e.g. mhealth
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The included studies will report any of the following outcomes: (1) barriers and facilitators influencing the implementation of conversational agents, (2) implementation strategies used in the implementation of conversational agents, and (3) processes and process adaptations leading to the implementation of conversational agents.
JMIR Res Protoc 2025;14:e72942
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Text fragments were coded when they involved barriers or facilitators in the use of the online training Embrace Pain from the patient’s perception. When patients discussed potential barriers and facilitators relevant to other patients but not applicable to their situation, these were not coded. The analysis began with open coding, where the primary themes of facilitators and barriers guided the coding process. Once all transcripts were coded, an initial codebook code was reviewed and adjusted if necessary.
JMIR Cancer 2025;11:e64983
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This framework categorizes implementation challenges as simple (straightforward, predictable barriers that are easily addressed), complicated (multiple interacting components requiring significant work to overcome), or complex (dynamic, unpredictable barriers that may lead to abandonment if not effectively managed).
Second, we used the theoretical model by Meiland et al [15] for tracing facilitators and barriers in the adaptive implementation of innovations in care settings.
J Med Internet Res 2025;27:e74168
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The barriers were measured based on a framework developed by Rettinger and Kuhn [3]. Participants rated the extent to which each of the 24 barriers influenced their willingness to adopt telehealth, using a Likert scale ranging from 0 (no influence) to 4 (strong influence).
JMIR Hum Factors 2025;12:e74107
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The framework maps barriers and facilitators across 5 domains: innovation, inner setting, outer setting, individuals, and implementation process. We adapted the subconstructs to fit the study purpose and context in line with the CFIR recommendations [16] (Table 2 presents the CFIR framework with the 5 main dimensions and the subconstructs in this study). To identify the subconstructs relevant to our interviews, we built upon our previous quantitative survey of health care professionals.
JMIR Rehabil Assist Technol 2025;12:e68766
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This practice emanates from the interplay among 4 aspects of patient management, namely, disorganization and fragmentation of health care, inadequacy of guidelines and evidence-based medicine for multimorbidity, challenges in delivering patient-centered rather than disease-focused care, and barriers to shared decision-making.
JMIR Res Protoc 2025;14:e69626
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Therefore, the aim of the study is to explore the main barriers and facilitators that could be encountered in conducting a randomized clinical trial to study the effectiveness of the implementation of LLM models as tools to work on the clinical reasoning of physical therapy students.
This study was approved by the local ethics committee of the La Salle University Center for Advanced Studies, Madrid, Spain (CSEULS-PI-002/2025). This trial was registered in clinicaltrials.org (NCT06809634).
JMIR Form Res 2025;9:e66126
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This data highlights a disconnect between awareness and sustained practice, indicating the importance of understanding the barriers to engagement with meditation.
Along these lines, past research has systematically identified the barriers to meditation. Williams et al [15] developed a 17-item survey battery that explored the self-reported barriers to meditating.
JMIR Ment Health 2025;12:e71732
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We identified 4 key themes that provided invaluable information about the barriers and facilitators to follow-up as well as the experiences (positive or negative) of the participants that need to be considered in any future initiatives to improve follow-up in Nepal.
Characteristics of study participants.
a Illiterate: unable to read and write in Nepali; primary: up to grade 5; secondary: grades 6 to 10.
JMIR Pediatr Parent 2025;8:e65023
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Perceived barriers to using DT in cardiovascular care (rating of 20 potential barriers, 1 open question; 5 items).
Potential application areas for DT in cardiovascular care (rating of 17 potential application areas, 1 open question; 3 items).
Factors influencing the decision to use or not use DT (rating of 22 potential influencing factors, 1 open question; 4 items).
Demographic information (gender, age, highest education level, professional qualification; 4 items).
JMIR Cardio 2025;9:e71366
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