{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:14:15Z","timestamp":1789172055239,"version":"build-2803163510"},"reference-count":59,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:00:00Z","timestamp":1740096000000},"content-version":"vor","delay-in-days":51,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100002129","name":"Heart Foundation","doi-asserted-by":"publisher","award":["CVON2016-12"],"award-info":[{"award-number":["CVON2016-12"]}],"id":[{"id":"10.13039\/100002129","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Netherlands Cardiovascular Research Initiative"},{"name":"ZonMw"},{"DOI":"10.13039\/100002129","name":"Heart Foundation","doi-asserted-by":"publisher","award":["CVON2016-12"],"award-info":[{"award-number":["CVON2016-12"]}],"id":[{"id":"10.13039\/100002129","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Netherlands Cardiovascular Research Initiative"},{"name":"ZonMw"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Complex eHealth interventions\u2014featuring multiple components within dynamic systems\u2014are used for healthcare improvement. Public\u2013private partnerships (PPPs), combining resources, expertise, and technology, are crucial in this context. Yet, integrating these interventions into practice remains challenging. This study identifies barriers and facilitators affecting implementation of the BENEFIT programme, a complex eHealth intervention targeting cardiovascular disease patients, by PPP within practice. A qualitative study design was employed. Ten key stakeholders from four cardiac rehabilitation (CR) sites, who were all PPP partners involved in developing and implementing the BENEFIT programme, were interviewed semistructured. Transcripts were analysed using Consolidated Framework for Implementation Research. Facilitators included programme adaptability, communication and planning within teams, digital healthcare needs, dedicated PPP leadership, PPP meeting structure and PPP\u2019s ability to quickly modify the implementation strategy. Barriers involved specific PPP challenges (frequently changing roles, unclear roles and responsibilities and limited staffing), workplace disruptions, poor information technology (IT) integration, and ambiguous implementation goals amongst CR sites. This case study highlights challenges in implementing complex eHealth interventions by PPPs within practice. The findings underscore the need for a comprehensive implementation approach considering specific PPP dynamics, including combined expertise and resources, transparent role definition, sufficient staffing, clear goal communication and adaptable strategies for sustainable implementation.<\/jats:p>","DOI":"10.1093\/her\/cyaf001","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T15:23:13Z","timestamp":1740151393000},"source":"Crossref","is-referenced-by-count":3,"title":["Implementation of a complex eHealth intervention by a public\u2013private partnership in clinical practice: a qualitative multicentre analysis using CFIR"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2079-6814","authenticated-orcid":false,"given":"R V H","family":"IJzerman","sequence":"first","affiliation":[{"name":"Leiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit , Wassenaarseweg 52, Leiden 2333 AK,","place":["The Netherlands"]},{"name":"Department of Cardiology, Amsterdam UMC, University of Amsterdam , Meibergdreef 9, Amsterdam 1105 AZ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"van der Vaart","sequence":"additional","affiliation":[{"name":"Leiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit , Wassenaarseweg 52, Leiden 2333 AK,","place":["The Netherlands"]},{"name":"The Hague University of Applied Sciences, Centre of Expertise Health Innovation , Johanna Westerdijkplein 75, Den Haag 2521 EN,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L D","family":"Breeman","sequence":"additional","affiliation":[{"name":"Leiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit , Wassenaarseweg 52, Leiden 2333 AK,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R A","family":"Kraaijenhagen","sequence":"additional","affiliation":[{"name":"NDDO Institute for Prevention and Early Diagnostics (NIPED) , Teleportboulevard 140, Amsterdam 1043 BZ,","place":["The Netherlands"]},{"name":"Vital10 , Courbetstraat 34, Amsterdam 1077 ZV,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A W M","family":"Evers","sequence":"additional","affiliation":[{"name":"Leiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit , Wassenaarseweg 52, Leiden 2333 AK,","place":["The Netherlands"]},{"name":"Medical Delta, Leiden University, Technical University Delft, Erasmus University Rotterdam , Huismansingel 4, Delft 2629 JH,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W J M","family":"Scholte op Reimer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC, University of Amsterdam , Meibergdreef 9, Amsterdam 1105 AZ,","place":["The Netherlands"]},{"name":"HU University of Applied Sciences, Research Group Chronic Diseases , Heidelberglaan 7, Utrecht 3584 CH,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V R","family":"Janssen","sequence":"additional","affiliation":[{"name":"Leiden University Medical Centre, Department of Cardiology , Albinusdreef 2, Leiden 2333 ZA,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"2025022208415967700_R1","article-title":"A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance","volume":"374","author":"Skivington","year":"2021","journal-title":"BMJ"},{"key":"2025022208415967700_R2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1748-5908-6-6","article-title":"Why is it difficult to implement e-health initiatives? 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