-Health can substitute for services that have disappeared or supplement existing services in a way that rural residents perceive as useful. | |
Third party involvement - Involvement of actors or stakeholders that do not belong to the targeted user group. | |
Implementation Process | |
“Streams of activity across time” [26:39] undertaken with the aim of implementing e-Health. | Implementation team - Stakeholders that initiate or promote change (a single stakeholder or a coalition of stakeholders). |
Implementation strategies - Assumptions of how change needs to be executed, formulated with the aim to implement e-Health. | |
Bottom-up strategy - Implementation strategy based on shared project ownership based on horizontal relationships between stakeholders. | |
Top-down strategy - Implementation strategy based on centralized project ownership with vertical relationships between a single stakeholder and external actors. | |
Resource management - Strategic allocation of scarce resources. | |
Conflict management - Management of competing stakeholder interests as well as their ideas on the project. | |
People and organizational issues - Problems among individuals and organizations that occur when implementing e-Health, such as with technical support. | |
e-Health Content | |
Refers to any interactive communication and information technology aimed at enhancing the quality of life and/or health outcomes in the broadest sense [39]. | Project design - The set of shared ideas about what the project is, including its aims, costs, and conditions for success. |
e-Health design - Technical and user features of the implemented e-Health. | |
Sustainability - The enduring adoption of the e-Health content. | |
Adoption Outcomes | |
The degree of adoption by the targeted group, leading to individual and community-level outcomes. | Individual level adoption outcomes - The effects that the implemented e-Health has on the individual’s health. |
Community-level adoption outcomes - The effects that the implemented e-Health has on the quality of life in the rural community. |